临床精神医学杂志
臨床精神醫學雜誌
림상정신의학잡지
JOURNAL OF CLINICAL PSYCHOLOGICAL MEDICINE
2014年
2期
94-96
,共3页
青少年%焦虑障碍%团体认知行为治疗%随访
青少年%焦慮障礙%糰體認知行為治療%隨訪
청소년%초필장애%단체인지행위치료%수방
adolescents%anxiety disorder%group cognitive-behavioral treatment%follow-up
目的：评估门诊焦虑障碍青少年团体认知行为治疗（GCBT）的有效性。方法：对儿童青少年门诊就诊的70例13~18岁焦虑障碍青少年采用随机抽样方法，分为 GCBT 组和等待对照（WLC）组。GCBT 组接受为期8周、每周1次、每次120 min 的 GCBT 治疗。在治疗前填写自制一般情况问卷，治疗前、治疗8周后、治疗结束3个月后用儿童焦虑性情绪障碍筛查表（SCARED）进行测试。结果：GCBT组共34例完成研究，3个月后的随访有17例参加。WLC 组共22例完成8周随访。与 WLC 组相比GCBT 组治疗后青少年焦虑障碍患者 SCARED 总分及广泛性焦虑、躯体化、社交焦虑、分离性焦虑因子分呈显著性下降（t ＝6.24，P ﹤0.01；t ＝4.28，P ﹤0.01，t ＝4.31，P ﹤0.01，t ＝4.17，P ﹤0.01）。治疗结束后3个月随访发现患者 SCARED 总分及广泛性焦虑、躯体化、社交焦虑、分离性焦虑因子分呈明显下降趋势（F ＝11.26，P ﹤0.01；F ＝11.38，P ﹤0.01；F ＝11.01，P ﹤0.01；F ＝20.02；P ﹤0.01）。结论：GCBT能有效缓解门诊焦虑障碍青少年的焦虑情绪。
目的：評估門診焦慮障礙青少年糰體認知行為治療（GCBT）的有效性。方法：對兒童青少年門診就診的70例13~18歲焦慮障礙青少年採用隨機抽樣方法，分為 GCBT 組和等待對照（WLC）組。GCBT 組接受為期8週、每週1次、每次120 min 的 GCBT 治療。在治療前填寫自製一般情況問捲，治療前、治療8週後、治療結束3箇月後用兒童焦慮性情緒障礙篩查錶（SCARED）進行測試。結果：GCBT組共34例完成研究，3箇月後的隨訪有17例參加。WLC 組共22例完成8週隨訪。與 WLC 組相比GCBT 組治療後青少年焦慮障礙患者 SCARED 總分及廣汎性焦慮、軀體化、社交焦慮、分離性焦慮因子分呈顯著性下降（t ＝6.24，P ﹤0.01；t ＝4.28，P ﹤0.01，t ＝4.31，P ﹤0.01，t ＝4.17，P ﹤0.01）。治療結束後3箇月隨訪髮現患者 SCARED 總分及廣汎性焦慮、軀體化、社交焦慮、分離性焦慮因子分呈明顯下降趨勢（F ＝11.26，P ﹤0.01；F ＝11.38，P ﹤0.01；F ＝11.01，P ﹤0.01；F ＝20.02；P ﹤0.01）。結論：GCBT能有效緩解門診焦慮障礙青少年的焦慮情緒。
목적：평고문진초필장애청소년단체인지행위치료（GCBT）적유효성。방법：대인동청소년문진취진적70례13~18세초필장애청소년채용수궤추양방법，분위 GCBT 조화등대대조（WLC）조。GCBT 조접수위기8주、매주1차、매차120 min 적 GCBT 치료。재치료전전사자제일반정황문권，치료전、치료8주후、치료결속3개월후용인동초필성정서장애사사표（SCARED）진행측시。결과：GCBT조공34례완성연구，3개월후적수방유17례삼가。WLC 조공22례완성8주수방。여 WLC 조상비GCBT 조치료후청소년초필장애환자 SCARED 총분급엄범성초필、구체화、사교초필、분리성초필인자분정현저성하강（t ＝6.24，P ﹤0.01；t ＝4.28，P ﹤0.01，t ＝4.31，P ﹤0.01，t ＝4.17，P ﹤0.01）。치료결속후3개월수방발현환자 SCARED 총분급엄범성초필、구체화、사교초필、분리성초필인자분정명현하강추세（F ＝11.26，P ﹤0.01；F ＝11.38，P ﹤0.01；F ＝11.01，P ﹤0.01；F ＝20.02；P ﹤0.01）。결론：GCBT능유효완해문진초필장애청소년적초필정서。
Objective:To evaluate the effectiveness of group cognitive behavioral treatment(GCBT)on adolescents with anxiety disorders in outpatient clinic. Method:Seventy anxiety disorder adolescents(aged 13-18 years)asking help in children and adolescents clinic department were assigned randomly into study group and waiting list control group. The study group members accepted 8 ~ session(one session weekly,120 minutes every session)group cognitive behavioral treatments. All the adolescents were asked to complete the tailor-made general questionnaire before treatment,and screen for child anxiety related emotional disorders(SCARED)be-fore treatment,after 8 weeks treatment and 3 months after 8-weeks therapy. Results:① 34 children of the study group had completed the 8-week sessions and 17 children had participated in the 3-month follow-up. Addi-tionally,22 participants of waiting list control groups had completed the before 8-week wait and post 8-week wait follow-up diagnostic tests. ②After group cognitive behavioral treatments,the scores of adolescents'SCARED total and factor scores in dimensions of generalized anxiety disorder,panic disorder or significant somatic symptoms, social anxiety disorder and separation anxiety decreased significantly(t = 6. 24,P ﹤ 0. 01;t = 6. 37,P ﹤ 0. 01;t = 4. 28,P ﹤ 0. 01,t = 4. 31,P ﹤ 0. 01;t = 4. 17,P ﹤ 0. 01). ③The 3-months follow-up showed that the above scores of SCARED Total and 4 dimensions SCARED factor scores decreased continuously and significant(F =11. 26,P ﹤ 0. 01;F = 11. 38,P ﹤ 0. 01;F = 11. 01,P ﹤ 0. 01;F = 20. 02,P ﹤ 0. 01). Conclusion:The group cognitive behavioral treatment on adolescents with anxiety disorder is effective in outpatient clinic.
