门诊青少年焦虑障碍患者团体认知行为治疗的3个月随访研究

3-month follow-up study for group cognitive behavioral treatment on adolescents with anxiety disorders

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=4.58,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。

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）before 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. Additionally,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＆#39;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.