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首页> 外文期刊>BMC Psychiatry >Efficacy and acceptability of parent-only group cognitive behavioral intervention for treatment of anxiety disorder in children and adolescents: a meta-analysis of randomized controlled trials
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Efficacy and acceptability of parent-only group cognitive behavioral intervention for treatment of anxiety disorder in children and adolescents: a meta-analysis of randomized controlled trials

机译：父母群体认知行为干预治疗儿童和青少年焦虑症的疗效和可接受性：随机对照试验的荟萃分析

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Anxiety disorder is the most prevalent mental disorder among children and adolescents, causing significant psychosocial problems and physical health conditions. Cognitive behavioral therapy (CBT) is an effective treatment for anxiety disorder in children and adolescents. And parent-only CBT is an alternative treatment for childhood anxiety disorder, which includes psychologists and parents rather than children in the treatment. As a new type of CBT, parent-only CBT has some advantages. However, it remains unclear whether parent-only CBT interventions are effective for treating children and adolescents with anxiety disorder. In this study, we evaluated the efficacy (the mean change scores of the anxiety rating scale from baseline to post-treatment, standardized mean difference SMD) and acceptability (the proportion of patients in the treatment group who withdrew from treatment early for any reason, risk ratios RRs) of parent-only cognitive behavioral therapy (CBT) for children and adolescents with anxiety disorder. We searched electronic databases, including PubMed, Cochrane Library, Embase, Web of Science, ProQuest, and PsycINFO from inception to June 2019. We included randomized controlled trials (RCTs) comparing parent-only CBT either with waitlist (WL), or CBT with parents in children and adolescents with anxiety disorder. Finally, six RCTs with 407 participants were included in the meta-analyses. In terms of efficacy, pooled analyses indicated that parent-only CBT was significantly more effective than WL for reducing anxiety symptoms with SMD of ??0.72 (95% CI ??1.41 to ??0.03, p = 0.04), and more remission rate with RR of 4.33 (37.96% vs. 6.85, 95% CI 1.82 to 10.27, p = 0.0009) at post-treatment. And our analyses showed no evidence that parent-only CBT had significantly greater efficacy than CBT with parents with SMD of 0.21 (95% CI ??0.09 to 0.50, p = 0.17). Acceptability in the parent-only CBT group was not significantly different to the WL group with RR of 0.92 (95% CI 0.52 to 1.62, p = 0.77), and was significantly worse than in the CBT with parents group with RR of 1.93 (95% CI 1.05 to 3.57, p = 0.03). Current evidence indicates that parent-only CBT can be an alternative and acceptable intervention for treating children and adolescents with anxiety disorder.
机译：焦虑症是儿童和青少年中最普遍的精神障碍，造成显着的心理社会问题和身体健康状况。认知行为治疗（CBT）是儿童和青少年焦虑症的有效治疗方法。父母的CBT是儿童焦虑症的替代治疗，其中包括心理学家和父母而不是治疗的儿童。作为一种新型的CBT，只有父母的CBT有一些优点。然而，仍然尚不清楚父母的CBT干预是否有效治疗儿童和青少年具有焦虑症。在这项研究中，我们评估了疗效（从基线到治疗后的焦虑评级规模的平均变化分数，标准化平均差异SMD）和可接受性（治疗组患者的比例，他因任何原因因治疗而退出治疗，儿童和青少年的父母的认知行为治疗（CBT）的风险率RRS患有焦虑症。我们搜索了电子数据库，包括PubMed，Cochrane Library，Embase，Semention，Proquest和Psycinfo，从2009年6月到2009年6月。我们包括随机对照试验（RCT）与父级CBT一起使用等待者（WL）或CBT进行比较儿童和青少年的父母患有焦虑症。最后，在Meta-Analyzes中包含六个具有407名参与者的RCT。在疗效方面，汇总分析表明，用于减少焦虑症状的父母的CBT在减少与SMD的焦虑症状（95％CI→1.41至0.03，P = 0.04），以及更多的缓解率治疗后，RR为4.33（37.96％，95％，95％CI 1.82至10.27，P = 0.0009）。我们的分析显示，没有证据表明，只有父母的疗效与具有0.2100.21的父母的父母有明显更大的疗效（0.09至0.50，p = 0.17）。父母的CBT组中的可接受性与RR的WL组没有显着差异，RR为0.92（95％CI 0.52至1.62，P = 0.77），并且比具有1.93的RR的父母组中的CBT在CBT中大致差（95 ％CI 1.05至3.57，P = 0.03）。目前的证据表明，只有父母的CBT可以是治疗儿童和青少年具有焦虑症的替代和可接受的干预。

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