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首页> 外文期刊>Journal of anxiety disorders >Targeted Behavioral Therapy for childhood generalized anxiety disorder: A time-series analysis of changes in anxiety and sleep
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Targeted Behavioral Therapy for childhood generalized anxiety disorder: A time-series analysis of changes in anxiety and sleep

机译：儿童广泛性焦虑症的针对性行为疗法：焦虑和睡眠变化的时间序列分析

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摘要

This study examined the efficacy of Targeted Behavioral Therapy (TBT), a newly developed intervention targeting features of childhood generalized anxiety disorder (GAD). Using a time-series design, 4 children (7-12 years) with primary GAD were treated with TBT, which includes sleep improvement strategies, systematic desensitization for reducing intolerance of uncertainty, and in vivo exposures for anxiety. Diagnostic interviews and questionnaires were administered at baseline, post-treatment and 3 months follow-up. Anxiety symptoms and sleep characteristics/problems were rated weekly during a 4-week baseline and 14-weeks of treatment. Two children remitted at post-treatment and no child had a GAD diagnosis at follow-up. Child but not parent report revealed improvements in both worry and sleep. Despite improvements from pre- to post-assessment, considerable symptom fluctuation observed during the baseline period preclude conclusion that symptom changes are specifically attributable to the course of treatment. Overall, preliminary support is provided for the efficacy of TBT for childhood GAD.
机译：这项研究检查了靶向行为疗法（TBT）的功效，这是一种针对儿童普遍性焦虑症（GAD）的新开发的干预措施。使用时间序列设计，对4例原发性GAD患儿（7-12岁）进行了TBT治疗，其中包括改善睡眠的策略，降低不确定性耐受性的系统性脱敏以及体内焦虑症的暴露。在基线，治疗后和3个月的随访中进行诊断性访谈和问卷调查。在治疗的4周基线和14周内每周评估焦虑症状和睡眠特征/问题。治疗后有2名儿童得以缓解，随访中没有儿童被诊断出GAD。儿童而非父母的报告显示，焦虑和睡眠都有改善。尽管从评估前到评估后都有改善，但在基线期观察到的症状波动较大，因此无法得出结论，即症状的改变特别归因于治疗过程。总体而言，为TBT对儿童GAD的疗效提供了初步支持。

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