کد مقاله | کد نشریه | سال انتشار | مقاله انگلیسی | نسخه تمام متن |
---|---|---|---|---|
5038488 | 1472841 | 2016 | 15 صفحه PDF | دانلود رایگان |
عنوان انگلیسی مقاله ISI
Treating child and adolescent anxiety effectively: Overview of systematic reviews
ترجمه فارسی عنوان
درمان اضطراب کودک و نوجوان به طور موثر: بررسی اجمالی بررسی های سیستماتیک
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کلمات کلیدی
اضطراب، کودک، نوجوانان تصمیم گیری بالینی، درمان مرور،
موضوعات مرتبط
علوم پزشکی و سلامت
پزشکی و دندانپزشکی
روانپزشکی و بهداشت روانی
چکیده انگلیسی
We conducted an overview of systematic reviews about child and adolescent anxiety treatment options (psychosocial; medication; combination; web/computer-based treatment) to support evidence informed decision-making. Three questions were addressed: (i) Is the treatment more effective than passive controls? (ii) Is there evidence that the treatment is superior to or non-inferior to (i.e., as good as) active controls? (iii) What is the quality of evidence for the treatment? Pre-specified inclusion criteria identified high quality systematic reviews (2000-2015) reporting treatment effects on anxiety diagnosis and symptom severity. Evidence quality (EQ) was rated using Oxford evidence levels [EQ1 (highest); EQ5 (lowest)]. Twenty-two of 39 eligible reviews were high quality (AMSTAR score â¥Â 3/5). CBT (individual or group, with or without parents) was more effective than passive controls (EQ1). CBT effects compared to active controls were mixed (EQ1). SSRI/SNRI were more effective than placebo (EQ1) but comparative effectiveness remains uncertain. EQ for combination therapy could not be determined. RCTs of web/computer-based interventions showed mixed results (EQ1). CBM/ABM was not more efficacious than active controls (EQ1). No other interventions could be rated. High quality RCTs support treatment with CBT and medication. Findings for combination and web/computer-based treatment are encouraging but further RCTs are required. Head-to-head comparisons of active treatment options are needed.
ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Clinical Psychology Review - Volume 50, December 2016, Pages 80-94
Journal: Clinical Psychology Review - Volume 50, December 2016, Pages 80-94
نویسندگان
Kathryn Bennett, Katharina Manassis, Stephanie Duda, Alexa Bagnell, Gail A. Bernstein, E. Jane Garland, Lynn D. Miller, Amanda Newton, Lehana Thabane, Pamela Wilansky,