A randomized controlled trial of a bidirectional cultural adaptation of cognitive behavior therapy for children and adolescents with anxiety disorders

被引：23
作者：
Ishikawa, Shin-ichi [1 ]
Kikuta, Kazuyo [1 ]
Sakai, Mie [2 ]
Mitamura, Takashi [3 ]
Motomura, Naoyasu [4 ]
Hudson, Jennifer L. [5 ]
机构：
[1] Doshisha Univ, Fac Psychol, 1-3 Tatara Miyakodani, Kyotanabe, Kyoto 6100394, Japan
[2] Naogya City Univ, Grad Sch Med Sci, Psychiat & Cognit Behav Med, Mizuho Ku, 1 Kawasumi,Mizuho Cho, Nagoya, Aichi 4678601, Japan
[3] Ritsumeikan Univ, Coll Comprehens Psychol, 2-150 Iwakura Cho, Ibaraki, Osaka 5678570, Japan
[4] Osaka Med Coll, Fac Nursing, 2-7 Daigakumachi, Takatsuki, Osaka 5698686, Japan
[5] Macquarie Univ, Dept Psychol, Ctr Emot Hlth, N Ryde, NSW 2109, Australia
来源：
BEHAVIOUR RESEARCH AND THERAPY | 2019年 / 120卷
基金：
日本学术振兴会;
关键词：
Cognitive behavior therapy; Child; Anxiety; Cultural adaptation; EVIDENCE BASE UPDATE; JAPANESE CHILDREN; PSYCHOMETRIC PROPERTIES; EVALUATING CHILD; DEPRESSION; SYMPTOMS; YOUTH; INTERVENTIONS; VALIDITY; OUTCOMES;
D O I：
10.1016/j.brat.2019.103432
中图分类号：
B849 [应用心理学];
学科分类号：
040203 ;
摘要：
Background: Cognitive behavior therapy (CBT) programs with ethnic and cultural sensitivity are scarce. This study was the first randomized controlled trial of cognitive behavior therapy for children and adolescents with anxiety disorders using bidirectional cultural adaptation. Methods: The Japanese Anxiety Children/Adolescents Cognitive Behavior Therapy program (JACA-CBT) was developed based on existing evidence-based CBT for anxious youth and optimized through feedback from clinicians in the indigenous cultural group. Fifty-one children and adolescents aged 8-15 with anxiety disorders were randomly allocated to either a cognitive behavioral treatment (CBT: 122.08 days, SD = 48.15) or a wait-list control condition (WLC: 70.00 days, SD = 11.01). Participants were assessed at pre-treatment and post-treatment as well as 3 and 6 months after completion of treatment (92.88 days, SD = 17.72 and 189.42 days, SD = 25.06) using a diagnostic interview, self-report measures of anxiety, depression, cognitive errors, and a parent-report measure of anxiety. Results: A significant difference was found between the CBT and WLC at post-treatment, specifically 50% of participants in the treatment condition were free from their principal diagnoses compared to 12% in the wait-list condition, chi(2) (1, N = 51) = 8.55, eta(2) = 0.17, p < .01. In addition, participants in the treatment condition showed significant improvement in clinical severity and child-self reported depression, F (1, 49) = 12.38, p < .001, F (1, 47.60) = 5.95, p < .05. At post-treatment, Hedge's g between the conditions was large for clinical severity, 1.00 (95% CI = 0.42-1.58), and moderate for the self-report anxiety scale, 0.43 (0.19-1.04), two depression scales, 0.39 (0.22-1.00), 0.48 (0.14-1.09), and the cognitive errors scale, 0.38 (0.24-0.99). Finally, significant improvements in diagnostic status were evident at the 3 and 6-month follow-up assessments when combining the CBT and WLC, ps < .001. Conclusion: The current results support the transportability of CBT and the efficacy of a bidirectional, culturally adapted cognitive behavior therapy in an underrepresented population.
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页数：11
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