25 關於兒童青少年焦慮症的藥物治療,下列敘述何者正確?
(A)對兒童青少年焦慮症最常用的藥物是 SSRIs
(B)兒童青少年焦慮症中對藥物治療最有效的是特定畏懼症
(C)藥物治療通常是兒童青少年焦慮症的第一線治療方式
(D)兒童青少年焦慮症對藥物治療的副作用較成人少
統計: A(476), B(64), C(55), D(8), E(0) #2191012
詳解 (共 3 筆)
出處:
Mash, E. J., & Wolfe, D. A. (2013). Abnormal child psychology.
Belmont, CA: Wadsworth Cengage Learning.
Ch11. Anxiety and Obsessive–Compulsive Disorders--
TREATMENT AND PREVENTION, Medications, p399.
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☛選項A,參考內文:
A variety of medications have been used to treat the
symptoms of anxiety in children and adolescents;
the most common and effective ones are selective
serotonin reuptake inhibitors (SSRIs; Rynn et al., 2011).
☛選項B,最有效的是OCD,
該選項也出現在107-1臨床心理特論二29-B,參考內文:
Although used to treat all types of anxiety and related
disorders, the strongest evidence of their effectiveness is
in treatment of OCD (Bloch & Storch, 2015).
☛選項C,AACAP的建議是以CBT作為第一線治療的方式,參考內文:
Given the lack of controlled studies and possible
adverse side effects associated with the use of SSRIs
for young children with anxiety disorders (Rynn et al.,
2015), CBT is generally considered the first line of
treatment; medication is used for children with severe
symptoms or comorbid disorders or when CBT is not
available or proves unsuccessful (AACAP, 2007b).
☛選項D,沒有證據指出藥物治療在兒青身上的副作用比成人少。
一般來說,第一線藥物處方以抗焦慮劑為主,Benzodiazepines類的藥物可以用來治療焦慮症狀,此類藥物在一般治療劑量範圍內使用的安全性很高,但有成癮及耐受的可能性。
如果合併出現憂鬱或強迫症狀,則可選擇抗憂鬱劑。傳統的三環抗憂鬱劑(TCA)或是單胺氧化酶抑制劑(MAOIs)等藥物都有助於改善症狀。新型的選擇性血清素再吸收抑制劑(SSRIs)除了抗憂鬱的效果之外,對於靠焦慮的效果極佳,而且沒有成癮和耐受的問題,是目前治療焦慮症與強迫症的首選藥物(湯華盛、黃政昌,2005;AACAP, 2007; Rapoport, 1998)。