Targeting discrete response channels in the treatment of childhood specific phobia
Targeting discrete response channels in the treatment of childhood specific phobia
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DOI：
10.1093/clipsy/bpi020
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发表时间：
2005-06-01
影响因子：
5.8
通讯作者：
Piacentini, J
中科院分区：
文献类型：
--
作者：
Bergman, RL;Piacentini, J
戴维斯和奥伦迪克（本期）对儿童特定恐惧症的治疗现状进行了深刻的回顾和批评。他们的回顾以生物信息论为指导（Lang, 1979），以及在评估其结果时，经验支持的儿童特定恐惧症治疗在多大程度上使用了该理论的主要原则。我们同意，未能评估与多种恐惧成分相关的结果是现有治疗的一个弱点。我们也同意评估恐惧反应的所有组成部分对于确定治疗效果和改变机制是重要的。然而，鉴于焦虑评估的现状，我们认为，在确定疗效状态之前，要求治疗证明所有三方恐惧成分和主观恐惧的改变可能还为时过早。这篇评论讨论了评估儿童多重恐惧反应成分的实践和方法上的困难，并论证了改进评估技术的必要性。在治疗中明确针对每个恐惧反应系统的必要性也被提及。
Davis and Ollendick (this issue) provide an insightful review and critique of the current state of treatment for childhood specific phobias. Their review is guided by bioinformational theory (Lang, 1979) and the degree to which empirically supported treatments for childhood specific phobia use the main tenets of the theory in assessing their outcomes. We agree that failure to assess outcomes related to multiple fear components is a weakness of extant treatments. We also agree that assessment of all components of the fear response is important for the determination of treatment efficacy and mechanisms of change. However, given the current state of anxiety assessment, we suggest that it may be premature to require treatments to demonstrate alteration in all of the tripartite fear components and subjective fear before assigning efficacy status. This commentary discusses the practical and methodological difficulties in the assessment of multiple fear response components in children and argues the need for improved assessment technology. The necessity to specifically target each fear response system in treatment is also addressed.