Future Directions for Research on Early Intervention for Young Children at Risk for Social Anxiety.

Future Directions for Research on Early Intervention for Young Children at Risk for Social Anxiety.
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未来对有社交焦虑症风险的幼儿进行早期干预研究的指导。

DOI:
10.1080/15374416.2018.1426006
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发表时间:
2018-07
期刊:
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子:
--
通讯作者:
Novick DR
Novick DR
中科院分区:
其他
文献类型:
--
作者:
Chronis-Tuscano A;Danko CM;Rubin KH;Coplan RJ;Novick DR

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焦虑症在幼儿中很常见,发病较早通常与严重程度和持续时间有关。稳定的行为抑制(BI)气质以及随后的害羞和社交退缩(SW)使儿童患焦虑症的风险增加,尤其是社交焦虑。在这篇未来方向文章中,我们简要回顾了发展和临床研究和理论,这些研究和理论指出,养育和同伴互动是 BI/SW 稳定性和以后焦虑风险的关键调节因素,并且我们描述了解决幼儿早期 BI/SW 和/或焦虑症的现有干预措施。我们建议未来关于早期干预的研究,以扰乱高危儿童的焦虑轨迹:(a) 以发展科学和临床研究为基础,(b) 纳入多层次的分析(包括个体和背景因素),(c) 检查使我们更接近理解治疗如何以及为何发挥作用的中介因素,(d) 以传播的最终目标为基础进行开发,(e) 检查结果的调节因素以实现治疗效率的目标,(f) 考虑跨诊断或模块化方法,(g) 整合技术,以及(h) 考虑有关 BI/SW/焦虑和养育子女的文化规范。
Anxiety disorders are common among young children, with earlier onset typically associated with greater severity and persistence. A stable behaviorally inhibited (BI) temperament and subsequent shyness and social withdrawal (SW) place children at increased risk of developing anxiety disorders, particularly social anxiety. In this Future Directions article, we briefly review developmental and clinical research and theory that point to parenting and peer interactions as key moderators of both the stability of BI/SW and risk for later anxiety, and we describe existing interventions that address early BI/SW and/or anxiety disorders in young children. We recommend that future research on early intervention to disrupt the trajectory of anxiety in children at risk (a) be informed by both developmental science and clinical research, (b) incorporate multiple levels of analysis (including both individual and contextual factors), (c) examine mediators that move us closer to understanding how and why treatments work, (d) be developed with the end goal of dissemination, (e) examine moderators of outcome toward the goal of treatment efficiency, (f) consider transdiagnostic or modular approaches, (g) integrate technology, and (h) consider cultural norms regarding BI/SW/anxiety and parenting.
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