Prescriptive treatment for generalized anxiety disorder in children
Prescriptive treatment for generalized anxiety disorder in children
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DOI：
10.1016/s0005-7894(98)80034-8
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发表时间：
1998-12-01
期刊：
影响因子：
3.7
通讯作者：
Silverman, WK
中科院分区：
文献类型：
--
作者：
Eisen, AR;Silverman, WK
本研究采用多基线设计，比较了4名（8 - 12岁）过度焦虑儿童（8 - 12岁）的问题反应类别（认知或躯体症状）的说明性和非说明性认知行为干预（即认知治疗/暴露或放松训练/暴露）的初步效果。参与者也符合DSM-IV的广泛性焦虑障碍标准。所有儿童在儿童前后和父母自我报告测量、独立临床医生评分和生理记录方面均有改善。治疗效果一般维持在6个月的随访期间。虽然两种治疗都有效，但只有规定性治疗才能使参与者达到积极的最终状态标准。对儿童焦虑症处方治疗的意义进行了讨论。
This investigation compared the preliminary efficacy of prescriptive and nonprescriptive cognitive-behavioral interventions (i.e., cognitive therapy/exposure or relaxation training/exposure) for problematic response classes (cognitive or somatic symptoms) of 4 overanxious children (8 to 12 years) using a multiple baseline design across subjects. Participants also met DSM-IV criteria for generalized anxiety disorder. All children improved on pre-post child and parent self-report measures, independent clinician ratings, and physiologic recordings. Treatment gains were generally maintained at 6-month follow-up. Although both treatments were effective, only prescriptive treatments produced sufficient improvement for participants to meet positive end-state criteria. Implications for the prescriptive treatment of anxiety disorders in children are discussed.