Family treatment of childhood anxiety: A controlled trial

Family treatment of childhood anxiety: A controlled trial
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DOI:
10.1037/0022-006x.64.2.333
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发表时间:
1996-04-01
影响因子:
5.9
通讯作者:
Rapee, RM
Rapee, RM
中科院分区:
心理学1区
文献类型:
--
作者:
Barrett, PM;Dadds, MR;Rapee, RM

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一个以家庭为基础的治疗儿童焦虑进行了评估。符合分离焦虑、过度焦虑或社交恐惧症诊断标准的7至14岁儿童(n = 79)被随机分配到3种治疗条件:认知行为治疗(CBT)、CBT+家庭管理(CBT + FAM)和等待名单。在治疗后以及6个月和12个月随访时评估干预措施的有效性。结果表明,在治疗条件下,69.8%的儿童不再符合焦虑症的诊断标准,而等待名单上的儿童则为26%。在12个月的随访中,CBT组70.3%的儿童和CBT + FAM组95.6%的儿童不符合标准。接受CBT的儿童与接受CBT + FAM的儿童在自我报告措施和临床医生评级方面的比较表明,CBT + FAM治疗带来了额外的好处。年龄和性别与治疗条件相互作用,年龄较小的儿童和女性参与者对CBT + FAM条件的反应更好。
A family-based treatment for childhood anxiety was evaluated. Children (n = 79) aged 7 to 14 who fulfilled diagnostic criteria for separation anxiety, overanxious disorder, or social phobia were randomly allocated to 3 treatment conditions: cognitive-behavioral therapy (CBT), CBT plus family management (CBT + FAM), and waiting list. The effectiveness of the interventions was evaluated at posttreatment and at 6 and 12 months follow-up. The results indicated that across treatment conditions, 69.8% of the children no longer fulfilled diagnostic criteria for an anxiety disorder, compared with 26% of the waiting-list children. At the 12-month follow-up, 70.3% of the children in the CBT group and 95.6% of the children in the CBT + FAM group did not meet criteria. Comparisons of children receiving CBT with those receiving CBT + FAM on self-report measures and clinician ratings indicated added benefits from CBT + FAM treatment. Age and gender interacted with treatment condition, with younger children and female participants responding better to the CBT + FAM condition.