A Selective Intervention Program for Inhibited Preschool-Aged Children of Parents With an Anxiety Disorder: Effects on Current Anxiety-Disorders and Temperament

A Selective Intervention Program for Inhibited Preschool-Aged Children of Parents With an Anxiety Disorder: Effects on Current Anxiety-Disorders and Temperament
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DOI:
10.1097/chi.0b013e31819f6fa9
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发表时间:
2009-06-01
影响因子:
13.3
通讯作者:
Edwards, Susan L.
Edwards, Susan L.
中科院分区:
医学1区
文献类型:
--
作者:
Kennedy, Susan J.;Rapee, Ronald M.;Edwards, Susan L.

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目的:本研究评估了早期干预对学龄前儿童的有效性,这些儿童是根据风险选择的,也符合焦虑症的诊断标准。方法:71名3至4岁的儿童被选中的基础上表现出高水平的抑制和有一个当前的焦虑症的父母。他们被随机分配到一个八届家长干预或候补名单。结果:在基线时,所有儿童都符合一种或多种焦虑症的标准。在6个月的随访中,干预组的焦虑症明显减少,焦虑对他们的干扰比等待名单少。此外,在干预条件下的儿童表现出更大的减少父母和实验室观察到的行为抑制措施。结论:结果表明,通过父母提供的简短的早期干预可以减少当前的焦虑和相关风险,并可能改变高危幼儿群体的焦虑发展轨迹。J Am. Acad.儿童青少年精神病学,2009; 48(6):602 - 609.
Objective: The current study evaluated the efficacy of early intervention for preschool-aged children selected on the basis of risk who also met diagnostic criteria for anxiety disorders. Method: Seventy-one 3- to 4-year-old children were selected based on demonstrating high levels of inhibition and having a parent with a current anxiety disorder. They were randomly allocated to an eight-session parent intervention or waitlist. Results: At baseline, all of the children met criteria for one or more anxiety disorders. At 6-month follow-up, the intervention group showed a significantly greater reduction in anxiety disorders and less interference from their anxiety than the waitlist. In addition, children in the intervention condition showed greater reductions in parent and laboratory observed measures of behavioral inhibition. Conclusions: The results suggest that a brief early intervention delivered through parents can reduce current anxiety and associated risk and may have the potential to alter the developmental trajectory of anxiety in a high-risk group of young children. J Am. Acad. Child Adolesc. Psychiatry, 2009;48(6):602-609.