Parent involvement enhances CBTs for anxiety disorders in Hispanic/Latino youth: Acculturation as a moderator.
Parent involvement enhances CBTs for anxiety disorders in Hispanic/Latino youth: Acculturation as a moderator.
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DOI：
10.1037/ccp0000770
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发表时间：
2022-10
影响因子：
5.9
通讯作者：
Silverman, Wendy K
中科院分区：
文献类型：
--
作者：
Patriarca, Guadalupe C;Rey, Yasmin;Marin, Carla E;Yeguez, Carlos E;Pettit, Jeremy W;Silverman, Wendy K
虽然认知行为治疗（CBT）是针对青少年焦虑症的成熟循证干预措施，但在青少年焦虑症临床试验研究中，西班牙裔/拉丁裔（H/L）家庭的代表性长期不足。这种代表性不足的影响是，与H/L青年一起工作的临床医生对最佳实践的循证指导很少。本研究通过检查H/L父母的文化适应和文化适应作为CBTs后青年焦虑结果的调节剂，向与H/L焦虑症青年合作的最佳实践提供信息。211名6-16岁的H/L青少年（M = 9.41岁，SD = 2.39岁; 43.8%为女性）及其父母被分配到个人青少年CBT或两个父母参与的CBT之一：一个目标是减少父母的心理控制，另一个目标是减少父母使用负强化。在治疗前测量父母的文化适应和文化适应;在治疗前、治疗后和12个月的随访评估中测量青少年焦虑的严重程度。与个人-青年CBT相比，父母参与CBT的青年焦虑结果得到了增强。父母的文化适应，但不是文化适应，显着调节的结果。在较低水平的父母文化适应，青年焦虑的结果得到加强，在父母参与CBT的目标是负强化。在父母文化适应水平较高的情况下，以心理控制为目标的父母参与CBT会增强青少年的焦虑结果。这些研究结果进一步支持CBT的疗效焦虑症在H/L青年，并建议指导量身定制的父母参与治疗的基础上，父母的文化适应水平。
Although cognitive behavioral treatments (CBTs) are well-established evidence-based interventions for anxiety disorders in youth, there is long-standing underrepresentation of Hispanic/Latino (H/L) families in youth anxiety clinical trials research. The impact of such underrepresentation is that clinicians who work with H/L youth have minimal evidence-based guidance on best practices. The present study moves toward informing best practices for working with H/L youth with anxiety disorders by examining H/L parents’ acculturation and enculturation as moderators of youth anxiety outcomes following CBTs. Two hundred eleven H/L youths ages 6–16 (M = 9.41 years, SD = 2.39 years; 43.8% female) and their parents were assigned to individual-youth CBT or one of two parent involvement CBTs: one targeted decreasing parent psychological control, the other targeted decreasing parent use of negative reinforcement. Parent acculturation and enculturation were measured at pretreatment; youth anxiety severity was measured at pretreatment, posttreatment, and 12-month follow-up evaluations. Youth anxiety outcomes were enhanced in both parent involvement CBTs compared with individual-youth CBT. Parent acculturation, but not enculturation, significantly moderated outcomes. At lower levels of parent acculturation, youth anxiety outcomes were enhanced in the parent involvement CBT that targeted negative reinforcement. At higher levels of parent acculturation, youth anxiety outcomes were enhanced in the parent involvement CBT that targeted psychological control. These findings further support the efficacy of CBTs for anxiety disorders in H/L youth and suggest guidance for tailoring parent involvement treatments based on parent acculturation levels.
影响因子：
3.4
作者：
Pina AA;Little M;Knight GP;Silverman WK
通讯作者：
Silverman WK