A New Parenting-Based Group Intervention for Young Anxious Children: Results of a Randomized Controlled Trial
A New Parenting-Based Group Intervention for Young Anxious Children: Results of a Randomized Controlled Trial
复制标题
DOI：
10.1016/j.jaac.2010.12.015
复制
发表时间：
2011-03-01
影响因子：
13.3
通讯作者：
Woodham, Adrine
中科院分区：
文献类型：
--
作者：
Cartwright-Hatton, Sam;McNally, Deb;Woodham, Adrine
尽管最近取得了进展，但仍然没有针对患有焦虑症的幼儿的具体治疗开发的干预措施。本研究探讨了一种新的，基于认知行为的父母干预焦虑症状的影响。方法：74名焦虑儿童（9岁或以下）的家庭参加了一项随机对照试验，该试验比较了新的10次会议，小组形式的干预与等待列表控制条件。结果测量包括盲法诊断访谈和父母和儿童的自我报告。结果如下：意向治疗分析表明，父母接受干预的儿童在研究结束时的焦虑程度明显低于对照组。具体来说，接受新干预的人中有57%没有原发性疾病，而对照组只有15%。此外，在治疗期结束时，32%的治疗儿童没有任何焦虑诊断，而对照组只有6%。在12个月随访时保持治疗增益。结论：这种新的父母为基础的干预可能代表了这个以前被忽视的群体的治疗进展。临床试验注册信息：幼儿焦虑症：一项基于认知行为的新育儿干预的随机对照试验; http://www.isrctn.orgi; ISRCTN 12166762。J. Am. Acad.儿童青少年。精神病学，2011;50（3）：242-251.
Despite recent advances, there are still no interventions that have been developed for the specific treatment of young children who have anxiety disorders. This study examined the impact of a new, cognitive-behaviorally based parenting intervention on anxiety symptoms. Method: Families of 74 anxious children (aged 9 years or less) took part in a randomized controlled trial, which compared the new 10-session, group-format intervention with a wait-list control condition. Outcome measures included blinded diagnostic interview and self-reports from parents and children. Results: Intention-to-treat analyses indicated that children whose parent(s) received the intervention were significantly less anxious at the end of the study than those in the control condition. Specifically, 57% of those receiving the new intervention were free of their primary disorder, compared with 15% in the control condition. Moreover, 32% of treated children were free of any anxiety diagnosis at the end of the treatment period, compared with 6% of those in the control group. Treatment gains were maintained at 12-month follow-up. Conclusions: This new parenting-based intervention may represent an advance in the treatment of this previously neglected group. Clinical trial registration information: Anxiety in Young Children: A Randomized Controlled Trial of a New Cognitive-Behaviourally Based Parenting Intervention; http://www.isrctn.orgi; ISRCTN12166762. J. Am. Acad. Child Adolesc. Psychiatry, 2011;50(3):242-251.