A Preliminary Evaluation of a Home-based, Computer-delivered Attention Training Treatment for Anxious Children Living in Regional Communities
A Preliminary Evaluation of a Home-based, Computer-delivered Attention Training Treatment for Anxious Children Living in Regional Communities
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对居住在偏远地区社区的焦虑儿童的家庭计算机注意力训练治疗的初步评估
DOI：
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发表时间：
2016
期刊：
影响因子：
--
通讯作者：
K. Mogg
中科院分区：
文献类型：
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作者：
A. Waters;M. Zimmer‐Gembeck;M. Craske;D. Pine;B. Bradley;K. Mogg
许多患有焦虑症的儿童生活在治疗机会有限的社区。注意力偏差修正训练是一种很有前途的基于计算机的焦虑症治疗方法，可以提供一种容易获得的治疗方法。最近的证据表明，一种形式的ABMT结合视觉搜索积极的刺激与功能，以提高学习，记忆和治疗参与减少儿童的焦虑。本研究建立在这项研究的基础上，通过比较父母实施的视觉搜索注意力训练积极刺激（ATP）（N = 22）与候补对照组（WLC）（N = 19）在儿童生活在区域社区。诊断，父母和儿童报告的焦虑和抑郁症状和广泛的内化和外化的行为问题进行了评估前和后的条件。WLC中的儿童在等待期后完成了视觉搜索ATP，所有参与者在治疗后6个月完成了随访评估。在治疗后/等待期，与WLC儿童相比，ATP条件下的儿童在临床医生和家长报告的措施方面表现出更大的改善。在所有儿童接受ATP治疗后的6个月随访中，观察到与ATP条件相似的治疗后结局。此外，表现出更多与积极搜索相关的外显注意策略言语化（在治疗期间评估）的儿童在治疗后和六个月随访时焦虑严重程度得到了更大的降低。使用增强的视觉搜索程序对积极刺激进行注意力训练似乎是一种有希望的治疗方法，可以帮助生活在区域社区的焦虑儿童。
Many children with anxiety disorders live in communities with limited access to treatment. Attention bias modification training, a promising computer-based treatment for anxiety disorders, may provide a readily accessible treatment. Recent evidence suggests that a form of ABMT combining visual-search for positive stimuli with features to enhance learning, memory and treatment engagement reduces anxiety in children. The present study builds upon this research by comparing parent-implemented, visual-search attention training to positive stimuli (ATP) (N = 22) with a waitlist control group (WLC) (N = 19) in children living in regional communities. Diagnostic, parent- and child-reports of anxiety and depressive symptoms and broad internalizing and externalizing behaviour problems were assessed pre- and post-condition. Children in the WLC completed visual-search ATP after the wait period and all participants completed a follow-up assessment six-months after treatment. At post-treatment/wait period, children in the ATP condition showed greater improvements on clinician- and parent-report measures compared to children in the WLC. Similar post-treatment outcomes as those found for the ATP condition were observed at the six-month follow-up after all children had received ATP. Moreover, children who showed greater verbalization of explicit attention strategies related to positive search (assessed during treatment) achieved greater reductions in anxiety severity at post-treatment and six-month follow-up. Attention training towards positive stimuli using enhanced visual-search procedures appears to be a promising treatment for reaching anxious children living in regional communities.
影响因子：
19.9
作者：
Pessoa, Luiz
通讯作者：
Pessoa, Luiz
DOI：
10.1111/j.1469-7610.2007.01812.x
发表时间：
2007-12-01
影响因子：
7.6
作者：
Bittner, Antje;Egger, Helen L.;Angold, Adrian
通讯作者：
Angold, Adrian