Cognitive-behavioural therapy for young children with anxiety disorders: Comparison of a Child plus Parent condition versus a Parent Only condition
Cognitive-behavioural therapy for young children with anxiety disorders: Comparison of a Child plus Parent condition versus a Parent Only condition
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DOI：
10.1016/j.brat.2009.04.008
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发表时间：
2009-08-01
影响因子：
4.1
通讯作者：
Cobham, Vanessa E.
中科院分区：
文献类型：
--
作者：
Waters, Allison M.;Ford, Louise A.;Cobham, Vanessa E.
本研究比较了专门针对焦虑儿童(4至8岁)的父母进行的基于群体的认知行为治疗(GCBT)与针对儿童和父母的相同干预措施(相对于等待名单控制条件)的有效性。单亲儿童(N=25)的父母每周接受10次GCBT，而亲子结合儿童(N=24)的儿童和父母每周接受10次GCBT。意向治疗分析表明，两种积极治疗条件都优于等待名单条件(N=11)，55.3%的儿童处于单亲条件下，54.8%的儿童在治疗后不再符合其主要诊断标准。在6个月和12个月的随访评估中，这些治疗成果在两种治疗条件下都保持不变。两种积极状态在其他结果指标上没有显著差异，包括父母的精神病理和父母教养方式。然而，一个意想不到的发现是，无论积极治疗情况如何，从治疗前到治疗后，父母的满意度和一定程度上的父母能力都显著下降。目前的结果表明，专为焦虑儿童的父母提供的GCBT可能是一种可行的治疗替代方案，可以改善焦虑症儿童获得有效治疗的可能性，并降低与精神卫生保健服务相关的费用。(C)2009爱思唯尔有限公司。保留所有权利。
The present study compared the efficacy of a group-based cognitive-behavioural treatment (GCBT) delivered exclusively to parents of young anxious children (between 4 and 8 years of age) with the same intervention delivered to both children and parents, relative to a Wait-list Control condition. Parents of children in the Parent Only condition (N = 25) received 10 weekly sessions of GCBT whereas children and parents in the Parent + Child condition (N = 24) each received 10 weekly sessions of GCBT. Intent-to-treat analyses indicated that both active treatment conditions were superior to the Wait-list condition (N = 11), with 55.3% of children in the Parent Only condition and 54.8% of children in the Parent + Child condition no longer meeting criteria for their principal diagnosis at post-treatment. These treatment gains were maintained in both treatment conditions at six-month and 12-month follow-up assessments. There were no significant differences between the two active conditions on other outcome measures including parental psychopathology and parenting style. However, an unexpected finding was that parenting satisfaction and to some extent parenting competence reduced significantly from pre- to post-treatment regardless of the active treatment condition. The present results suggest that GCBT delivered exclusively to parents of young anxious children may be a viable treatment alternative for improving accessibility to efficacious treatments for children with anxiety disorders and for reducing costs associated with mental health care delivery. (C) 2009 Elsevier Ltd. All rights reserved.