Preliminary evaluation of a multimodal early intervention program for behaviorally inhibited preschoolers.
Preliminary evaluation of a multimodal early intervention program for behaviorally inhibited preschoolers.
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DOI：
10.1037/a0039043
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发表时间：
2015-06
影响因子：
5.9
通讯作者：
Wimsatt, Maureen
中科院分区：
文献类型：
--
作者：
Chronis-Tuscano, Andrea;Rubin, Kenneth H.;O'Brien, Kelly A.;Coplan, Robert J.;Thomas, Sharon Renee;Dougherty, Lea R.;Cheah, Charissa S. L.;Watts, Katie;Heverly-Fitt, Sara;Huggins, Suzanne L.;Menzer, Melissa;Begle, Annie Schulz;Wimsatt, Maureen
大约15- 20%的幼儿可以被归类为具有行为抑制（BI）气质。稳定的BI预测了后期焦虑症（特别是社交焦虑）的发展，但并非所有受抑制的儿童都会发展焦虑。父母不适当的温暖/敏感性和/或侵入性控制的特点预测BI的稳定性和中度风险的焦虑高BI儿童。出于这些原因，我们开发并检查了海龟计划的初步疗效：一个多模式的早期干预抑制学龄前儿童。40名年龄在42-60个月之间的抑制儿童及其父母被随机分配到海龟计划（n = 18）或等待列表控制条件（WLC; n = 22）。随机分配到海龟计划条件的参与者接受8周的父母和儿童组同时治疗。参与者在基线和治疗后进行了多源评估，包括家长和教师报告的儿童焦虑，诊断访谈和父母行为的观察措施。相对于WLC条件，海龟计划对母亲报告的中等至大幅度的焦虑症状产生了显着的有益影响;对父母报告的BI产生了大的影响;对教师评定的学校焦虑症状产生了中等至大的影响;对观察到的母亲积极情感/敏感性产生了中等影响。这项研究为针对行为抑制儿童的海龟计划提供了令人鼓舞的初步支持。重要的是，海龟计划的效果推广到了学校环境。未来的研究应该检查这种早期干预计划是否改善了这些高危儿童的长期发展结果。
Approximately 15–20 percent of young children can be classified as having a behaviorally inhibited (BI) temperament. Stable BI predicts the development of later anxiety disorders (particularly social anxiety), but not all inhibited children develop anxiety. Parenting characterized by inappropriate warmth/sensitivity and/or intrusive control predicts the stability of BI and moderates risk for anxiety among high-BI children. For these reasons, we developed and examined the preliminary efficacy of the Turtle Program: a multi-modal early intervention for inhibited preschool-aged children. Forty inhibited children between the ages of 42–60 months and their parent(s) were randomized to either the Turtle Program (n = 18) or a waitlist control condition (WLC; n = 22). Participants randomized to the Turtle Program condition received 8 weeks of concurrent parent and child group treatment. Participants were assessed at baseline and post-treatment with multi-source assessments, including parent and teacher report measures of child anxiety, diagnostic interviews, and observations of parenting behavior. The Turtle Program resulted in significant beneficial effects relative to the WLC condition on maternal-reported anxiety symptoms of medium to large magnitude; large effects on parent-reported BI; medium to large effects on teacher-rated school anxiety symptoms; and medium effects on observed maternal positive affect/sensitivity. This study provides encouraging preliminary support for the Turtle Program for young behaviorally inhibited children. Importantly, the effects of the Turtle Program generalized to the school setting. Future studies should examine whether this early intervention program improves long-term developmental outcomes for these at-risk children.
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DOI：
10.1097/chi.0b013e3181ae09df
发表时间：
2009-09
影响因子：
13.3
作者：
Chronis-Tuscano A;Degnan KA;Pine DS;Perez-Edgar K;Henderson HA;Diaz Y;Raggi VL;Fox NA
通讯作者：
Fox NA
影响因子：
2
作者：
Hane, Amie Ashley;Cheah, Charissa;Fox, Nathan A.
通讯作者：
Fox, Nathan A.
DOI：
10.1097/chi.0b013e31819f6fa9
发表时间：
2009-06-01
影响因子：
13.3
作者：
Kennedy, Susan J.;Rapee, Ronald M.;Edwards, Susan L.
通讯作者：
Edwards, Susan L.
影响因子：
3.6
作者：
Lewis-Morrarty, Erin;Degnan, Kathryn A.;Fox, Nathan A.
通讯作者：
Fox, Nathan A.
影响因子：
4.6
作者：
Bishop, G;Spence, SH;McDonald, C
通讯作者：
McDonald, C