Clinical Update: The Role of Family Accommodation in Youth Anxiety Treatment Outcomes.
Clinical Update: The Role of Family Accommodation in Youth Anxiety Treatment Outcomes.
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DOI：
10.1080/23794925.2021.1981175
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发表时间：
2022
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在过去的几年里，家庭住宿（FA）在儿童和青少年焦虑症中的作用越来越受到重视。最近的临床试验强调了在治疗背景下评估和解决FA的重要性，研究结果表明FA是治疗成功的重要预测因素。这一临床更新是由这些发现引起的，特别是来自一项研究的发现，该研究表明，儿童和父母报告的FA之间的一致性水平对儿童和父母治疗的结局有不同的影响。在这篇文章中，我们的目的是提供（1）一个简短的概述，研究指出减少FA作为青少年焦虑治疗的一个关键因素，（2）总结和深入讨论的研究，这说明了利用FA的多个线人报告的潜在重要性。关于后一个目标，我们提供了初步的建议，临床医生可能会如何将FA的措施纳入他们的实践，以最大限度地提高焦虑的青年和他们的家庭的利益。我们还为未来的研究如何建立在这些新的发现，先进的FA评估方法，并促进其临床实用性提供了建议。
Over the past several years, family accommodation (FA) has gained increasing recognition for its role in child and adolescent anxiety disorders. Recent clinical trials highlight the importance of assessing and addressing FA within the context of treatment, with findings showing that FA is a significant predictor of treatment success. This clinical update was prompted by such findings, and specifically findings from a study by which suggest that the level of agreement between child- and parent-reports of FA has differential effects on outcomes for child- and parent-based treatments. In this article we aim to provide (1) a brief overview of the research pointing to the reduction of FA as a critical ingredient of youth anxiety treatment, and (2) a summary and in-depth discussion of the study by that speaks to the potential importance of leveraging multi-informant reports of FA. With regard to the latter aim, we offer preliminary suggestions for how clinicians might incorporate measures of FA into their practice to maximize benefits for anxious youth and their families. We also offer suggestions for how future research can build on these novel findings, advance methods of FA assessment, and promote its clinical utility.