Combining child social skills training with a parent early intervention program for inhibited preschool children
Combining child social skills training with a parent early intervention program for inhibited preschool children
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DOI：
10.1016/j.janxdis.2017.08.007
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发表时间：
2017-10-01
影响因子：
10.3
通讯作者：
Coplan, Robert J.
中科院分区：
文献类型：
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作者：
Lau, Elizabeth X.;Rapee, Ronald M.;Coplan, Robert J.
背景以往的研究已经证明了通过父母教育对学龄前儿童焦虑进行早期干预的有效性。目前的研究评估了六届早期干预计划，学龄前儿童在高风险的焦虑症，其中一个标准的教育计划的父母补充直接培训的社会技能的children.Methods：72名儿童年龄3-5岁的基础上选择高行为抑制水平，同时具有高情绪困扰的父母。家庭被随机分配到干预组，其中包括六个家长教育小组会议和六个儿童社会技能培训会议，或候补名单六个月后，候补名单上的家庭提供治疗，包括家长教育只。结果：相对于waitlist，在联合条件下的儿童表现出显着较少的临床医生评定的焦虑症和诊断的严重程度，（但不是父亲的）在六个月时报告了焦虑症状和生活干扰。母亲们还报告过度保护减少。这些增益在12个月随访时保持不变。只有父母的教育后，候补名单产生类似的改善儿童。准实验相结合的干预措施和家长之间的比较表明，更大的减少，从综合干预，根据临床医生的报告，但没有显着差异产妇reports.Conclusions：结果表明，这种简短的早期干预计划，学龄前儿童与父母和孩子的组成部分显着降低风险和障碍的弱势儿童。包含子组件可能会增加仅父母干预的效果。然而，未来需要通过长期随机对照试验来支持这一结论。
Backgrounth Previous studies have demonstrated the efficacy of early intervention for anxiety in preschoolers through parent-education. The current study evaluated a six-session early intervention program for preschoolers at high risk of anxiety disorders in which a standard educational program for parents was supplemented by direct training of social skills to the children.Methods: Seventy-two children aged 3-5 years were selected based on high behavioural inhibition levels and concurrently having a parent with high emotional distress. Families were randomly assigned to either the intervention group, which consisted of six parent-education group sessions and six child social skills training sessions, or waitlist After six months, families on waitlist were offered treatment consisting of parent-education only.Results: Relative to waitlist, children in the combined condition showed significantly fewer clinician-rated anxiety disorders and diagnostic severity and maternal (but not paternal) reported anxiety symptoms and life interference at six months. Mothers also reported less overprotection. These gains were maintained at 12-month follow-up. Parent only education following waitlist produced similar improvements among children. Quasi-experimental comparison between combined and parent-only interventions indicated greater reductions from combined intervention according to clinician reports, but no significant differences on maternal reports.Conclusions: Results suggest that this brief early intervention program for preschoolers with both parent and child components significantly reduces risk and disorder in vulnerable children. The inclusion of a child component might have the potential to increase effects over parent-only intervention. However, future support for this conclusion through long-term, randomised controlled trials is needed.