Videoteleconferencing Early Child Anxiety Treatment: A Case Study of the Internet-Delivered PCIT CALM (I-CALM) Program.
Videoteleconferencing Early Child Anxiety Treatment: A Case Study of the Internet-Delivered PCIT CALM (I-CALM) Program.
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DOI：
10.1080/23794925.2016.1191976
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发表时间：
2016-01-01
期刊：
影响因子：
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通讯作者：
Comer, Jonathan S
中科院分区：
文献类型：
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作者：
Cooper-Vince, Christine E;Chou, Tommy;Comer, Jonathan S
焦虑症是影响幼儿的最普遍和最有损害的心理健康问题之一。尽管绝大多数针对儿童焦虑的支持计划都集中在 7 岁及以上的青少年，但针对基于暴露的家长指导干预措施的调整（即亲子互动疗法 (PCIT) CALM 计划）已经出现了初步支持，以解决儿童早期的焦虑症。尽管取得了这些进步，社区服务的使用率和可及性仍然较低。互联网接入的日益普及使视频电话会议 (VTC) 成为克服传统护理障碍的有力工具。本案例研究详细介绍了 VTC 实施的 PCIT CALM 计划治疗一名患有广泛性焦虑症和分离焦虑症的 6 岁男孩。该案例为通过 VTC 提供综合实时家长辅导和暴露疗法来解决儿童早期焦虑症的可行性提供了定性支持。治疗过程中患者焦虑的缓解表明，远程医疗形式可能是提供儿童早期焦虑治疗的有用方式。讨论了 VTC 治疗的技术考虑因素以及对治疗的影响。
Anxiety disorders are one of the most prevalent and impairing classes of mental health difficulties affecting young children. Though the vast majority of supported programs for child anxiety focus on youth ages 7 years and up, preliminary support has emerged for exposure-based adaptations of parent-coaching interventions, i.e., the Parent Child Interaction Therapy (PCIT) CALM Program, to address anxiety disorders in early childhood. Despite these advances, low rates of community service use and accessibility persist. The increased ubiquity of Internet access has positioned videoteleconferencing (VTC) as a powerful tool to overcome traditional barriers to care. The present case study details the VTC delivery of the PCIT CALM Program in the treatment of a 6 year-old boy presenting with generalized anxiety disorder and separation anxiety disorder. This case provides qualitative support for the feasibility of delivering integrated real-time parent coaching and exposure therapy to address early childhood anxiety disorders via VTC. The remission of the patient's anxiety across treatment sessions suggests that the telehealth format may be a useful modality for the delivery of early childhood anxiety treatment. The technical considerations for the delivery of VTC therapy as well as the implications for treatment are discussed.