Preventive intervention for anxious preschoolers and their parents: strengthening early emotional development.

Preventive intervention for anxious preschoolers and their parents: strengthening early emotional development.
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DOI:
10.1007/s10578-012-0283-4
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发表时间:
2012-08
影响因子:
2.9
通讯作者:
Brotman, Laurie Miller
Brotman, Laurie Miller
中科院分区:
医学4区
文献类型:
--
作者:
Fox, Jeremy K.;Warner, Carrie Masia;Lerner, Amy B.;Ludwig, Kristy;Ryan, Julie L.;Colognori, Daniela;Lucas, Christopher P.;Brotman, Laurie Miller

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焦虑症的高发病率和早发性激发了针对高危幼儿的创新性预防努力。随着亲子预防模式在大龄儿童和青少年中的成功,本研究的目标是评估一种针对轻度至中度焦虑症状的学龄前儿童的亲子预防干预措施。16名儿童(3-5岁)和至少一名父母参加了加强早期情感发展(SEED),这是一项为期10周的新干预措施,同时为父母和儿童提供小组。结果的措施包括临床医生和家长的焦虑症状的评估,以及情绪知识,家长的焦虑,家长对儿童的焦虑态度的措施。参与SEED与减少儿童焦虑症状和改善情绪理解技能有关。父母报告说,他们自己的焦虑减少了,沿着的态度反映出他们对孩子科普焦虑能力的信心增强了。在3个月的随访中,儿童和父母焦虑的减少得以维持。研究结果表明,亲子认知行为预防性干预可能对轻度至中度焦虑的幼儿有希望。父母焦虑和父母态度的改善可能支持与父母进行干预的效用。鼓励他们的孩子参与新的和引发焦虑的情况,可能有助于促进持续掌握新技能和成功应对焦虑。
The high prevalence and early onset of anxiety disorders have inspired innovative prevention efforts targeting young at-risk children. With parent–child prevention models showing success for older children and adolescents, the goal of this study was to evaluate a parent–child indicated preventive intervention for preschoolers with mild to moderate anxiety symptoms. Sixteen children (ages 3–5) and at least one of their parents participated in Strengthening Early Emotional Development (SEED), a new 10-week intervention with concurrent groups for parents and children. Outcome measures included clinician-rated and parent-rated assessments of anxiety symptoms, as well as measures of emotion knowledge, parent anxiety, and parental attitudes about children’s anxiety. Participation in SEED was associated with reduced child anxiety symptoms and improved emotion understanding skills. Parents reported decreases in their own anxiety, along with attitudes reflecting enhanced confidence in their children’s ability to cope with anxiety. Reductions in child and parent anxiety were maintained at 3-month follow-up. Findings suggest that a parent–child cognitive-behavioral preventive intervention may hold promise for young children with mild to moderate anxiety. Improvements in parent anxiety and parental attitudes may support the utility of intervening with parents. Fostering increased willingness to encourage their children to engage in new and anxiety-provoking situations may help promote continued mastery of new skills and successful coping with anxiety.
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