A Pilot Feasibility Open Trial of an Interpretation Bias Intervention for Parents of Anxious Children.
A Pilot Feasibility Open Trial of an Interpretation Bias Intervention for Parents of Anxious Children.
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DOI：
10.1016/j.cbpra.2021.09.005
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发表时间：
2022-11
影响因子：
2.9
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中科院分区：
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解释偏差是焦虑的一种跨诊断机制。理论模型强调了父母的解释偏差在预测和维持儿童焦虑中的作用。然而，很少有研究将父母的解释偏差作为治疗目标。目前的试点研究测试了由智能手机应用程序提供的解释偏见干预的可行性和可接受性，该应用程序名为EASPWorks，在焦虑儿童的父母中，他们自我报告至少有轻度焦虑症状和负面解释偏见。焦虑青年（8至16岁）的父母从三个儿童焦虑诊所的候补名单中招募。他们被要求每周3次，持续1个月，通过XuanWorks应用程序完成口译修改练习。参与者在干预前和干预后以及1个月的随访中完成评估，以评估解释偏差，焦虑症状和对ECONOWorks的整体看法的变化。参与者（N=14）（法师=44.36; 14.29%男性，85.71%女性）平均完成了13.29个运动的12个规定。可接受性评级很高。通过评估版本的干预措施来衡量，从治疗前到治疗后，解释偏倚显著改善，并且这些改善在1个月随访时保持不变。焦虑症状从“轻度”严重程度范围显著改善到“无至最小”范围。在这项针对焦虑青少年父母的试点可行性研究中，ECOWWORKS是一种可行且可接受的低强度干预措施。这些初步的结果支持未来的对照试验，为家长的ESPRINWorks。未来的研究还需要测试父母的目标解释偏差是否对适应不良的父母行为产生下游影响，并最终影响儿童的解释偏差和焦虑。
Interpretation bias is a transdiagnostic mechanism underlying anxiety. Theoretical models highlight the role of parental interpretation bias in predicting and maintaining child anxiety. However, very few studies have examined parent interpretation bias as a treatment target. The current pilot study tested the feasibility and acceptability of an interpretation bias intervention delivered by a smartphone app, called HabitWorks, in parents of anxious children who self-reported at least mild symptoms of anxiety and negative interpretation bias. Parents of anxious youth (ages 8 to 16) were recruited from the waitlists of three child anxiety clinics. They were asked to complete interpretation modification exercises via the HabitWorks app 3 times per week for 1 month. Participants completed assessments at pre- and post-intervention and 1-month follow-up to assess changes in interpretation bias, anxiety symptoms, and overall perceptions of HabitWorks. Participants (N=14) (Mage=44.36; 14.29% men, 85.71% women) completed an average of 13.29 exercises out of the 12 prescribed. Acceptability ratings were high. Interpretation bias, as measured by an assessment version of the intervention exercise, significantly improved from pre- to posttreatment, and these improvements were maintained at the 1-month follow-up. Anxiety symptoms significantly improved from the “mild” severity range to the “none to minimal” range. In this pilot feasibility study in parents of anxious youth, HabitWorks was a feasible and acceptable low-intensity intervention. These preliminary results support a future controlled trial of HabitWorks for parents. Future studies are also needed to test whether targeting interpretation bias in parents has downstream effects on maladaptive parent behaviors and ultimately, child interpretation bias and anxiety.