Indicated Prevention for Children At Risk for Anxiety

对有焦虑风险的儿童进行针对性预防

• 批准号: 7038985
• 负责人: Ellen C Flannery-Schroeder
• 金额: $ 7.03万
• 依托单位: UNIVERSITY OF RHODE ISLAND
• 依托单位国家: 美国
• 财政年份: 2005
• 资助国家: 美国
• 起止时间: 2005-04-01 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7038985
• 关键词: academic achievement; adolescence (12-20); anxiety; anxiety disorders; behavioral /social science research tag; child psychology; clinical research; cognitive behavior therapy; depression; family structure /dynamics; human subject; human therapy evaluation; interview; mental disorder diagnosis; mental disorder prevention; middle childhood (6-11); parents; questionnaires; teacher; tobacco abuse education

DESCRIPTION (provided by applicant): The proposed research is aimed at evaluating an indicated prevention strategy for children at risk for anxiety disorders with the long-term goal of helping to identify prevention strategies, which reduce the incidence of anxiety disorders in childhood, adolescence, and adulthood. The present application involves a randomized controlled evaluation of the effectiveness of a group cognitive-behavioral intervention (GCBI) for children deemed at-risk for an anxiety disorder(s). Ninety-eight children/adolescents, age 8-13, identified as "at risk" by a screening procedure involving the use of the Multidimensional Anxiety Scale for Children (MASC, March, Parker, Sullivan, Stallings, & Conners, 1997), will be randomly assigned to either a GCBI or a group smoking education control condition (SEC). Groups will consist of 5-6 children. The intervention study will be a 7-week between-subjects comparison of GCBI and SEC with evaluation of outcome at post-intervention and durability of intervention effects at a 6-month follow-up. Our specific aims are as follows: 1) to compare the efficacy and durability of GCBI and SEC in reducing anxiety and associated symptoms (e.g., depression) at post-intervention and 6-month follow-up; 2) to compare the efficacy and durability of GCBI and SEC in increasing child functioning (e.g., academic performance, general functioning) at post-intervention and 6- month follow-up; and 3) to identify predictors of the remediating effects of the intervention. Characteristics of the child, family structure, nature and number of life events, and pre-intervention symptomatology will be evaluated as predictors of intervention outcome. These variables will also be examined as potential risk factors for and protective factors against the development of an anxiety disorder.

描述（由申请人提供）：拟议的研究旨在评估具有焦虑症风险的预防策略，其长期目标的长期目标是帮助识别预防策略，从而减少了儿童期，青少年和成年期焦虑症的发生率。目前的应用涉及对被视为焦虑症患者的儿童进行群体认知行为干预（GCBI）的有效性的随机评估。 8-13岁的98岁儿童/青少年，通过筛查程序涉及使用多维焦虑量表（MASC，MASC，Parker，Sullivan，Stallings，Stallings和Conners，1997），被鉴定为“处于危险”的情况下，将随机分配给GCBI或组吸烟教育控制条件（SEC）。小组将由5-6名儿童组成。干预研究将是对GCBI和SEC的7周对比较，并在干预后对结果进行评估，并在6个月的随访中对干预效果的持久性进行评估。我们的具体目的如下：1）比较GCBI和SEC在减轻焦虑和相关症状（例如抑郁症）和6个月随访时的焦虑和相关症状（例如抑郁症）中的功效和耐用性； 2）比较GCBI和SEC在干预后和6个月的随访中增加儿童功能（例如，学习成绩，一般功能）的功效和耐用性； 3）确定干预措施的修复作用的预测指标。儿童的特征，家庭结构，性质和生活事件的数量以及干预前的症状学将被评估为干预结果的预测指标。这些变量还将被检查为防止焦虑症发展的潜在风险因素和保护因素。