Treatment of Child Anxiety in Pediatric Medical Settings

儿科医疗环境中儿童焦虑的治疗

• 批准号: 7033711
• 负责人: CARRIE L MASIA
• 金额: $ 22.82万
• 依托单位: NEW YORK UNIVERSITY SCHOOL OF MEDICINE
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-01 至 2009-01-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7033711
• 关键词: anxiety disorders; behavioral /social science research tag; child (0-11); child mental disorders; clinical research; clinical trials; cognitive behavior therapy; early /brief intervention /therapy; emotions; human subject; human therapy evaluation; mental disorder diagnosis; pain; parent offspring interaction; patient care planning; patient oriented research; psychosomatic disorders; somatic reflex

DESCRIPTION (provided by applicant): This R34 resubmitted application is in response to the NIMH program announcement on Exploratory/Development Grants for Mental Health Intervention Research (PAR-03-078). The overall goal is to further the identification and treatment of childhood anxiety disorders in primary care settings. Anxiety disorders are highly prevalent and associated with significant long-term disability. These disorders have early onsets, persist over time, and often have significant consequences for later adjustment. The majority of anxiety disorders are not identified and treated. The failure to intervene represents a major public health concern. Increased early recognition, appropriate referral, and access to effective treatments would likely reduce the disorders' negative impact. This submission proposes the development of a cognitive behavioral intervention for children with unexplained somatic complaints and anxiety disorders in pediatric medical settings. Vast research demonstrates a strong relationship between somatic complaints and undiagnosed anxiety disorders, as well as a high prevalence of anxiety disorders in general pediatric populations. No research, however, has been conducted to develop strategies for the identification and treatment of anxiety disorders in pediatric medical settings. This application is designed to address this neglected clinical issue. We propose to develop an intervention specifically designed to treat anxiety disorders and associated somatic complaints, and to implement the intervention using a nontraditional form of service delivery, offering treatment within the auspices of pediatric medical offices.

描述(由申请人提供)：此R34重新提交的申请是对NIMH项目关于精神健康干预研究的探索/发展资助的公告(PAR-03-078)的回应。总体目标是在初级保健环境中进一步识别和治疗儿童焦虑症。焦虑症非常普遍，并与严重的长期残疾有关。这些障碍起病较早，随着时间的推移持续存在，通常会对后来的适应产生重大影响。大多数焦虑症没有得到识别和治疗。未能进行干预是一个重大的公共卫生问题。增加早期识别、适当的转介和获得有效治疗的机会可能会减少这些疾病的负面影响。这份意见书建议为在儿科医疗环境中患有不明原因的躯体主诉和焦虑症的儿童开发认知行为干预。大量研究表明，躯体主诉与未确诊的焦虑症以及焦虑症在普通儿科人群中的高患病率之间存在很强的相关性。然而，还没有开展研究来制定在儿科医疗环境中识别和治疗焦虑症的策略。此应用程序旨在解决这一被忽视的临床问题。我们建议开发一种专门为治疗焦虑症和相关的躯体症状而设计的干预措施，并使用一种非传统的服务提供形式实施干预，在儿科医疗办公室的主持下提供治疗。