A One-Week Summer Treatment Program for Children with Separation Anxiety Disorder

描述（由申请人提供）：本提案的目的是支持申请人进一步的培训和研究发展，同时她进一步开发和评估一个为期一周的分离焦虑障碍暑期治疗计划。尽管CBT在治疗青少年焦虑症方面得到了实证支持，但还需要进一步的研究来进一步发展和更好地推广这种治疗方法。美国国立卫生研究院已经认识到这一需求，并呼吁对现有的有效行为疗法进行调整，使其对社区更加友好。这一替代性治疗策略的发展是基于证据支持儿童治疗的需要，这些治疗需要对发育敏感，允许创造性地应用干预成分（包括父母参与），结合儿童的社会背景，并可能传播到社区。本研究的直接目标是进一步发展和评估系统性认知行为干预的可行性和临床应用，针对参与者的症状和父母的做法，在一个为期一周的强化夏令营环境中，为患有SAD的学龄女孩提供干预。次要目标包括评估干预措施对养育做法的影响，以及这些变量对维持治疗成果的影响。为了测试这种干预的有效性，30名患有SAD的女性儿童将被招募并随机分配到等待名单或治疗条件中。所有参与者都将接受夏季治疗计划。参与者将在特定的时间间隔（基线，治疗前/后等待名单，治疗后和6周随访）进行评估，以跟踪症状严重程度和病程，以及治疗满意度。预计参与拟议干预试验的儿童将在焦虑症状和功能障碍方面表现出显著改善，相对于等候名单条件。此外，这些变化将在干预后6周保持。有机会进行这项研究，并接受尊敬的导师和专家合作团队的指导和培训，将有助于最终实现长期目标，包括进行该干预的随机对照试验，通过社区友好场所传播简短有效的治疗方法，并影响与分离焦虑作斗争的家庭的治疗变化。该方案试点调查的合作将有助于治疗方案的开发、干预措施的实施和旨在确定该干预措施有效性的数据分析。将审查可行性和实用性，并对处理方法进行相应的改进，以供后续调查。

DESCRIPTION (provided by applicant): The purpose of this proposal is to support the further training and research development of the applicant while she further develops and evaluates a one-week summer treatment program for separation anxiety disorder. Despite CBT's empirical support for the treatment of anxiety disorders in youth, additional research is needed to further develop and better disseminate this treatment. This need has been recognized by the NIH, which has called for the adaptation of existing efficacious behavioral therapies so that they are more community friendly. The development of this proposed alternative treatment strategy is predicated on evidence supporting the need for childhood treatments that are developmentally-sensitive, allow for creative application of intervention components (including parent involvement), incorporate a child's social context, and may be disseminable to the community. The immediate goal of the research study proposed for this fellowship is to further develop and assess the feasibility and clinical utility of a systematic, cognitive- behavioral intervention, targeting both participant symptoms and parenting practices, provided within the novel context of an intensive, one-week summer camp setting, for school-aged girls with SAD. Secondary goals include assessing the impact of the intervention on parenting practices, as well as the influence of these variables on the maintenance of treatment gains. To test the efficacy of this intervention, 30 female children with SAD will be recruited and randomized to a waitlist or treatment condition. All participants will receive the summer treatment program. Participants will be assessed at specific intervals (baseline, pre- treatment/post-waitlist, post-treatment, and 6-week follow-up) to track symptom severity and course, as well as treatment satisfaction. It is expected that children who participate in the trial of the proposed intervention will display significant improvements in anxiety symptoms and functional impairment relative to the waitlist condition. Additionally, these changes will be maintained 6-weeks following the intervention. The opportunity to conduct this research and receive the guidance and training of esteemed mentors and an expert, collaborative team will aid in the eventual achievement of long term goals, including conducting a randomized controlled trial of this intervention, disseminating brief and efficacious treatments through community-friendly venues, and affecting therapeutic change in families struggling with separation anxiety. The collaborations in place from the pilot investigation of this protocol will assist with treatment development, intervention delivery, and data analyses aimed at determining the efficacy of this intervention. Feasibility and utility will be examined and the treatment will be refined accordingly for subsequent investigations.