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A Multi-Method Early Intervention Program for Inhibited and Anxious Preschoolers

针对抑制和焦虑学龄前儿童的多方法早期干预计划

基本信息

批准号：
7788469
负责人：
ANDREA CHRONIS-TUSCANO
金额：
$ 22.5万
依托单位：
UNIV OF MARYLAND, COLLEGE PARK
依托单位国家：
美国
项目类别：
财政年份：
2009
资助国家：
美国
起止时间：
2009-12-01 至 2012-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/7788469
关键词：
Address Adolescence Adolescent Adult Affect Aftercare Age Agoraphobia Anxiety Anxiety Disorders Area Behavior Behavioral Behavioral inhibition Categories Characteristics Child Child Behavior Childhood Clinical Clinical Trials Code Coercion Control Groups Data Depressive disorder Development Developmental Process Diagnosis Diagnostic Dimensions Disease Early identification Early treatment Effectiveness Emotional Ensure Event Evidence based intervention Exclusion Family Feedback Feeling Focus Groups Foxes Friendships Fright Funding Generalized Anxiety Disorder Goals Gold Hand Hostility Human Resources Impairment Individual Infant Intervention Interview Life Literature Loneliness Manuals Measures Mental Depression Methods Minority Modeling Mothers National Institute of Mental Health Nursery Schools Outcome Outcome Measure Panic Disorder Parent-Child Relations Parenting behavior Parents Participant Pathway interactions Patient Self-Report Peer Group Phase Play Population Preschool Child Prevalence Prevention Prevention Protocols Prevention program Preventive Preventive Intervention Problem Solving Procedures Process Protocols documentation Psychopathology Public Health Publishing Questionnaires Randomized Randomized Controlled Trials Recruitment Activity Reporting Research Research Personnel Research Project Grants Risk Risk Factors Sampling Schools Separation Anxiety Services Shyness Social Behavior Social Characteristics Social Development Social Environment Social Interaction Social Phobia Specific Phobia Staging Structure Suggestion Surveys Symptoms Targeted Research Techniques Testing Time Toddler Training Training Programs Victimization Voluntary Mutism Waiting Lists Withdrawal Work base childhood anxiety design domain mapping efficacy testing elementary school emotional adjustment evidence base experience follow-up improved in vivo indexing infancy innovation interest intervention program meetings model development neglect novel parental influence peer primary outcome programs psychologic psychological outcomes public health relevance response satisfaction secondary outcome self esteem skills skills training social social skills teacher theories therapy development

项目摘要

DESCRIPTION (provided by applicant): Behavioral inhibition is one of the most stable characteristics reported in childhood. Early behavioral inhibition, along with anxiety and social wariness (BI-ANX), is often reinforced and exacerbated by children?s reciprocal interactions with parents across development. Importantly, stable BI/ANX places young children at subsequent risk for diagnosable anxiety disorders (namely, social phobia) during adolescence and adulthood. The proposed project aims to develop and evaluate a novel early intervention program that is grounded in developmental psychopathology research insofar as it targets the specific risk factors implicated in the development and persistence of shyness, social reticence, and withdrawal in children to facilitate adaptive developmental outcomes (i.e., the absence of social phobia). This proposal meets the objectives of Stage I of the NIMH R34 ?From Intervention Development to Services: Exploratory Research Grants? (PAR-06-248). The primary aim of Phase I is to develop a developmentally-grounded, multi-component early intervention program for BI/ANX preschoolers and their parents. The aims of Phase II are to refine and evaluate our early intervention program compared to a waitlist control condition on outcomes including child behavioral inhibition and parenting, using a multi-method assessment consisting of parent and teacher reports and observational data. PUBLIC HEALTH RELEVANCE: Behavioral inhibition (BI), along with its associated characteristics of social reticence and withdrawal, is one of the most stable individual characteristics reported in childhood. Socially inhibited, wary and withdrawn preschool children are at risk for subsequent diagnosable anxiety and depressive disorders during adolescence and adulthood. Given the serious developmental outcomes associated with adolescent anxiety, very early identification and prevention of early social inhibition represents a major public health agenda.

描述（由申请人提供）：行为抑制是儿童期报告的最稳定的特征之一。早期的行为抑制，沿着焦虑和社交谨慎（BI-ANX），经常被儿童强化和加剧？在整个发展过程中与父母的相互作用。重要的是，稳定的BI/ANX会使幼儿在青春期和成年期面临可诊断的焦虑症（即社交恐惧症）的风险。拟议的项目旨在开发和评估一种新的早期干预计划，该计划以发展心理病理学研究为基础，针对与儿童害羞，社交沉默和退缩的发展和持续有关的特定风险因素，以促进适应性发展结果（即，没有社交恐惧症）。该提案符合NIMH R34第一阶段的目标？从干预发展到服务：探索性研究赠款？（PAR-06-248）。第一阶段的主要目的是为BI/ANX学龄前儿童及其父母制定一个基于发展的多成分早期干预计划。第二阶段的目的是完善和评估我们的早期干预计划相比，候补控制条件的结果，包括儿童行为抑制和养育，使用多方法评估，包括家长和教师的报告和观察数据。公共卫生关系：行为抑制（BI），沿着其相关的社会沉默和退缩的特征，是儿童期最稳定的个体特征之一。社会抑制，谨慎和退缩的学龄前儿童在青春期和成年期有随后诊断为焦虑和抑郁障碍的风险。鉴于与青少年焦虑相关的严重发展后果，早期识别和预防早期社会抑制是一项重要的公共卫生议程。