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：
8016562
负责人：
ANDREA CHRONIS-TUSCANO
金额：
$ 20.65万
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：
2010
资助国家：
美国
起止时间：
2010-02-01 至 2012-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8016562
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 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 aged 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。早期的行为抑制以及焦虑和社会警惕（Bi-Anx）通常会因儿童与父母在发展中的父母的相互互动而加强和加剧。重要的是，稳定的BI/ANX将年幼的儿童置于随后在青春期和成年期间患有可诊断焦虑症的风险（即社交恐惧症）。拟议的项目旨在制定和评估一项新型的早期干预计划，该计划基于发育心理病理学研究，它针对涉及害羞，社会沉默的发展和持续存在的特定风险因素，以促进适应性发展的发展成果（即缺乏社会恐惧症）。该提案符合NIMH R34？从干预开发到服务的I阶段的目标：探索性研究补助金？（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项具有发展的，多组成的早期干预计划。第二阶段的目的是使用由父母和教师报告和观察数据组成的多方法评估来完善和评估我们的早期干预计划与候补列表控制条件，包括儿童行为抑制和育儿，包括儿童行为抑制和育儿。公共卫生相关性：行为抑制（BI）及其社会隐性和退出的相关特征，是童年报告中报告的最稳定的个体特征之一。在青春期和成年期间，社会抑制，警惕和撤离的学龄前儿童有可能诊断出可诊断的焦虑和抑郁症的风险。鉴于与青少年焦虑相关的严重发展结果，早期的识别和预防早期社会抑制是一个主要的公共卫生议程。