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

描述（由申请人提供）：行为抑制是儿童时期最稳定的特征之一。早期的行为抑制，以及焦虑和社交警惕（BI-ANX），往往在儿童时期得到加强和恶化。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。该项目旨在开发和评估一种新的早期干预方案，该方案以发展精神病理学研究为基础，针对儿童害羞、社交沉默和退缩的发展和持续存在的特定风险因素，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 ？从干预发展到服务：探索性研究资助？(par - 06 - 248)。第一阶段的主要目标是为BI/ANX学龄前儿童及其父母制定一个以发展为基础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，将其与候补控制条件进行比较，包括儿童行为抑制和养育，使用由家长和老师报告和观察数据组成的多方法评估。

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 Socially inhibited, wary and withdrawn preschool children are at risk for subsequent diagnosable anxiety and depressive disorders during adolescence and adulthood.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.