Southam-Gerow M A, Kendall P C, Weersing V R
Department of Psychology, University of California-Los Angeles, USA.
J Clin Child Psychol. 2001 Sep;30(3):422-36. doi: 10.1207/S15374424JCCP3003_13.
Examined correlates of treatment response in a clinic providing cognitive-behavioral therapy for children with anxiety disorders. Youth (ages 7 to 15) with a primary Diagnostic and Statistical Manual of Mental Disorders (3rd ed., rev., or 4th ed.; American Psychiatric Association, 1987, 1994) anxiety-disorder diagnosis (overanxious disorder, generalized anxiety disorder, separation anxiety disorder, social phobia, or avoidant disorder) participated. After completing a full course of treatment and posttreatment (n = 135) and 1-year follow-up (n = 107) assessments, participants were classified into 1 of 2 groups--poor treatment response and good treatment response--using parent diagnostic reports. Discriminant function analyses indicated that higher levels of maternal- and teacher-reported child-internalizing psychopathology at pretreatment, higher levels of maternal self-reported depressive symptoms, and older-child age were all associated with less favorable treatment response. Other factors, such as child ethnicity, child sex, family income, family composition (i.e., dual parent vs. single parent), child-reported symptomatology, and maternal-reported level of child-externalizing behavior problems did not predict treatment response. Both practical and conceptual implications of the findings are discussed.
在一家为患有焦虑症的儿童提供认知行为疗法的诊所中，研究了治疗反应的相关因素。招募了患有原发性精神疾病诊断与统计手册（第3版修订版或第4版；美国精神病学协会，1987年，1994年）焦虑症诊断（过度焦虑症、广泛性焦虑症、分离焦虑症、社交恐惧症或回避型障碍）的青少年（7至15岁）。在完成一个完整的治疗疗程以及治疗后（n = 135）和1年随访（n = 107）评估后，使用家长诊断报告将参与者分为两组——治疗反应差组和治疗反应好组——中的一组。判别函数分析表明，治疗前母亲和教师报告的儿童内化心理病理学水平较高、母亲自我报告的抑郁症状水平较高以及儿童年龄较大均与较差的治疗反应相关。其他因素，如儿童种族、儿童性别、家庭收入、家庭构成（即双亲家庭与单亲家庭）、儿童报告的症状以及母亲报告的儿童外化行为问题水平，均不能预测治疗反应。讨论了研究结果的实际和概念意义。
