Silverman W K, Kearney C A
Department of Psychology, Florida International University, Miami 33199.
J Behav Ther Exp Psychiatry. 1992 Jun;23(2):71-6. doi: 10.1016/0005-7916(92)90003-2.
We surveyed a national sample of clinical psychologists to expand on Graziano and De Giovanni's (Behaviour Research and Therapy, 1979, 17, 161-162) findings that 6.8% of clinically referred children present with problems with fears and/or phobias. The survey was also conducted to assess how clinicians could inform researchers about current needs for investigations in this area. Questions involved epidemiological, demographical, and treatment characteristics of cases recently seen by therapists. The percentage of referred cases for fears/phobias in children was determined to be similar over time. In addition, types of fears, length of history of fear, intensity of fear, length of treatment, types of treatments used, and degree of parental involvement were measured and reported. The results were found to suggest a substantial degree of heterogeneity among types of fears and treatment methods for this population, as well as important lines of future research. They also suggest the need for controlled studies to assess the efficacy of a number of widely used treatments that lack an empirical base.
我们对全国范围内的临床心理学家样本进行了调查,以进一步探讨格拉齐亚诺和德乔瓦尼(《行为研究与治疗》,1979年,第17卷,第161 - 162页)的研究结果,即6.8%的临床转诊儿童存在恐惧和/或恐惧症问题。此次调查还旨在评估临床医生如何向研究人员通报该领域当前的研究需求。问题涉及治疗师近期所诊治病例的流行病学、人口统计学和治疗特征。结果发现,儿童恐惧/恐惧症转诊病例的百分比随时间推移保持相似。此外,还对恐惧类型、恐惧病史时长、恐惧强度、治疗时长、所采用的治疗类型以及家长参与程度进行了测量和报告。结果表明,该人群的恐惧类型和治疗方法存在很大程度的异质性,同时也指出了未来重要的研究方向。这些结果还表明,需要进行对照研究,以评估许多缺乏实证依据的广泛使用的治疗方法的疗效。