Cartwright-Hatton S
Clin Psychol Rev. 2006 Nov;26(7):813-6. doi: 10.1016/j.cpr.2005.12.001. Epub 2006 Feb 10.
Despite significant advances in our understanding of anxiety in childhood and adolescence, the area is still in its infancy. However, this is an area that is attracting increasing interest from researchers and clinicians alike. This editorial describes some of the aspects of research and clinical attention that are likely to be most fruitful in the coming years, and focusses on some of the inter-related themes that have emerged from the six papers comprising this special edition of Clinical Psychology Review. The first theme concerns the quality and limited power of studies (particularly treatment trials) that have characterised this field. A number of the authors contributing to this edition have noted that this lack of investment in high quality, highly powered research has prevented many of the key questions from being answered. Second, there is growing awareness that we are under-investigating anxiety in younger children. Third, and relatedly, there is still a huge amount of work to be done in understanding the role of the family in child anxiety. What limited information that does exist is confusing and contradictory, and some suggestions for clarifications in this area are made. Finally, there is a plea for more developmentally appropriate, family-focussed and child-led models of anxiety in young populations.
尽管我们对儿童和青少年焦虑症的理解取得了重大进展,但该领域仍处于起步阶段。然而,这是一个正吸引着研究人员和临床医生越来越多关注的领域。这篇社论描述了一些在未来几年可能最有成效的研究和临床关注方面,并聚焦于构成《临床心理学评论》这一特刊的六篇论文中出现的一些相互关联的主题。第一个主题涉及该领域研究(尤其是治疗试验)的质量和有限效力。为本特刊撰稿的一些作者指出,对高质量、高效力研究缺乏投入阻碍了许多关键问题的解答。第二,人们越来越意识到我们对年幼儿童焦虑症的研究投入不足。第三,与此相关的是,在理解家庭在儿童焦虑症中的作用方面仍有大量工作要做。现有的有限信息既令人困惑又相互矛盾,本文针对该领域的一些澄清提出了建议。最后,有人呼吁在年轻人群体中采用更符合发展阶段、以家庭为重点且以儿童为主导的焦虑症模型。