Eisen Andrew R, Raleigh Helen, Neuhoff Charles C
Fairleigh Dickinson University, Hackensack, NJ 07601, USA.
Behav Ther. 2008 Jun;39(2):195-206. doi: 10.1016/j.beth.2007.07.004. Epub 2008 Feb 8.
This investigation examined the preliminary efficacy of an integrated cognitive-behavioral parent-training protocol for six families of separation-anxious children (7 to 10 years of age) using a multiple baseline design across participants. Although families were assessed on child, parent, and clinician ratings at pre- and posttreatment as well as 6-month follow-up, only parents received education and training. Although the parent-training protocol was largely effective and treatment gains were maintained at 6-month follow-up, only those child participants whose parents experienced clinically significant improvement on parental process measures (i.e., enhanced efficacy or satisfaction, reduced stress) achieved high end-state functioning. Implications regarding the importance of individualized family-based interventions for treating anxious youth are discussed.
本研究采用跨参与者的多基线设计，考察了一种综合认知行为家长培训方案对六个患有分离焦虑症儿童（7至10岁）家庭的初步疗效。尽管在治疗前、治疗后以及6个月随访时对家庭进行了儿童、家长和临床医生评分评估，但只有家长接受了教育和培训。尽管家长培训方案在很大程度上是有效的，且治疗效果在6个月随访时得以维持，但只有那些家长在父母养育过程指标上有临床显著改善（即效能增强或满意度提高、压力减轻）的儿童参与者实现了良好的最终状态功能。文中讨论了关于个体化家庭干预对治疗焦虑青少年的重要性的相关启示。
