Liber Juliette M, van Widenfelt Brigit M, Goedhart Arnold W, Utens Elisabeth M W J, van der Leeden Adelinde J M, Markus Monica T, Treffers Philip D A
Department of Child and Adolescent Psychiatry, Leiden University Medical Center, The Netherlands.
J Clin Child Adolesc Psychol. 2008 Oct;37(4):747-58. doi: 10.1080/15374410802359692.
A substantial percentage of children with anxiety disorders do not respond adequately to Cognitive Behavioral Therapy (CBT). Examination of parental factors related to treatment outcome could contribute to a further understanding of treatment outcome responses. This study investigated the predictive value of paternal and maternal emotional warmth, rejection, overprotection, anxiety, and depression for CBT outcome in clinic-referred anxious children (ages 8-12). Levels of maternal emotional warmth, paternal rejection and anxiety, and depressive symptoms predicted treatment success and failure. A higher level of maternal emotional warmth was associated with a less favorable treatment outcome. Higher levels of paternal rejection, anxiety, and depressive symptoms were consistently associated with a less favorable treatment outcome.
相当大比例的焦虑症儿童对认知行为疗法（CBT）反应不佳。研究与治疗结果相关的父母因素有助于进一步理解治疗结果反应。本研究调查了父亲和母亲的情感温暖、拒绝、过度保护、焦虑和抑郁对转诊至诊所的焦虑儿童（8至12岁）CBT治疗结果的预测价值。母亲的情感温暖程度、父亲的拒绝和焦虑以及抑郁症状可预测治疗的成功与失败。母亲情感温暖程度较高与较差的治疗结果相关。父亲较高的拒绝、焦虑和抑郁症状水平一直与较差的治疗结果相关。
