Ginsburg Golda S
Department of Psychiatry and Behavioral Sciences, Division of Child and Adolescent Psychiatry, Johns Hopkins University School of Medicine, Baltimore, MD 21287-3325, USA.
J Consult Clin Psychol. 2009 Jun;77(3):580-7. doi: 10.1037/a0014486.
The article presents the intervention model and primary outcomes of a preventive intervention designed to reduce anxiety symptoms and prevent the onset of anxiety disorders in the offspring of parents with anxiety disorders. Participants were 40 volunteer children (mean age = 8.94 years; 45% girls; 90% Caucasian) whose parents met criteria for a broad range of anxiety disorders. Families were randomly assigned to an 8-week cognitive-behavioral intervention, the Coping and Promoting Strength program (CAPS; n = 20) or a wait list control condition (WL; n = 20). Independent evaluators (IEs) conducted diagnostic interviews, and children and parents completed measures of anxiety symptoms. Assessments were conducted pre- and postintervention and 6 and 12 months after the postintervention assessment. On the basis of intent to treat analyses, 30% of the children in the WL group developed an anxiety disorder by the 1-year follow-up compared with 0% in the CAPS group. IE and parent-reported (but not child-reported) levels of anxiety showed significant decreases from the preintervention assessment to the 1-year follow-up assessment in the CAPS but not the WL group. Parental satisfaction with the intervention was high. Findings suggest that a family-based intervention may prevent the onset of anxiety disorders in the offspring of parents with anxiety disorders.
本文介绍了一项预防性干预措施的干预模式和主要结果，该干预旨在减轻焦虑症状，并预防患有焦虑症的父母的后代出现焦虑症。参与者为40名志愿儿童（平均年龄 = 8.94岁；45%为女孩；90%为白种人），其父母符合多种焦虑症的标准。家庭被随机分配到为期8周的认知行为干预组，即应对与增强力量计划（CAPS；n = 20）或等待名单对照组（WL；n = 20）。独立评估人员（IEs）进行诊断访谈，儿童和父母完成焦虑症状测量。在干预前、干预后以及干预后评估的6个月和12个月进行评估。基于意向性分析，到1年随访时，WL组30%的儿童患上了焦虑症，而CAPS组为0%。IE和父母报告（而非儿童报告）的焦虑水平在CAPS组从干预前评估到1年随访评估有显著下降，而WL组没有。父母对干预的满意度很高。研究结果表明，基于家庭的干预可能预防患有焦虑症的父母的后代出现焦虑症。
