儿童社交恐惧症行为治疗结果的中介因素和调节因素
Mediators and moderators of outcome in the behavioral treatment of childhood social phobia.
作者信息
Alfano Candice A, Pina Armando A, Villalta Ian K, Beidel Deborah C, Ammerman Robert T, Crosby Lori E
机构信息
Dr. Alfano is with the Children's National Medical Center, George Washington University School of Medicine. Dr. Pina and Mr. Villalta are with Arizona State University. Dr. Beidel is with the University of Central Florida. Dr. Ammerman and Dr. Crosby are with the Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine.
Dr. Alfano is with the Children's National Medical Center, George Washington University School of Medicine. Dr. Pina and Mr. Villalta are with Arizona State University. Dr. Beidel is with the University of Central Florida. Dr. Ammerman and Dr. Crosby are with the Cincinnati Children's Hospital Medical Center, University of Cincinnati College of Medicine.
出版信息
J Am Acad Child Adolesc Psychiatry. 2009 Sep;48(9):945-953. doi: 10.1097/CHI.0b013e3181af8216.
OBJECTIVE
The current study examined mediators and moderators of treatment response among children and adolescents (ages 7-17 years) with a primary diagnosis of social phobia.
METHOD
Participants were 88 youths participating in one of two randomized controlled treatment trials of Social Effectiveness Therapy for Children. Potential mediators included changes in observer-rated social skill and child-reported loneliness after 12 weeks of Social Effectiveness Therapy for Children. Age and depressive symptoms were examined as potential moderators.
RESULTS
Loneliness scores and social effectiveness during a role-play task predicted changes in social anxiety and overall functioning at posttreatment. Changes in social anxiety were mediated by child-reported loneliness. Outcomes were not moderated by age or depressive symptoms.
CONCLUSIONS
Findings support the role of loneliness as an important mechanism of change during treatment for childhood social phobia.
目的
本研究探讨了初诊为社交恐惧症的儿童和青少年（7至17岁）治疗反应的中介因素和调节因素。
方法
88名青少年参与了两项针对儿童的社会效能疗法随机对照治疗试验之一。潜在中介因素包括儿童社会效能疗法治疗12周后观察者评定的社交技能变化和儿童报告的孤独感。将年龄和抑郁症状作为潜在调节因素进行研究。
结果
角色扮演任务中的孤独感得分和社交效能预测了治疗后社交焦虑和整体功能的变化。儿童报告的孤独感介导了社交焦虑的变化。结果不受年龄或抑郁症状的调节。
结论
研究结果支持孤独感在儿童社交恐惧症治疗过程中作为重要改变机制的作用。
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