Wellcome Trust Clinical Research Facility, and School of Psychological Sciences, University of Manchester, Brunswick St., Manchester, UK.
J Am Acad Child Adolesc Psychiatry. 2011 Mar;50(3):242-251.e6. doi: 10.1016/j.jaac.2010.12.015.
Despite recent advances, there are still no interventions that have been developed for the specific treatment of young children who have anxiety disorders. This study examined the impact of a new, cognitive-behaviorally based parenting intervention on anxiety symptoms.
Families of 74 anxious children (aged 9 years or less) took part in a randomized controlled trial, which compared the new 10-session, group-format intervention with a wait-list control condition. Outcome measures included blinded diagnostic interview and self-reports from parents and children.
Intention-to-treat analyses indicated that children whose parent(s) received the intervention were significantly less anxious at the end of the study than those in the control condition. Specifically, 57% of those receiving the new intervention were free of their primary disorder, compared with 15% in the control condition. Moreover, 32% of treated children were free of any anxiety diagnosis at the end of the treatment period, compared with 6% of those in the control group. Treatment gains were maintained at 12-month follow-up.
This new parenting-based intervention may represent an advance in the treatment of this previously neglected group.
尽管最近取得了一些进展，但仍没有开发出针对患有焦虑症的幼儿的特定治疗干预措施。本研究探讨了一种新的基于认知行为的育儿干预措施对焦虑症状的影响。
74 名焦虑儿童（年龄在 9 岁或以下）的家庭参加了一项随机对照试验，该试验比较了新的 10 节、小组形式的干预措施与候补名单对照条件。结果测量包括盲法诊断访谈以及父母和孩子的自我报告。
意向性治疗分析表明，接受干预的父母的孩子在研究结束时比对照组的孩子焦虑程度显著降低。具体而言，接受新干预的孩子中有 57%没有主要障碍，而对照组为 15%。此外，在治疗期间，32%接受治疗的孩子没有任何焦虑诊断，而对照组为 6%。治疗效果在 12 个月的随访中得以维持。
这种新的基于育儿的干预措施可能代表了对这个以前被忽视的群体的治疗进展。
