父母在参与其焦虑儿童认知行为疗法后的变化。
Parental changes after involvement in their anxious child's cognitive behavior therapy.
机构信息
Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1353 Copenhagen K, Denmark.
Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1353 Copenhagen K, Denmark.
出版信息
J Anxiety Disord. 2014 Oct;28(7):664-70. doi: 10.1016/j.janxdis.2014.07.008. Epub 2014 Jul 18.
OBJECTIVE
Specific parental behaviors and cognitions are associated with child anxiety. Studies informing us of the directionality of the associations are lacking. We investigated the effect of parental involvement in children's anxiety treatment on parental behaviors and cognitions.
METHOD
Children (N=54, 7-12 years) and parents were randomly allocated to different treatment groups (involved, not involved). Observed behavior, self-reported behavior and cognitions were assessed separately for mothers and fathers at pre-, posttreatment and follow-up.
RESULTS
There were no differences over time for self-reported parental efficacy and observed negativity, but self-reported autonomy granting increased for both groups over time. Differential effects were found between groups for observed paternal over-involvement (fathers involved in treatment showed a more rapid decrease) and self-reported maternal autonomy-granting (non-involved mothers showed a greater increase).
CONCLUSION
Our findings suggest that child anxiety significantly influences parental behaviors and cognitions. Child therapy may successfully change the family system.
目的
特定的父母行为和认知与儿童焦虑有关。目前缺乏关于这些关联方向性的研究。我们研究了父母参与儿童焦虑治疗对父母行为和认知的影响。
方法
将儿童（N=54，7-12 岁）及其父母随机分配到不同的治疗组（参与组、不参与组）。在治疗前、治疗后和随访时，分别对母亲和父亲的观察行为、自我报告行为和认知进行评估。
结果
自我报告的父母效能感和观察到的消极性随时间无差异，但自我报告的自主性赋予在两个组中随时间增加。观察到的父亲过度参与（参与治疗的父亲表现出更快的下降）和自我报告的母亲自主性赋予（不参与的母亲表现出更大的增加）存在组间差异。
结论
我们的发现表明，儿童焦虑显著影响父母的行为和认知。儿童治疗可能成功地改变家庭系统。
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