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父母参与焦虑儿童的认知行为干预:父母在治疗期间和治疗期外的活动及其与治疗结果的关系。

Parental Involvement in Cognitive-Behavioral Intervention for Anxious Children: Parents' In-Session and Out-Session Activities and Their Relationship with Treatment Outcome.

作者信息

Pereira Ana Isabel, Muris Peter, Mendonça Denisa, Barros Luisa, Goes Ana Rita, Marques Teresa

机构信息

Faculdade de Psicologia da Universidade de Lisboa, Alameda da Universidade, 1649-013, Lisbon, Portugal.

Faculty of Psychology and Neuroscience, Maastricht University, P.O. Box 616, 6200 MD, Maastricht, The Netherlands.

出版信息

Child Psychiatry Hum Dev. 2016 Feb;47(1):113-23. doi: 10.1007/s10578-015-0549-8.

DOI:10.1007/s10578-015-0549-8
PMID:25869734
Abstract

The present study explored the role of parents' in-session and out-session involvement in CBT for anxious children. Fifty 8- to 12-year-old children with a principal DSM-IV anxiety disorder participated in a group CBT program. Parental involvement in the therapy was assessed by the clinician and the children and parents completed a standardized anxiety scale as the main therapy outcome measure, at pre- and post-intervention. In addition, the parents completed questionnaires to evaluate a number of possible correlates of parental involvement, namely, child's anxiety symptoms intensity and interference, parental beliefs about anxiety, expectancies regarding the efficacy of the intervention, and parental anxiety. The results indicated that the parents were moderately involved in the therapy and that socio-economic status and parental beliefs about anxiety were significant correlates of parental involvement. Finally, partial support was found for the idea that parents' involvement in the therapy might have a positive impact on therapy outcome.

摘要

本研究探讨了父母在治疗期间和治疗期外的参与在针对焦虑儿童的认知行为疗法(CBT)中的作用。五十名患有主要DSM-IV焦虑症的8至12岁儿童参加了一个团体CBT项目。临床医生评估了父母在治疗中的参与情况,并且儿童和父母在干预前和干预后完成了一份标准化焦虑量表,作为主要的治疗效果衡量指标。此外,父母还完成了问卷调查,以评估一些可能与父母参与相关的因素,即儿童焦虑症状的强度和干扰、父母对焦虑的看法、对干预效果的期望以及父母的焦虑。结果表明,父母在治疗中的参与程度适中,社会经济地位和父母对焦虑的看法是父母参与的显著相关因素。最后,研究发现部分支持这样一种观点,即父母参与治疗可能对治疗效果产生积极影响。

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本文引用的文献

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J Consult Clin Psychol. 2014 Dec;82(6):1163-72. doi: 10.1037/a0036969. Epub 2014 May 19.
2
Psychometric properties of the Child Anxiety Life Interference Scale (CALIS).儿童焦虑生活干扰量表(CALIS)的心理测量学特性。
J Anxiety Disord. 2013 Oct;27(7):711-9. doi: 10.1016/j.janxdis.2013.09.008. Epub 2013 Sep 26.
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Who gets the most out of cognitive behavioral therapy for anxiety disorders? The role of treatment dose and patient engagement.
一项随机对照试验的研究方案,旨在测试 Emotion Detectives In-Out 的疗效:一种针对葡萄牙儿童情绪障碍的统一跨诊断治疗方案的混合版本。
BMC Psychol. 2024 Feb 7;12(1):63. doi: 10.1186/s40359-024-01532-z.
4
Better Together: A Review and Recommendations to Optimize Research on Family Involvement in CBT for Anxiety and Related Disorders.《共同协作:关于优化家庭参与认知行为疗法治疗焦虑及相关障碍的研究的综述和建议》
Behav Ther. 2021 May;52(3):594-606. doi: 10.1016/j.beth.2020.07.008. Epub 2020 Aug 6.
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Community Therapist Reports of Client Engagement Challenges During the Implementation of Multiple EBPs in Children's Mental Health.社区治疗师关于儿童心理健康领域多种循证实践实施过程中客户参与挑战的报告。
Evid Based Pract Child Adolesc Ment Health. 2018;3(3):197-212. doi: 10.1080/23794925.2018.1455545. Epub 2018 Apr 18.
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