Esbjørn Barbara Hoff, Normann Nicoline, Reinholdt-Dunne Marie Louise
Department of Psychology, University of Copenhagen, Øster Farimagsgade 2A, 1353 Copenhagen K, Copenhagen, Denmark.
J Contemp Psychother. 2015;45(3):159-166. doi: 10.1007/s10879-015-9294-3.
The metacognitive model and therapy has proven to be a promising theory and intervention for emotional disorders in adults. The model has also received empirical support in normal and clinical child samples. The purpose of the present study was to adapt metacognitive therapy to children (MCT-c) with generalised anxiety disorder (GAD) and create suggestions for an adapted manual. The adaptation was based on the structure and techniques used in MCT for adults with GAD. However, the developmental limitations of children were taken into account. For instance, therapy was aided with worksheets, practical exercises and delivered in a group format. Overall, the intervention relied heavily on practising MCT techniques in vivo with therapist assistance. A detailed description of how the manual was adapted for this age group is given, and examples from a group of four children are presented in a case series. Findings indicate that the adapted version of the metacognitive techniques and manual for children is feasible.
元认知模型与疗法已被证明是一种针对成人情绪障碍颇具前景的理论与干预方法。该模型在正常儿童样本和临床儿童样本中也得到了实证支持。本研究的目的是将元认知疗法应用于患有广泛性焦虑症（GAD）的儿童（儿童元认知疗法，MCT-c），并为一本改编手册提出建议。这种改编基于针对患有GAD的成人的元认知疗法所使用的结构和技术。然而，儿童的发育局限性也被考虑在内。例如，通过工作表、实践练习辅助治疗，并以小组形式进行。总体而言，该干预在很大程度上依赖于在治疗师协助下在实际情境中练习元认知疗法技术。文中给出了针对该年龄组对手册进行改编的详细描述，并在一个病例系列中呈现了来自四个儿童小组的实例。研究结果表明，针对儿童的元认知技术改编版和手册是可行的。
