Temple University, United States.
Florida International University, United States.
J Anxiety Disord. 2022 Aug;90:102603. doi: 10.1016/j.janxdis.2022.102603. Epub 2022 Jul 6.
Within pediatric anxiety, accommodation describes ways caregivers modify their behavior in an effort to alleviate distress shown by anxious youth. In schools, accommodation refers to school-based supports (SBS) placed to increase academic success for students with disabilities. The present study, using school documents provided at treatment, examined the types of SBS provided to youth (N = 76; ages 7-17; mean age 11.07; 47.4 % female) diagnosed with an anxiety disorder. SBS were rated by a panel of youth anxiety experts on the degree to which each SBS promoted (a) approach or (b) avoidance. School documents were coded for the presence of SBS and each SBS received a (a) total approach and (b) total avoidance score. Analyses revealed (a) approach and (b) avoidance promoting SBS were differentially associated with diagnostic status: youth with social anxiety disorder were more likely to be recommended SBS promoting avoidance and youth with a specific phobia were more likely to be recommended SBS promoting approach. Overall, the present study characterizes types of SBS being received by anxious youth and finds that SBS recommended to anxious youth vary in type and quality. Discussion considers the need for observations in schools to further address the merits/demerits of anxiety-related SBS.
在儿科焦虑症中，适应是指照顾者改变行为的方式，以减轻焦虑青少年表现出的痛苦。在学校中，适应是指为残疾学生提供的基于学校的支持 (SBS)，以提高他们的学业成功。本研究使用治疗时提供的学校文件，检查了为患有焦虑症的青少年（N=76；年龄 7-17；平均年龄 11.07；47.4%为女性）提供的 SBS 类型。一组青少年焦虑症专家根据每个 SBS 促进（a）接近还是（b）回避的程度对 SBS 进行了评分。学校文件中对 SBS 的存在进行了编码，每个 SBS 都收到了（a）总接近和（b）总回避分数。分析显示，（a）接近和（b）回避促进 SBS 与诊断状况存在差异相关：社交焦虑症青少年更有可能被推荐回避性 SBS，特定恐惧症青少年更有可能被推荐接近性 SBS。总体而言，本研究描述了焦虑症青少年所接受的 SBS 类型，并发现推荐给焦虑症青少年的 SBS 在类型和质量上存在差异。讨论考虑了在学校进行观察的必要性，以进一步解决与焦虑相关的 SBS 的优缺点。
