Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, Postbus 15776, 1001 NG, 1018 WS, Amsterdam, The Netherlands.
Department of Clinical Child and Family Studies, Utrecht University, P.O. Box 80140, TC 3508, Utrecht, The Netherlands.
Child Psychiatry Hum Dev. 2024 Jun;55(3):790-801. doi: 10.1007/s10578-022-01437-1. Epub 2022 Oct 3.
This study examined clinical outcomes of a modular individual CBT for children with anxiety disorders (AD), and predictors of outcomes, in usual clinical practice. Participants were 106 children with ADs (7-17 years), and parents. Assessments were pre-, mid-, post-test, and 10 weeks after CBT (follow-up). Predictors (measured pre-treatment) were child characteristics (gender, age, type of AD, comorbid disorders), fathers' and mothers' anxious/depressive symptoms, and parental involvement (based on parents' presence during treatment sessions and the use of a parent module in treatment). At follow-up, 59% (intent-to-treat analyses) to 70% (completer analysis) of the children were free from their primary anxiety disorder. A significant decrease in anxiety symptoms was found. Higher parental involvement was related to lower child anxiety at follow-up, but only for children with comorbid disorders. Findings suggest that it is beneficial to treat anxiety with modular CBT. Future steps involve comparisons of modularized CBT with control conditions.
本研究考察了在常规临床实践中，模块化个体认知行为疗法（CBT）治疗儿童焦虑障碍（AD）的临床疗效及其预后的预测因素。参与者为 106 名患有 AD 的儿童（7-17 岁）及其父母。评估在治疗前、治疗中期、治疗后和 CBT 后 10 周（随访）进行。预测因素（治疗前测量）包括儿童特征（性别、年龄、AD 类型、合并症）、父母的焦虑/抑郁症状以及父母的参与度（基于父母在治疗过程中的参与度以及治疗中使用父母模块的情况）。在随访中，意向治疗分析中有 59%（至 70%）的儿童从主要焦虑障碍中完全康复。焦虑症状显著下降。较高的父母参与度与随访时儿童的焦虑程度较低相关，但仅适用于患有合并症的儿童。研究结果表明，使用模块化 CBT 治疗焦虑症是有益的。未来的步骤包括将模块化 CBT 与对照条件进行比较。
