Ghodrat Mohaddeseh Sadat, Aghebati Asma, Asgharnejad Farid Ali Asghar, Shirazi Elham
Department of Clinical Psychology, School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran.
Department of Psychiatry, School of Behavioral Sciences and Mental Health, Tehran Institute of Psychiatry, Iran University of Medical Sciences, Tehran, Iran.
Front Psychol. 2022 Oct 20;13:1001705. doi: 10.3389/fpsyg.2022.1001705. eCollection 2022.
Studies have supported the effectiveness of the From Timid to a Tiger (FTTT) and Supportive Parenting for Anxious Childhood Emotions (SPACE) program in reducing childhood anxiety. This study is the first to compare the effectiveness of the two programs in the treatment of childhood anxiety disorder and reducing family accommodations levels. Parents of children aged 6 to 9 ( = 49, 49% boys) were randomly allocated to either FTTT (n 26) or SPACE (n = 23) groups, and each attended ten online sessions following the manuals of the interventions. Throughout the study, 9 participants dropped out, resulting in a total of 49 participants, and we performed statistical analyses based on data from these 49 participants. The assessment took place pre- and post-treatment and at a ten-week follow-up on parent-rated child anxiety and family accommodation measures. Analyses of variance (repeated measures) and gain scores were conducted to examine the data. The results indicated that both treatments approaches produced significant reductions in outcome measures, and the post-treatment gains of both treatments were maintained at a ten-week follow-up, though when considering the mean differences and effect sizes across the assessment scores and between groups, overall, the FTTT was significantly more effective in reducing child anxiety scores and family accommodation levels. Our results demonstrated that FTTT significantly outperformed the SPACE program in reducing childhood anxiety problems and family accommodation levels.
研究支持了“从胆小到勇敢”（FTTT）和“支持性育儿应对儿童焦虑情绪”（SPACE）项目在减轻儿童焦虑方面的有效性。本研究首次比较了这两个项目在治疗儿童焦虑症和降低家庭迁就程度方面的有效性。6至9岁儿童的父母（n = 49，49%为男孩）被随机分配到FTTT组（n = 26）或SPACE组（n = 23），每组按照干预手册参加十次在线课程。在整个研究过程中，有9名参与者退出，最终共有49名参与者，我们基于这49名参与者的数据进行了统计分析。在治疗前、治疗后以及治疗后十周的随访中，对家长评定的儿童焦虑和家庭迁就措施进行了评估。采用方差分析（重复测量）和增益分数来分析数据。结果表明，两种治疗方法均使结果指标显著降低，且两种治疗方法在治疗后的增益在十周随访时得以维持，不过在考虑评估分数和组间的均值差异及效应大小时，总体而言，FTTT在降低儿童焦虑分数和家庭迁就程度方面显著更有效。我们的结果表明，在减轻儿童焦虑问题和家庭迁就程度方面，FTTT显著优于SPACE项目。
