Okawa Sho, Arai Honami, Nakamura Hideki, Ishikawa Shin-Ichi, Creswell Cathy, Shiko Yuki, Ozawa Yoshihito, Kawasaki Yohei, Shimizu Eiji
Department of Experimental Psychology, University of Oxford, Anna Watts Building, Radcliffe Observatory Quarter, Woodstock Road, OxfordOX2 6GG, UK.
Research Center for Child Mental Development, Chiba University, 1-8-1, Inohana, Chuo ku, Chiba-shi, Chiba, 260-8670Japan.
Behav Cogn Psychother. 2023 May;51(3):265-270. doi: 10.1017/S1352465822000704. Epub 2023 Feb 3.
Guided parent-delivered cognitive behavioural therapy (GPD-CBT) is an effective low-intensity treatment for childhood anxiety disorder in Western countries and can increase access to evidence-based psychological therapies.
This study aimed to examine its feasibility in a Japanese sample.
Twelve children with anxiety disorders and their parents participated in the study, and ten children and parents completed the program. Participants were assessed at pre-, post- and one-month follow-up using a diagnostic interview for anxiety disorders, self- and parent-report measures for anxiety, depression, parental behaviour, and parental anxiety.
Four children (40% of completers) were free from their primary diagnoses immediately following the brief treatment, and seven children (70%) at the one-month follow-up. Changes in disorder severity, child and parent reported anxiety symptoms, and child reported depression symptoms were consistent with those found in Western trials of GPD-CBT and of Japanese trials of more intensive CBT for child anxiety disorders that involves both the child and the parent. Moderate increases were also found in child reported parental autonomy behaviours; however, there were only small changes in parent self-reported anxiety.
These results support the potential of GPD-CBT to increase access to evidence-based treatments for anxiety disorders in Japanese children.
由家长指导实施的认知行为疗法（GPD-CBT）是西方国家治疗儿童焦虑症的一种有效的低强度疗法，能够增加获得循证心理疗法的机会。
本研究旨在检验其在日本样本中的可行性。
12名患有焦虑症的儿童及其家长参与了本研究，10名儿童及其家长完成了该项目。在治疗前、治疗后及1个月随访时，使用焦虑症诊断访谈、焦虑、抑郁、家长行为及家长焦虑的自评和家长报告量表对参与者进行评估。
4名儿童（占完成治疗者的40%）在短期治疗后即摆脱了主要诊断，7名儿童（70%）在1个月随访时摆脱了主要诊断。疾病严重程度、儿童和家长报告的焦虑症状以及儿童报告的抑郁症状的变化与西方GPD-CBT试验以及日本针对涉及儿童和家长的儿童焦虑症强化CBT试验的结果一致。儿童报告的家长自主行为也有适度增加；然而，家长自评焦虑只有微小变化。
这些结果支持了GPD-CBT在增加日本儿童获得循证焦虑症治疗机会方面的潜力。
