Department of Child and Adolescent Mental Health, Sorlandet Hospital, Kristiansand, Norway.
Department of Psychology, Norway and University of Oslo, Oslo, Norway.
J Marital Fam Ther. 2023 Jul;49(3):581-594. doi: 10.1111/jmft.12643. Epub 2023 Apr 23.
Anxiety disorders are common among children and adolescents. Effective treatments exist, but meta-analyses indicate that 40% of children continue to have significant symptoms posttreatment. Alternative therapeutic interventions are needed. Emotion-focused parental interventions have been found to be effective in targeting children's internalizing difficulties, but no research has examined remission. In this pilot trial, we examined whether Emotion Focused Skills Training (EFST) was associated with remission of diagnosis in children with anxiety. Nine 8-14-year-olds diagnosed with anxiety were recruited at a mental health clinic in Norway. Both parents of each child attended a 2-day EFST program followed by five 1-hour weekly sessions. Pre- and posttreatment diagnosis and severity were evaluated using a multiinformant approach using the Spence Children's Anxiety Scale and the Anxiety Disorders Interview Schedule. After treatment, 33% no longer met criteria for any anxiety diagnosis, 66% obtained remission from their primary anxiety diagnosis, and 89% from at least one.
焦虑障碍在儿童和青少年中很常见。虽然有有效的治疗方法,但荟萃分析表明,40%的儿童在治疗后仍有明显的症状。需要替代的治疗干预措施。情感焦点的父母干预措施已被证明能有效地针对儿童的内化困难,但没有研究检查缓解情况。在这项试点试验中,我们研究了情感焦点技能训练(EFST)是否与患有焦虑症的儿童的诊断缓解有关。在挪威的一家心理健康诊所招募了 9 名 8-14 岁被诊断为焦虑症的儿童。每个孩子的父母都参加了为期两天的 EFST 课程,随后是每周 5 次,每次 1 小时的课程。使用多信息源方法,使用斯宾塞儿童焦虑量表和焦虑障碍访谈量表,在治疗前和治疗后评估诊断和严重程度。治疗后,33%的儿童不再符合任何焦虑症诊断标准,66%的儿童从主要焦虑症诊断中缓解,89%的儿童至少从一种焦虑症中缓解。