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一项针对有焦虑和抑郁症状儿童的跨诊断家长主导的互联网干预措施的初步疗效:一项试点随机对照试验。

Preliminary efficacy of a transdiagnostic parent-led internet-delivered intervention for children with anxiety and depressive symptoms: a pilot randomized controlled trial.

作者信息

Poetar Costina-Ruxandra, Dobrean Anca, Andersson Gerhard

机构信息

Department of Clinical Psychology and Psychotherapy, Babeș-Bolyai University, Cluj-Napoca, Romania.

The International Institute for the Advanced Studies of Psychotherapy and Applied Mental Health, Babeș-Bolyai University, Cluj-Napoca, Romania.

出版信息

Child Adolesc Psychiatry Ment Health. 2024 Mar 6;18(1):31. doi: 10.1186/s13034-024-00721-3.

Abstract

BACKGROUND

There is extensive research indicating that transdiagnostic interventions are effective for adults and children with anxiety and depressive disorders; however, limited research has been conducted on the efficacy of such programs targeting parents of children with anxiety and depressive symptoms delivered via the Internet. This study aims to investigate the preliminary efficacy of a transdiagnostic Internet-delivered intervention for Romanian parents of children with elevated anxiety and depressive symptoms.

METHODS

We conducted a single-blinded pilot randomized controlled trial. Forty-two parents of children with anxiety and depressive symptoms (M = 39.79, 78.6% women) from Romania were randomly assigned to one of the two groups, to ParentKIT, an Internet-delivered intervention based on Rational Emotive and Behavioral Therapy (n = 21), or to a delayed treatment condition (waitlist group) (n = 21). ParentKIT consisted of a brief transdiagnostic intervention delivered through nine modules with therapist guidance.

RESULTS

A significant Group by Time effect was found for child emotional problems as reported by parents (Cohen's d = - 0.85) and for parental self-efficacy (Cohen's d = 0.71).

CONCLUSION

A transdiagnostic Internet-delivered intervention addressed to parents of children with elevated anxiety and depressive symptoms is a promising approach. Future research should include blind assessments as well as multiple outcome assessors and investigate the long-term efficacy of the intervention.

TRIAL REGISTRATION

NCT05341297.

摘要

背景

大量研究表明,跨诊断干预对患有焦虑症和抑郁症的成人及儿童有效;然而,针对通过互联网为有焦虑和抑郁症状儿童的父母提供此类项目的疗效研究有限。本研究旨在调查针对罗马尼亚有焦虑和抑郁症状儿童的父母进行的跨诊断互联网干预的初步疗效。

方法

我们进行了一项单盲试点随机对照试验。来自罗马尼亚的42名有焦虑和抑郁症状儿童的父母(M = 39.79,78.6%为女性)被随机分配到两组之一,即ParentKIT组,这是一种基于理性情绪行为疗法的互联网干预(n = 21),或延迟治疗组(等待名单组)(n = 21)。ParentKIT包括在治疗师指导下通过九个模块进行的简短跨诊断干预。

结果

父母报告的儿童情绪问题(科恩d值 = -0.85)和父母自我效能感(科恩d值 = 0.71)发现了显著的组×时间效应。

结论

针对有焦虑和抑郁症状儿童的父母进行的跨诊断互联网干预是一种有前景的方法。未来的研究应包括盲法评估以及多个结果评估者,并调查该干预的长期疗效。

试验注册

NCT05341297。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1415/10918968/fc5f42e9d596/13034_2024_721_Fig1_HTML.jpg

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