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父母参与孩子的焦虑和抑郁:探究分娩方式对可改变的父母因素的影响。

Parental Involvement in Child Anxiety and Depression: Exploring the Impact of Delivery Format on Modifiable Parental Factors.

作者信息

Ytreland Kristin, Bania Elisabeth Valmyr, Lydersen Stian, Sund Anne Mari, Neumer Simon-Peter, Adolfsen Frode, Martinsen Kristin Dagmar, Rasmussen Lene-Mari Potulski, Ingul Jo Magne

机构信息

Regional Centre for Child and Youth Mental Health and Child Welfare, Central Norway, Faculty of Medicine and Health Science, Department of Mental Health, Norwegian University of Science and Technology (NTNU), Postbox 8905 MTFS, 7491, Trondheim, Norway.

Regional Centre for Child and Adolescent Mental Health, Eastern and Southern Norway (RBUP Øst og Sør), Oslo, Norway.

出版信息

Child Psychiatry Hum Dev. 2025 Feb 13. doi: 10.1007/s10578-025-01814-6.

DOI:10.1007/s10578-025-01814-6
PMID:39946004
Abstract

Prior research has linked parental factors such as parent psychopathology, family functioning, parenting style, and parental practices to child anxiety and depression. Parents are often involved in interventions for these disorders. However, previous research suggests that this does not always add to the effect of child treatment alone. Furthermore, little research report changes in known parental risk and protective factors. As part of the ECHO-trial, we examined two delivery formats of parental involvement in the Emotion intervention, an indicated school-based cognitive behavioral therapy (CBT) program to prevent child anxiety and depression. Parents received either five parent group sessions or a brochure, while their children attended group sessions. Parents (N = 1028) completed our online survey at baseline, post-intervention, and/or 12-month follow-up. On average, parents showed small improvements in anxiety and depression symptoms and parental practices over time. There was no difference in parental factors between parents in the group sessions and the brochure condition.The trial was preregistered at https://www.clinicaltrials.gov/ (NCT04263558), in February 2020.

摘要

先前的研究已将父母心理病理学、家庭功能、育儿方式和育儿行为等父母因素与儿童焦虑和抑郁联系起来。父母通常会参与针对这些疾病的干预措施。然而,先前的研究表明,这并不总能增强仅针对儿童的治疗效果。此外,很少有研究报告已知的父母风险因素和保护因素的变化。作为ECHO试验的一部分,我们研究了父母参与情感干预的两种实施形式,情感干预是一种在校认知行为疗法(CBT)项目,旨在预防儿童焦虑和抑郁。父母要么参加五次家长小组会议,要么收到一本宣传册,而他们的孩子参加小组会议。父母(N = 1028)在基线、干预后和/或12个月随访时完成了我们的在线调查。随着时间的推移,父母在焦虑和抑郁症状以及育儿行为方面平均有小幅改善。参加小组会议的父母和收到宣传册的父母在父母因素方面没有差异。该试验于2020年2月在https://www.clinicaltrials.gov/(NCT04263558)上进行了预注册。

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本文引用的文献

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Optimizing indicated cognitive behavioral therapy to prevent child anxiety and depression: A cluster-randomized factorial trial.优化指征性认知行为疗法预防儿童焦虑和抑郁:一项集群随机因子试验。
Behav Res Ther. 2024 May;176:104520. doi: 10.1016/j.brat.2024.104520. Epub 2024 Mar 18.
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Benchmarked effectiveness of family and school involvement in group exposure therapy for adolescent anxiety disorder.家庭和学校参与团体暴露疗法治疗青少年焦虑障碍的效果评估。
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The impact of parent-only interventions on child anxiety: A systematic review and meta-analysis.
仅针对父母的干预措施对儿童焦虑的影响:系统评价和荟萃分析。
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School-based depression and anxiety prevention programs: An updated systematic review and meta-analysis.学校为基础的抑郁和焦虑预防计划:最新的系统评价和荟萃分析。
Clin Psychol Rev. 2021 Nov;89:102079. doi: 10.1016/j.cpr.2021.102079. Epub 2021 Aug 30.
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A systematic review of the persistence of childhood mental health problems into adulthood.一项关于儿童心理健康问题延续至成年的系统综述。
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Prevalence and course of anxiety disorders and symptoms from preschool to adolescence: a 6-wave community study.从学前到青春期焦虑症及症状的患病率与病程:一项六波次社区研究
J Child Psychol Psychiatry. 2022 May;63(5):527-534. doi: 10.1111/jcpp.13487. Epub 2021 Jul 27.
7
Study protocol of a factorial trial ECHO: optimizing a group-based school intervention for children with emotional problems.ECHO 因素试验研究方案:优化基于小组的学校干预措施,以帮助有情绪问题的儿童。
BMC Psychol. 2021 Jun 21;9(1):97. doi: 10.1186/s40359-021-00581-y.
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Age at onset of mental disorders worldwide: large-scale meta-analysis of 192 epidemiological studies.全球精神障碍发病年龄:192 项流行病学研究的大规模荟萃分析。
Mol Psychiatry. 2022 Jan;27(1):281-295. doi: 10.1038/s41380-021-01161-7. Epub 2021 Jun 2.
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Depression from preschool to adolescence - five faces of stability.从幼儿期到青春期的抑郁——稳定性的五个方面。
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