Barrett P M, Dadds M R, Rapee R M
School of Applied Psychology, Griffith University, Nathan, Australia.
J Consult Clin Psychol. 1996 Apr;64(2):333-42. doi: 10.1037//0022-006x.64.2.333.
A family-based treatment for childhood anxiety was evaluated. Children (n = 79) aged 7 to 14 who fulfilled diagnostic criteria for separation anxiety, overanxious disorder, or social phobia were randomly allocated to 3 treatment conditions: cognitive-behavioral therapy (CBT), CBT plus family management (CBT + FAM), and waiting list. The effectiveness of the interventions was evaluated at posttreatment and at 6 and 12 months follow-up. The results indicated that across treatment conditions, 69.8% of the children no longer fulfilled diagnostic criteria for an anxiety disorder, compared with 26% of the waiting-list children. At the 12-month follow-up, 70.3% of the children in the CBT group and 95.6% of the children in the CBT + FAM group did not meet criteria. Comparisons of children receiving CBT with those receiving CBT + FAM on self-report measures and clinician ratings indicated added benefits from CBT + FAM treatment. Age and gender interacted with treatment condition, with younger children and female participants responding better to the CBT + FAM condition.
对一种针对儿童焦虑症的家庭治疗方法进行了评估。年龄在7至14岁、符合分离焦虑症、过度焦虑症或社交恐惧症诊断标准的儿童（n = 79）被随机分配到3种治疗条件下：认知行为疗法（CBT）、认知行为疗法加家庭管理（CBT + FAM）以及等待名单组。在治疗后以及6个月和12个月随访时评估干预措施的有效性。结果表明，在所有治疗条件下，69.8%的儿童不再符合焦虑症的诊断标准，而等待名单组儿童的这一比例为26%。在12个月随访时，CBT组70.3%的儿童和CBT + FAM组95.6%的儿童不符合标准。在自我报告测量和临床医生评分方面，接受CBT治疗的儿童与接受CBT + FAM治疗的儿童进行比较，结果表明CBT + FAM治疗有额外益处。年龄和性别与治疗条件存在交互作用，年龄较小的儿童和女性参与者对CBT + FAM条件的反应更好。
