Barrett P M
School of Applied Psychology, Griffith University, Australia.
J Clin Child Psychol. 1998 Dec;27(4):459-68. doi: 10.1207/s15374424jccp2704_10.
Undertook an evaluation of a cognitive-behavioral group family-based intervention for childhood anxiety disorders in Brisbane, Australia. The treatment aimed to provide children and their families with skills in the management of anxiety and avoidance, problem solving, and mutual family support. Children (n = 60) ranging from 7 to 14 years old who fulfilled diagnostic criteria for separation anxiety, overanxious disorder, or social phobia were randomly allocated to 3 treatment conditions: group cognitive-behavioral therapy (GROUP-CBT), group cognitive-behavioral therapy plus family management (GROUP-FAM), and wait list (WL). The effectiveness of the interventions was evaluated at posttreatment and 12-month follow-up. Results indicated that across treatment conditions, 64.8% of children no longer fulfilled diagnostic criteria for an anxiety disorder in comparison with 25.2% of children on the wait list. At 12-month FU, 64.5% of children in the GROUP-CBT group and 84.8% of children in the GROUP-FAM group were diagnosis free. Comparisons of children receiving GROUP-CBT with those receiving GROUP-FAM on self-report measures and clinician ratings indicated marginal added benefits from GROUP-FAM treatment. Results show that CBT interventions for childhood anxiety disorders can be effectively administered in a group format.
在澳大利亚布里斯班对一种基于认知行为团体家庭干预方法治疗儿童焦虑症进行了评估。该治疗旨在为儿童及其家庭提供管理焦虑和回避行为、解决问题以及家庭相互支持方面的技能。60名年龄在7至14岁之间、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被随机分配到3种治疗条件下：团体认知行为疗法（GROUP-CBT）、团体认知行为疗法加家庭管理（GROUP-FAM）以及等待名单（WL）。在治疗后和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，64.8%的儿童不再符合焦虑症的诊断标准，而等待名单上的儿童这一比例为25.2%。在12个月随访时，GROUP-CBT组64.5%的儿童和GROUP-FAM组84.8%的儿童没有诊断出焦虑症。在自我报告测量和临床医生评分方面，将接受GROUP-CBT治疗的儿童与接受GROUP-FAM治疗的儿童进行比较，结果表明GROUP-FAM治疗有一定的额外益处。结果显示，针对儿童焦虑症的认知行为疗法干预措施可以以团体形式有效实施。
