Cobham V E, Dadds M R, Spence S H
School of Psychology, University of Queensland, St. Lucia, Australia.
J Consult Clin Psychol. 1998 Dec;66(6):893-905. doi: 10.1037//0022-006x.66.6.893.
Sixty-seven children aged 7 to 14 who met diagnostic criteria for an anxiety disorder were assigned to conditions according to parental anxiety level. Within these conditions, children were randomly assigned to 1 of 2 treatments: child-focused cognitive-behavioral therapy (CBT) or child-focused CBT plus parental anxiety management (CBT + PAM). At posttreatment, results indicated that within the child-anxiety-only condition, 82% of the children in the CBT condition no longer met criteria for an anxiety disorder compared with 80% in the CBT + PAM condition. Within the child + parental anxiety condition, 39% in the CBT condition no longer met criteria compared with 77% in the CBT + PAM condition. At follow-up, these differences were maintained, with some weakening over time. Results were not consistent across outcome measures. The interpretation and potential clinical implications of these findings are discussed.
67名年龄在7至14岁之间且符合焦虑症诊断标准的儿童，根据父母的焦虑水平被分配到不同的组别。在这些组别中，儿童被随机分配到两种治疗方法中的一种：以儿童为中心的认知行为疗法（CBT）或以儿童为中心的CBT加上父母焦虑管理（CBT + PAM）。在治疗后，结果表明，在仅儿童焦虑的组别中，接受CBT治疗的儿童中有82%不再符合焦虑症的标准，而接受CBT + PAM治疗的儿童中这一比例为80%。在儿童加父母焦虑的组别中，接受CBT治疗的儿童中有39%不再符合标准，而接受CBT + PAM治疗的儿童中这一比例为77%。在随访时，这些差异依然存在，不过随着时间推移有所减弱。不同的结果测量指标得出的结果并不一致。本文讨论了这些发现的解释及其潜在的临床意义。
