对家长参与儿童焦虑的数字认知行为疗法干预措施的系统审查
Meri M V Grajdan1, Evren Etel2, Lara J Farrell3,4
1School of Applied Psychology, Griffith University, Brisbane, QLD, Australia. m.grajdan@griffith.edu.au.
Clinical child and family psychology review
|November 7, 2024
概括
父母参与儿童焦虑的数字认知行为疗法 (CBT) 显示出好处,特别是当父母通过暴露来指导孩子时. 未来的研究应该探索机制,并提高对更好的结果的坚持.
科学领域:
- 儿童和青少年心理学 儿童和青少年心理学
- 临床心理学 临床心理学
- 数字健康干预措施 数字健康干预措施
背景情况:
- 认知行为疗法 (CBT) 对儿童焦虑有效.
- 数字CBT (dCBT) 提供了可访问的治疗格式,通常包括家长.
- 父母参与dCBT对儿童焦虑的具体作用和影响尚不清楚.
研究的目的:
- 系统地审查儿童焦虑 (儿童 ≤12岁) 的dCBT中的家长参与特征.
- 检查家长参与特征和儿童焦虑结果之间的关系.
- 确定影响治疗疗效的因素,并为未来的研究提供信息.
主要方法:
- 在多个数据库 (CINAHL,Embase,ERIC,PsychINFO,PubMed,Scopus) 进行系统的文献搜索,截至2023年8月.
- 包括27篇文章 (23项研究) 评估了14项针对儿童焦虑的dCBT干预措施.
- 分析了父母的参与 (格式,内容,治疗师指导,遵守) 和孩子的结果 (缓解,焦虑评级,功能).
主要成果:
- 父母的参与有所不同,父母经常充当焦虑管理和暴露的教练.
- 大多数干预措施都显示出好处,除了一项仅为精神教育的计划外.
- 较高的缓解率与受控设置,较少的单亲会议和更多的父母/治疗师领导的暴露有关.
结论:
- 父母的指导和积极参与暴露与儿童焦虑的dCBT中更好的结果有关.
- 在受控环境下进行的干预措施并强调暴露可能会提高缓解率.
- 未来的研究应该调查变化机制,并优化干预措施的坚持和通用性.
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