评估一个预防焦虑父母孩子焦虑的计划:一个随机对照试验
Sigrid Elfström1, Anna Rosengren1, Rebecca Andersson2,3
1Department of Global Public health, Karolinska Institutet, Stockholm, Sweden.
概括
自信的家长-勇敢的孩子 (CPBC) 计划并没有显著减少儿童整体焦虑严重程度. 然而,它在较小的儿童 (5-6岁) 中显示出有希望的预防焦虑障碍和症状.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 临床心理学 临床心理学
- 公共卫生 公共卫生
背景情况:
- 儿科焦虑症很常见,通常与父母的焦虑有关.
- 在有焦虑父母的家庭中,早期干预对于预防至关重要.
- 这项研究评估了一项以家长为中心的干预措施,以预防儿童焦虑.
研究的目的:
- 评估自信的家长-勇敢的孩子 (CPBC) 计划在预防5-9岁儿童焦虑障碍和症状方面的有效性.
- 评估该计划对临床严重性评级和家长评估的焦虑症状的影响.
- 检查家长自我效能方面的变化.
主要方法:
- 一个平行,随机,受控,开放的标签试验,涉及215名父母和277名儿童.
- 参与者被分配到CPBC计划 (视频会议小组会议) 或自助控制组.
- 主要结局:12个月后临床严重性评级 (CSR) 的变化. 二次结果:儿童焦虑症状和父母的自我效能.
主要成果:
- 在12个月后,CPBC和对照组之间在初级结果 (CSR的变化) 中没有统计学上显著的差异.
- 在CPBC组的5-6岁儿童中,CSR增加和焦虑诊断的风险较低.
- 与对照组相比,CPBC儿童的焦虑症状减少更大;父母的自我效能在两组中都增加了.
结论:
- 该CPBC计划显示了预防年幼儿童 (5-6岁) 焦虑的潜力.
- 需要进一步的研究来确认整体疗效和完善干预措施.
- 这种干预可能对儿科人口中的特定年龄组有益.
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