Early Interventions for Anxious Children

对焦虑儿童的早期干预

• 批准号: 6580010
• 负责人: GAIL A. BERNSTEIN
• 金额: $ 18.08万
• 依托单位: UNIVERSITY OF MINNESOTA
• 依托单位国家: 美国
• 财政年份: 2002
• 资助国家: 美国
• 起止时间: 2002-12-01 至 2005-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6580010
• 关键词: anxiety disorders; behavioral /social science research tag; child psychology; clinical research; cognitive behavior therapy; early diagnosis; early experience; group counseling; group therapy; human subject; longitudinal human study; middle childhood (6-11); parents; questionnaires; schools

DESCRIPTION (provided by applicant): This R21 application is in response to Program Announcement #PA-99-134 Exploratory/Development Grants for Mental Health Intervention Research. This project focuses on early identification of anxious children and pilot testing of school-based group interventions for anxious youth. Anxiety disorders are among the most prevalent psychiatric disorders in children. These disorders are strongly associated with risk for later developing mood disorders and other psychiatric disorders, academic failure, substance abuse problems, and other significant health problems. Up to 10-15% of the general youth population has an anxiety disorder. Anxiety disorders are associated with functional impairment and substantial morbidity. Longitudinal studies have demonstrated that untreated anxiety disorders in children may continue for years. For all these reasons, early identification and intervention are critical for preventing anxiety disorders and returning anxious children to the normal developmental trajectory. This R21 will employ a multiple gating procedure to identify children (ages 7-11) with features or diagnoses of separation anxiety disorder, generalized anxiety disorder, or social phobia. Schools will be randomly assigned to one of three conditions: (1) group cognitive-behavioral therapy (CBT) for children, (2) group CBT for children plus parent training, or (3) treatment as usual. Treatment as usual will consist of whatever the school would normally recommend for a child identified as anxious. Active treatments will utilize the FRIENDS Manual and will be provided at school. The FRIENDS manual will be expanded to provide a more intensive parent training component (i.e., parental anxiety management, understanding the child's anxiety in the family context, contracting and contingency management). All children will be followed prospectively with assessments at 3 months and 6 months post-treatment. Outcome measures will evaluate symptom severity, level of functioning, remission of baseline anxiety disorders, and incidence of new anxiety disorders. Data from this study will guide a large-scale school-based investigation of group interventions for anxious youth.

描述（由申请人提供）：此R21申请响应计划公告＃PA-99-134精神健康干预研究的探索性/发展赠款。该项目着重于对焦虑儿童的早期确定和对焦虑青年的基于学校小组干预的试点测试。焦虑症是儿童中最普遍的精神疾病之一。这些疾病与后来患情绪障碍和其他精神疾病，学术失败，药物滥用问题以及其他重大健康问题的风险密切相关。多达10-15％的普通青年人口患有焦虑症。焦虑症与功能障碍和大量发病率有关。纵向研究表明，儿童未经治疗的焦虑症可能会持续多年。由于所有这些原因，早期的识别和干预对于预防焦虑症和使焦虑的儿童恢复正常发育轨迹至关重要。该R21将采用多种门控程序来识别具有分离焦虑症，广义焦虑症或社交恐惧症的特征或诊断的儿童（7-11岁）。学校将被随机分配到三个条件之一：（1）儿童的群体认知疗法（CBT），（2）儿童的CBT组加上父母培训，或（3）照常治疗。照常治疗将包括学校通常建议被认为焦虑的孩子的任何东西。主动治疗将使用《朋友手册》，并将在学校提供。 《朋友手册》将扩展，以提供更密集的父母培训部分（即父母焦虑管理，了解孩子在家庭环境中的焦虑，承包和应急管理）。在治疗后3个月零6个月的情况下，所有儿童都将在前瞻性上进行评估。结果指标将评估症状严重程度，功能水平，基线焦虑症的缓解以及新焦虑症的发生率。这项研究的数据将指导大规模的学校对焦虑青年的小组干预措施的调查。