Early Interventions for Anxious Children

对焦虑儿童的早期干预

基本信息

批准号：
6816954
负责人：
GAIL A. BERNSTEIN
金额：
$ 18.05万
依托单位：
UNIVERSITY OF MINNESOTA
依托单位国家：
美国
项目类别：
财政年份：
2002
资助国家：
美国
起止时间：
2002-12-01 至 2007-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/6816954
关键词：
Early Interventions Anxious Children

项目摘要

EXCEED THE SPACE PROVIDED. This R21 proposal 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) tbr 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. PERFORMANCE SITE ========================================Section End===========================================

超出所提供的空间。此 R21 提案是对计划公告 #PA-99-134 心理健康干预研究探索性/发展补助金的回应。该项目的重点是早期识别焦虑儿童，并对焦虑青少年进行基于学校的团体干预试点测试。焦虑症是儿童中最常见的精神疾病之一。这些疾病与以后出现情绪障碍和其他精神疾病、学业失败、药物滥用问题和其他重大健康问题的风险密切相关。高达 10-15% 的青少年患有焦虑症。焦虑症与功能障碍和高发病率相关。纵向研究表明，未经治疗的儿童焦虑症可能会持续数年。由于所有这些原因，早期识别和干预对于预防焦虑症并使焦虑儿童恢复正常的发展轨迹至关重要。该 R21 将采用多重门控程序来识别具有分离焦虑症、广泛性焦虑症或社交恐惧症特征或诊断的儿童（7-11 岁）。学校将被随机分配到以下三种情况之一：(1) 儿童进行团体认知行为治疗 (CBT)，(2) 儿童团体 CBT 加家长培训，或 (3) 照常治疗。像往常一样，治疗将包括学校通常为被确定为焦虑的孩子推荐的任何治疗方法。积极治疗将利用《朋友手册》并在学校提供。《朋友》手册将得到扩展，以提供更强化的家长培训内容（即家长焦虑管理、了解孩子在家庭背景下的焦虑、契约和应急管理）。所有儿童都将在治疗后 3 个月和 6 个月进行前瞻性随访评估。结果测量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一项以学校为基础的大规模针对焦虑青少年的团体干预调查。表演网站==========================================部分结束====== =======================================