A Multi-Method Early Intervention Program for Inhibited and Anxious Preschoolers

针对抑制和焦虑学龄前儿童的多方法早期干预计划

基本信息

批准号：
8197326
负责人：
ANDREA CHRONIS-TUSCANO
金额：
$ 20.6万
依托单位：
UNIV OF MARYLAND, COLLEGE PARK
依托单位国家：
美国
项目类别：
财政年份：
2010
资助国家：
美国
起止时间：
2010-02-01 至 2013-11-30
项目状态：
已结题

来源：
https://reporter.nih.gov/project-details/8197326
关键词：
Address Adolescence Adolescent Adult Affect Aftercare Age Agoraphobia Anxiety Anxiety Disorders Area Behavior Behavioral Behavioral inhibition Categories Characteristics Child Child Behavior Childhood Clinical Clinical Trials Code Coercion Control Groups Data Depressive disorder Development Developmental Process Diagnosis Diagnostic Dimensions Disease Early identification Early treatment Effectiveness Emotional Ensure Event Evidence based intervention Exclusion Family Feedback Feeling Focus Groups Foxes Friendships Fright Funding Generalized Anxiety Disorder Goals Gold Health Hostility Human Resources Impairment Individual Infant Intervention Interview Life Literature Loneliness Manuals Measures Mental Depression Methods Minority Modeling Mothers National Institute of Mental Health Nursery Schools Outcome Outcome Measure Panic Disorder Parent-Child Relations Parenting behavior Parents Participant Pathway interactions Patient Self-Report Peer Group Phase Play Population Preschool Child Prevalence Prevention Prevention Protocols Prevention program Preventive Preventive Intervention Problem Solving Procedures Process Protocols documentation Psychopathology Public Health Publishing Questionnaires Randomized Randomized Controlled Trials Recruitment Activity Reporting Research Research Personnel Research Project Grants Risk Risk Factors Sampling Schools Separation Anxiety Services Shyness Social Behavior Social Characteristics Social Development Social Environment Social Interaction Social Phobia Specific Phobia Staging Structure Suggestion Surveys Symptoms Targeted Research Techniques Testing Time Toddler Training Training Programs Victimization Voluntary Mutism Waiting Lists Withdrawal Work aged base childhood anxiety design domain mapping efficacy testing elementary school emotional adjustment evidence base experience follow-up improved in vivo indexing infancy innovation interest intervention program meetings model development neglect novel parental influence peer primary outcome programs psychologic psychological outcomes response satisfaction secondary outcome self esteem skills skills training social social skills teacher theories therapy development

项目摘要

DESCRIPTION (provided by applicant): Behavioral inhibition is one of the most stable characteristics reported in childhood. Early behavioral inhibition, along with anxiety and social wariness (BI-ANX), is often reinforced and exacerbated by children?s reciprocal interactions with parents across development. Importantly, stable BI/ANX places young children at subsequent risk for diagnosable anxiety disorders (namely, social phobia) during adolescence and adulthood. The proposed project aims to develop and evaluate a novel early intervention program that is grounded in developmental psychopathology research insofar as it targets the specific risk factors implicated in the development and persistence of shyness, social reticence, and withdrawal in children to facilitate adaptive developmental outcomes (i.e., the absence of social phobia). This proposal meets the objectives of Stage I of the NIMH R34 ?From Intervention Development to Services: Exploratory Research Grants? (PAR-06-248). The primary aim of Phase I is to develop a developmentally-grounded, multi-component early intervention program for BI/ANX preschoolers and their parents. The aims of Phase II are to refine and evaluate our early intervention program compared to a waitlist control condition on outcomes including child behavioral inhibition and parenting, using a multi-method assessment consisting of parent and teacher reports and observational data. PUBLIC HEALTH RELEVANCE: Behavioral inhibition (BI), along with its associated characteristics of social reticence and withdrawal, is one of the most stable individual characteristics reported in childhood. Socially inhibited, wary and withdrawn preschool children are at risk for subsequent diagnosable anxiety and depressive disorders during adolescence and adulthood. Given the serious developmental outcomes associated with adolescent anxiety, very early identification and prevention of early social inhibition represents a major public health agenda.

描述（由申请人提供）：行为抑制是童年时期报告的最稳定的特征之一。早期行为抑制以及焦虑和社交戒心（BI-ANX）往往会因儿童在成长过程中与父母的互动而得到加强和加剧。重要的是，稳定的 BI/ANX 会使幼儿在青春期和成年期面临可诊断的焦虑症（即社交恐惧症）的风险。该项目旨在开发和评估一种新颖的早期干预计划，该计划以发展精神病理学研究为基础，针对儿童害羞、社交沉默和退缩的发展和持续存在所涉及的特定风险因素，以促进适应性发展结果。即不存在社交恐惧症）。该提案符合 NIMH R34 第一阶段的目标“从干预开发到服务：探索性研究补助金” （PAR-06-248）。第一阶段的主要目标是为 BI/ANX 学龄前儿童及其家长制定一个以发展为基础的、多组成部分的早期干预计划。第二阶段的目标是使用由家长和教师报告以及观察数据组成的多方法评估，与候补名单控制条件相比，完善和评估我们的早期干预计划，包括儿童行为抑制和育儿等结果。公共卫生相关性：行为抑制（BI）及其相关的社交沉默和退缩特征是儿童时期报告的最稳定的个体特征之一。社交抑制、警惕和孤僻的学龄前儿童在青春期和成年期面临随后可诊断的焦虑和抑郁症的风险。鉴于与青少年焦虑相关的严重发育后果，早期识别和预防早期社会抑制是一项重要的公共卫生议程。