A case series evaluation of the Fearless Me! © program for children with intellectual disabilities and anxiety

IF 2.5 3区心理学 Q2 PSYCHOLOGY, CLINICAL Journal of Clinical Psychology Pub Date : 2024-05-23 DOI:10.1002/jclp.23709

Anastasia Hronis, Jichun Hao, Rachel Roberts, Lynette Roberts, Alice Shires, Ian Kneebone

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Abstract

Objectives

Children and adolescents with intellectual disabilities (ID) have high rates of mental health disorders, particularly anxiety disorders. Cognitive behavior therapy (CBT) has largely remained unexamined as a treatment option for this population. Fearless Me! © is an adapted CBT treatment program specifically designed for children and adolescents with ID.

Method

Eleven children, aged between eight and 17, completed 10 therapy sessions. Measures of anxiety were completed pre and posttreatment and at 3 and 12-month follow-ups by both the children and parents.

Results

Six children reported significant reductions in anxiety, with all showing significant reductions in parent-reported child anxiety at either posttreatment assessment, 3-month follow-up, or 12-month follow-up. Results varied across the six children as all parents reported heightened anxiety, but not all children reported high levels of anxiety for themselves.

Conclusion

Overall, this evaluation provides a sound basis for continued investigation and research into the use of the Fearless Me! © modified CBT program to treat children with ID and anxiety.

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对 "无畏的我"（Fearless Me！针对智障和焦虑儿童的计划。

目的：智障儿童和青少年的心理健康失调率很高，尤其是焦虑症。认知行为疗法（CBT）作为一种治疗方法，在很大程度上仍未得到研究。无畏的我是一项经过改编的 CBT 治疗计划，专门为智障儿童和青少年设计：方法：11 名 8 至 17 岁的儿童完成了 10 次治疗。儿童和家长在治疗前、治疗后以及 3 个月和 12 个月的随访中完成了焦虑测量：结果：六名儿童的焦虑程度明显减轻，在治疗后评估、3 个月随访或 12 个月随访中，家长报告的儿童焦虑程度均有明显减轻。六名儿童的结果各不相同，因为所有家长都表示焦虑程度有所提高，但并非所有儿童都表示自己焦虑程度很高：总之，这项评估为继续调查和研究 "无畏的我 "的使用提供了坚实的基础！改良 CBT 方案治疗智障和焦虑症儿童提供了坚实的基础。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Clinical Psychology PSYCHOLOGY, CLINICAL-

CiteScore

5.40

自引率

3.30%

发文量

177

期刊介绍： Founded in 1945, the Journal of Clinical Psychology is a peer-reviewed forum devoted to research, assessment, and practice. Published eight times a year, the Journal includes research studies; articles on contemporary professional issues, single case research; brief reports (including dissertations in brief); notes from the field; and news and notes. In addition to papers on psychopathology, psychodiagnostics, and the psychotherapeutic process, the journal welcomes articles focusing on psychotherapy effectiveness research, psychological assessment and treatment matching, clinical outcomes, clinical health psychology, and behavioral medicine.