儿童早期焦虑干预的最新进展

Sarah A. J. Anticich, P. Barrett, R. Gillies, W. Silverman
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引用次数: 14

摘要

长期以来,大龄儿童和青少年的焦虑症一直被认为是损害性的、持续的、可预测未来焦虑和情绪相关疾病的。然而,直到最近,学龄前儿童和更年幼的儿童的焦虑一直被认为是相对罕见的,并且在正常的发育参数范围内。越来越多的证据表明,学龄前儿童的焦虑症状与年龄较大的儿童相似(Hirshfeld-Becker, Micco, Mazirsky, Bruett, & Henin, 2011),这一研究不足的领域吸引了越来越多的研究人员和临床医生的兴趣。本综述总结了关于幼儿(3-7岁)焦虑早期干预和预防项目的实证文献,特别关注这些项目在学校环境中的应用以及对指导辅导员的影响,提高对这些项目的理解对于告知有效干预至关重要。这些研究显示了治疗焦虑的良好结果;然而,就我们对发育适宜、以家庭为中心和儿童主导的焦虑模式以及早期干预和预防协议的理解而言,仍有大量的工作要做。
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Recent Advances in Intervention for Early Childhood Anxiety
Anxiety disorders in older children and adolescents have long been acknowledged as impairing, persistent and predictive of future anxiety and mood-related disorders. Until recently, however, anxiety in preschoolers and younger children has been regarded as relatively uncommon and within normal developmental parameters. Increasing evidence is suggestive that symptoms of anxiety in preschoolers parallel those in older children (Hirshfeld-Becker, Micco, Mazirsky, Bruett, & Henin, 2011) with this under-investigated area attracting increasing interest from researchers and clinicians alike. The present review summarises the empirical literature on early intervention and prevention programs for anxiety in young children (aged 3–7 years) with a specific focus on the application of such programs in the school context and implications for guidance counsellors, an improved understanding of which is critical for informing effective intervention. The studies reviewed demonstrate promising outcomes for anxiety; however, there is still a significant amount of work to be done in terms of our understanding of developmentally appropriate, family-focused and child-led models of anxiety and early intervention and prevention protocols.
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