以家长为基础的儿童功能性躯体症状干预试点研究。

IF 2.7 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL Journal of Pediatric Psychology Pub Date : 2024-10-28 DOI:10.1093/jpepsy/jsae092
Rebecca G Etkin, Sara M Winograd, Amanda J Calhoun, Wendy K Silverman, Eli R Lebowitz, Eugene D Shapiro
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引用次数: 0

摘要

目的:功能性躯体症状会给儿童及其家庭带来严重的困扰和损害。尽管家庭在儿童护理中扮演着核心角色,但很少有临床研究能指导家长如何为有功能性躯体症状的儿童提供支持并促进其功能的改善。为了填补这一空白,我们开发了一种以家长为基础的儿童功能性躯体症状干预方法,并获得了有关可接受性、可行性、治疗满意度和临床结果的初步数据:该干预措施改编自 SPACE(儿童焦虑情绪的支持性养育),这是一种针对儿童焦虑及相关障碍的循证治疗方法。16 名儿童(年龄=14.50 岁;75% 为女孩)的家长接受了 SPACE-Somatic 干预疗法,这些儿童患有一系列功能性躯体症状。家长通过远程医疗参与每周七次的小组会议:我们发现,SPACE-Somatic 是可以接受的、可行的,并且令家长满意。从基线到治疗后,几项临床结果都有明显改善,包括儿童的功能障碍程度,其中一些改善在 3 个月的随访中得以保持。家长们还表示,他们自身的压力和对儿童症状的包容度也有所改善:这项试点研究提供了初步证据,证明以家长为基础的干预措施是可行的,并且对患有功能性躯体症状的儿童及其家长有益。
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Pilot study of a parent-based intervention for functional somatic symptoms in children.

Objective: Functional somatic symptoms are associated with significant distress and impairment for children and their families. Despite the central role that families play in their children's care, there is little clinical research to guide how parents can support their children with functional somatic symptoms and promote better functioning. To address this gap, we developed a parent-based intervention for functional somatic symptoms in children and obtained preliminary data on acceptability, feasibility, treatment satisfaction, and clinical outcomes.

Method: The intervention was adapted from SPACE (Supportive Parenting for Anxious Childhood Emotions), an evidence-based treatment for anxiety and related disorders in children. The intervention, SPACE-Somatic, was delivered to parents of 16 children (Mage = 14.50 years; 75% girls) with a range of functional somatic symptoms. Parents participated in seven weekly group sessions conducted via telehealth.

Results: We found that SPACE-Somatic was acceptable, feasible, and satisfactory to parents. There were significant improvements in several clinical outcomes from baseline to posttreatment, including children's level of functional impairment, with some gains maintained at 3-month follow-up. Parents also reported improvements in their own stress and their accommodation of children's symptoms.

Conclusion: This pilot study provides preliminary evidence that a parent-based intervention is viable and beneficial to children with functional somatic symptoms and their parents.

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来源期刊
Journal of Pediatric Psychology
Journal of Pediatric Psychology PSYCHOLOGY, DEVELOPMENTAL-
CiteScore
6.00
自引率
11.10%
发文量
89
期刊介绍: The Journal of Pediatric Psychology is the official journal of the Society of Pediatric Psychology, Division 54 of the American Psychological Association. The Journal of Pediatric Psychology publishes articles related to theory, research, and professional practice in pediatric psychology. Pediatric psychology is an integrated field of science and practice in which the principles of psychology are applied within the context of pediatric health. The field aims to promote the health and development of children, adolescents, and their families through use of evidence-based methods.
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