父母短期教育干预对学龄前儿童焦虑的影响

朱明哲, 朱晓晶, 杜建娥, 张晓蕾

中国当代儿科杂志 ›› 2014, Vol. 16 ›› Issue (9) : 901-904.

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中国当代儿科杂志 ›› 2014, Vol. 16 ›› Issue (9) : 901-904. DOI: 10.7499/j.issn.1008-8830.2014.09.007
论著·临床研究

父母短期教育干预对学龄前儿童焦虑的影响

  • 朱明哲1, 朱晓晶2, 杜建娥1, 张晓蕾1
作者信息 +

Efficacy of short-term educational intervention for parents of preschool children with anxiety

  • ZHU Ming-Zhe1, ZHU Xiao-Jing2, DU Jian-Er1, ZHANG Xiao-Lei1
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摘要

目的 探讨父母接受短期教育干预对学龄前儿童焦虑的影响。方法 Spence 学龄前儿童焦虑量表得分≥ 48 分(≥ 48 分者认为有焦虑情绪)的 49 名儿童随机分为干预组和对照组。干预组儿童家长进行 6 次关于儿童焦虑管理的集体教育课程,对照组只进行随访。干预后 3 个月和 6 个月分别用焦虑量表再次进行测评,比较两组间的差异。结果 最终完成整个观察研究的干预组有 21 例,对照组 22 例。3 个月后,干预组仍≥ 48分的儿童比率低于对照组(62% vs 91%,P<0.05);6 个月后,干预组焦虑量表得分仍≥ 48 分的儿童比率亦低于对照组(52% vs 82%,P<0.05)。3 个月后干预组焦虑量表平均得分明显降低,与对照组比较差异有统计学意义(69±12 vs 81±12,P<0.01);6 个月时复测,两组焦虑量表得分均较前下降,两组间比较差异有统计学意义(65±13 vs 78±13,P<0.01)。结论 早期对父母进行短期教育干预可有效缓解学龄前儿童的焦虑,其远期效果有待进一步随访观察。

Abstract

Objective To study the efficacy of short-term educational intervention for parents of preschool children with anxiety.Methods Forty-nine children with Spence Preschool Anxiety Scale(SPAS) scores of ≥48 were randomly divided into intervention and control groups. The children's parents in the intervention group received a collective curriculum on children's anxiety management six times, while the control group was only followed up. All children were evaluated for anxiety by the SPAS 3 and 6 months later, and then the results were compared between the two groups.Results The test was completed in 21 cases of the intervention group and 22 cases of the control group. At month 3,the intervention group had a significantly lower percentage of children with SPAS scores of ≥48 than the control group(62% vs 91%; P<0.05), and this percentage was also significantly lower in the intervention group than in the control group at month 6(52% vs 82%; P<0.05). At month 3, the intervention group had a significantly reduced mean SPAS score, which was significantly lower than that of the control group(69±12 vs 81±12; P<0.01). At month 6, both groups showed significant decreases in SPAS score, but still the SPAS score was significantly lower in the intervention group than in the control group(65±13 vs 78±13; P<0.01). Conclusion Early short-term education for parents can relieve their preschool children's anxiety effectively, but the long-term effect needs to be evaluated by follow-up.

关键词

焦虑 / 教育干预 / 学龄前儿童

Key words

Anxiety / Educational intervention / Preschool child

引用本文

导出引用
朱明哲, 朱晓晶, 杜建娥, 张晓蕾. 父母短期教育干预对学龄前儿童焦虑的影响[J]. 中国当代儿科杂志. 2014, 16(9): 901-904 https://doi.org/10.7499/j.issn.1008-8830.2014.09.007
ZHU Ming-Zhe, ZHU Xiao-Jing, DU Jian-Er, ZHANG Xiao-Lei. Efficacy of short-term educational intervention for parents of preschool children with anxiety[J]. Chinese Journal of Contemporary Pediatrics. 2014, 16(9): 901-904 https://doi.org/10.7499/j.issn.1008-8830.2014.09.007

参考文献

[1] Egger H, Angold A.Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiology[J].J Child Psychol Psychiatry, 2006, 47(3/4):313-317.
[2] 付智伟, 郝金莲, 陈素芬, 等.哈尔滨市幼儿焦虑情绪状况及相关影响因素的探讨 [J].中国儿童保健杂志, 2013, 21(1):11-13.
[3] Last CG, Perrin S, Hersen M, et al.A prospective study of childhood anxiety disorders[J].J Am Acad Child Adolesc Psychiatry, 1996, 35(11): 1502-1510.
[4] Karevold E, Røysamb E, Ystrom E, et al.Predictors and pathways from infancy to symptoms of anxiety and depression in early adolescence[J].Dev Psychol, 2009, 45(4): 1051-1060.
[5] Mian ND, Wainwright L, Briggs-Gowan MJ, et al.An ecological risk model for early childhood anxiety: the importance of early child symptoms and temperament[J].J Abnorm Child Psychol,2011, 39(4): 501-512.
[6] 任颖, 苏林雁, 黄广文, 等.儿童焦虑障碍的行为特征 [J].中国临床康复, 2005, 9(8): 94-95.
[7] 王美芳, 赵金霞, 白文.学前儿童焦虑量表中文版的测量学分析 [J].中国临床心理学杂志, 2009, 17(1): 21-23.
[8] Hirshfeld-Becker DR, Masek B, Henin A, et al.Cognitive behavioral therapy for 4- to 7-year-old children with anxiety disorders: A randomized clinical trial[J].J Consult Clin Psychol,2010, 78(4): 498-510.
[9] Cuthbert B.Early prevention in childhood anxiety disorders[J].Am J Psychiatry, 2010, 167(12): 1428-1430.
[10] Merikangas KR, Lieb R, Wittchen HU, et a1.Family and high-risk studies of social anxiety disorder[J].Acta Psychiatr Scand Suppl, 2003, 4(17): 28-37.
[11] 曹枫林, 覃倩, 余昆容, 等.儿童焦虑障碍症状与父母养育方式的关系 [J].中国临床心理学杂志, 2006, 14(6): 599-601.
[12] 沈玲, 罗学荣, 韦臻, 等.焦虑性障碍儿童情绪问题及教育心理控制源的研究 [J].中国当代儿科杂志, 2011, 13(12): 970-972.
[13] 王美芳, 张燕翎.学前儿童焦虑与父母教养方式的关系: 追踪研究 [J].中国临床心理学杂志, 2012, 20(1): 49-52.
[14] Bayer JK, Rapee RM, Hiscock H, et al.Translational research to prevent internalizing problems early in childhood[J].Depress Anxiety, 2011, 28(1): 50-57.
[15] Puliafico AC, Comer JS, Pincus DB.Adapting parent-child interaction therapy to treat anxiety disorders in young children[J].Child Adolesc Psychiatr Clin N Am, 2012, 21(3):607-619.
[16] Kennedy SJ, Rapee RM, Edwards SL.A selective intervention program for inhibited preschool-aged children of parents with an anxiety disorder: effects on current anxiety disorders and temperament[J].J Am Acad Child Adolesc Psychiatry, 2009,48(6): 602-609.
[17] Schneider S, Blatter-Meunier J, Herren C, et al.Disorder-specific cognitive-behavioral therapy for separation anxiety disorder in young children: a randomized waiting-list-controlled trial[J].Psychother Psychosom, 2011, 80(4): 206-215.
[18] Rapee RM, Kennedy SJ, Ingram M, et al.Altering the trajectory of anxiety in at-risk young children[J].Am J Psychiatry, 2010,167(12): 1518-1525.
[19] Rapee RM, Kennedy S, Ingram M, et al.Prevention and early intervention of anxiety disorders in inhibited preschool children[J].J Consult Clin Psychol, 2005, 73(3): 488-497.
[20] Rockhill C, Kodish I, DiBattisto C, et al.Anxiety disorders in children and adolescents[J].Curr Probl Pediatr Adolesc Health Care, 2010, 40(4): 66-99.
[21] Mian ND.Little children with big worries: addressing the needs of young, anxious children and the problem of parent engagement[J].Clin Child Fam Psychol Rev, 2014, 17(1): 85-96.
[22] Chavira DA, Stein MB, Bailey K, et al.Child anxiety in primary care: prevalent but untreated[J].Depress Anxiety, 2004, 20(4):155-164.
[23] Dadds MR, Roth JH.Prevention of anxiety disorders: results of a universal trial with young children[J].J Child Family Studies,2008, 17(3): 320-335.
[24] Pahl KM, Barrett PM.Preventing anxiety and promoting social and emotional strength in preschool children: a universal evaluation of the Fun FRIENDS program[J].Adv School Mental Health Promot, 2010, 3(3): 14-25.
[25] Leijten P, Raaijmakers MA, de Castro BO, et al.Does socioeconomic status matter? A meta-analysis on parent training effectiveness for disruptive child behavior[J].J Clin Child Adolesc Psychol, 2013, 42(3): 384-392.
[26] Rapee RM.The preventative effects of a brief, early intervention for preschool-aged children at risk for internalising: follow-up into middle adolescence[J].J Child Psychol Psychiatry, 2013,54(7): 780-788.

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