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首页> 外文期刊>Journal of clinical child and adolescent psychology: the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53 >Mediators of Cognitive Behavioral Therapy for Anxiety-Disordered Children and Adolescents: Cognition, Perceived Control, and Coping
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Mediators of Cognitive Behavioral Therapy for Anxiety-Disordered Children and Adolescents: Cognition, Perceived Control, and Coping

机译：焦虑症儿童和青少年认知行为疗法的调解人：认知，知觉控制和应对

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The purpose is to investigate whether a change in putative mediators (negative and positive thoughts, coping strategies, and perceived control over anxious situations) precedes a change in anxiety symptoms in anxiety-disordered children and adolescents receiving cognitive behavioral therapy (CBT). Participants were 145 Dutch children (8-18 years old, M=12.5 years, 57% girls) with a primary anxiety disorder. Assessments were completed pretreatment, in-treatment, posttreatment, and at 3-month follow-up. Sequential temporal dependencies between putative mediators and parent- and child-reported anxiety symptoms were investigated in AMOS using longitudinal Latent Difference Score Modeling. During treatment an increase of positive thoughts preceded a decrease in child-reported anxiety symptoms. An increase in three coping strategies (direct problem solving, positive cognitive restructuring, and seeking distraction) preceded a decrease in parent-reported anxiety symptoms. A reciprocal effect was found for perceived control: A decrease in parent-reported anxiety symptoms both preceded and followed an increase in perceived control. Using a longitudinal design, a temporal relationship between several putative mediators and CBT-outcome for anxious children was explored. The results suggest that a change in positive thoughts, but not negative thoughts, and several coping strategies precedes a change in symptom reduction and, therefore, at least partly support theoretical models of anxiety upon which the anxiety intervention is based.
机译：目的是调查在接受认知行为疗法（CBT）的焦虑症儿童和青少年中，焦虑者的推定调解者（消极和积极的思想，应对策略以及对焦虑状况的知觉控制）的改变是否先于焦虑症状的改变。参与者为145名患有原发性焦虑症的荷兰儿童（8-18岁，M = 12.5岁，女童占57％）。评估在治疗前，治疗中，治疗后以及三个月的随访中完成。在AMOS中使用纵向潜伏差异评分模型研究了假定介体与父母和儿童报告的焦虑症状之间的时序时间依赖性。在治疗过程中，积极想法的增加先于儿童报告的焦虑症状的减轻。父母报告的焦虑症状减轻之前，三种应对策略（直接解决问题，积极的认知重建和寻求分心）的增加。发现对知觉控制有相互影响：在知觉控制增加之前和之后父母报告的焦虑症状减少。使用纵向设计，探讨了焦虑儿童的几种推定调解人与CBT结果之间的时间关系。结果表明，积极思想的改变而不是消极思想的改变以及几种应对策略先于症状减轻的改变，因此至少部分地支持了焦虑干预所基于的理论模型。

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