Very early family-based intervention for anxiety:two case studies with toddlers  

作　　者：Dina R Hirshfeld-Becker Aude Henin Stephanie J Rapoport Timothy E Wilens Alice S Carter 

机构地区：[1]Child CBT Program,Department of Psychiatry,Massachusetts General Hospital,Boston,Massachusetts,USA [2]Department of Psychiatry,Harvard Medical School,Boston,Massachusetts,USA [3]Division of Child and Adolescent Psychiatry,Department of Psychiatry,Massachusetts General Hospital,Boston,Massachusetts,USA [4]Department of Psychology,University of Massachusetts Boston,Boston,Massachusetts,USA

出　　处：《General Psychiatry》2019年第6期349-355,共7页综合精神医学（英文）

摘　　要：Anxiety disorders represent the most common categor of psychiatric disorder in children and adolescents and contribute to distress,impairment and dysfunction.try Anxiety disorders or their temperamental precursors are often evident in early childhood,and anxiety can impair functioning,even during preschool age and in toddlerh A growing number of investigators have shown that anxiety in preschoolers can be treated efficaciously using cognitive-behavioural therapy(CBT)administere either by training the parents to apply CBT strategies with their children or through direct intervention with parents and children.To date,most investigators have drawn the line at offering direct CBT to children under the age of 4.However,since toddlers can also present with impairing symptoms,and since behaviour strategi can be applied in older preschoolers with poor languag ability successfully,it ought to be possible to apply CBT anxiety to younger children as well.We therefore prese two cases of very young children with impairing anxiet(ages 26 and 35 months)and illustrate the combinatio parent-only and parent-child CBT sessions that compri their treatment.The treatment was well tolerated by parents and children and showed promise for reducing anxiety symptoms and improving coping skills.

关 键 词：DISTRESS behaviour apply 

分 类 号：R74[医药卫生—神经病学与精神病学]