针对焦虑症儿童家长的 "心灵育儿 "小组干预。

IF 2.3 3区 医学 Q2 PSYCHIATRY
Child Psychiatry & Human Development Pub Date : 2024-10-01 Epub Date: 2023-01-23 DOI:10.1007/s10578-023-01492-2
Robyn Farley, Natalja A Nabinger de Diaz, Lisa Marie Emerson, Gabrielle Simcock, Caroline Donovan, Lara J Farrell
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引用次数: 0

摘要

父母的养育行为和养育方式会导致父母与子女之间的代际焦虑关系。目前针对儿童焦虑症的心理干预通常不能充分解决父母的心理健康、养育行为或亲子关系等问题。本试验研究探讨了针对临床焦虑症幼儿父母的正念养育干预(MPI)的有效性。研究假设,该干预措施将改善父母的压力、心理健康和正念,并减轻儿童的临床焦虑症状。21 名被诊断患有焦虑症的 3-7 岁儿童的家长参加了为期 8 周的 MPI 小组项目,该项目旨在提高他们对亲子关系的即时意识。在干预前后和 3 个月的随访中,对家长(焦虑、抑郁、敌意、压力、负担、正念、正念养育)和儿童(焦虑诊断、焦虑严重程度、合并症)的结果进行了评估。据家长报告,他们在用心养育子女方面有了显著提高,亲子互动失调的情况明显减少,但心理健康症状没有变化。在干预后和 3 个月的随访中,家长评定的儿童焦虑症状、儿童焦虑诊断的严重程度以及合并诊断的数量均有明显减少。该研究的局限性包括缺乏候补名单对照、样本量较小、参与者大多为母亲、来自完整家庭且受过高等教育。自然减员率为 43%,结果主要是自我报告。MPIs 提供了一种新颖且潜在有效的方法,可提高父母的养育意识,减少功能失调的亲子互动,减轻父母的养育压力,还可能是间接减轻幼儿临床焦虑症状的有效早期干预措施。需要对 MPI 进行更大规模的对照试验。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Mindful Parenting Group Intervention for Parents of Children with Anxiety Disorders.

Mindful Parenting Group Intervention for Parents of Children with Anxiety Disorders.

Parenting behaviour and rearing style contribute to the intergenerational relationship between parental and child anxiety. Current psychological interventions for child anxiety typically do not adequately address parental mental health, parenting behaviours or the parent-child relationship. The current pilot study examines the effectiveness of a mindful parenting intervention (MPI) for parents of young children with clinical anxiety. It was hypothesised that the intervention would be associated with improvements in parental stress, mental health, and mindfulness, and a reduction in child clinical anxiety symptoms. Twenty-one parents of children aged 3-7 years diagnosed with anxiety disorders participated in an 8-week group MPI program that aimed to increase their intentional moment to moment awareness of the parent-child relationship. Parental (anxiety, depression, hostility, stress, burden, mindfulness, mindful parenting) and child (anxiety diagnoses, anxiety severity, comorbidities) outcomes were assessed at pre- and post-intervention, and at 3-month follow-up. Parents reported a significant increase in mindful parenting and a significant reduction in parent-child dysfunctional interaction, but no change in mental health symptoms. There was a significant reduction in parent-rated child anxiety symptoms, severity of child anxiety diagnosis and number of comorbid diagnoses at post and 3-month follow-up. Limitations include a lack of waitlist control, small sample size, and participants were largely mothers, from intact families and highly educated. There was attrition of 43% and outcomes were predominantly self-report. MPIs offer a novel and potentially effective method of increasing mindful parenting, decreasing dysfunctional parent-child interactions, reducing parenting stress and might also be an effective early intervention for indirectly decreasing young children's clinical anxiety symptoms. Larger-scale controlled trials of MPIs are needed.

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来源期刊
CiteScore
0.50
自引率
3.40%
发文量
174
期刊介绍: Child Psychiatry & Human Development is an interdisciplinary international journal serving the groups represented by child and adolescent psychiatry, clinical child/pediatric/family psychology, pediatrics, social science, and human development. The journal publishes research on diagnosis, assessment, treatment, epidemiology, development, advocacy, training, cultural factors, ethics, policy, and professional issues as related to clinical disorders in children, adolescents, and families. The journal publishes peer-reviewed original empirical research in addition to substantive and theoretical reviews.
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