支持父母减少儿童焦虑：干预措施及其理论成分的荟萃分析。

IF 4.2 2区心理学 Q1 PSYCHOLOGY, CLINICAL

Behaviour Research and Therapy Pub Date : 2025-02-01 DOI:10.1016/j.brat.2025.104692

Karen Rienks , Elske Salemink , Liina Björg Laas Sigurðardóttir , G.J. Melendez-Torres , Janneke P.C. Staaks , Patty Leijten

{"title":"支持父母减少儿童焦虑：干预措施及其理论成分的荟萃分析。","authors":"Karen Rienks , Elske Salemink , Liina Björg Laas Sigurðardóttir , G.J. Melendez-Torres , Janneke P.C. Staaks , Patty Leijten","doi":"10.1016/j.brat.2025.104692","DOIUrl":null,"url":null,"abstract":"<div><div>Parent-focused interventions hold promise for reducing child anxiety, but their content varies greatly, and little is known on the intervention content. We estimated the effects of parent-focused interventions on child anxiety and the most effective combinations of theoretical components.</div><div>We searched PsycINFO, Medline, and Web of Science in October 2022 for randomized trials on parent-focused interventions to reduce children's anxiety. We used robust variance estimation to estimate main effects and differential effects by individual theoretical components, and network meta-analysis to estimate the effects of clusters of components (preregistration: PROSPERO CRD42022362983).</div><div>We identified 26 studies (<em>k</em> = 157, <em>N</em> = 4098). Parent-focused interventions had a significant medium effect on children's anxiety (<em>d</em> = −0.59; 95% CI [−0.92, −0.26]). Interventions used seven theoretically distinct components. No significant differential effects were found, but all clusters of components that produced significant effects contained a behavioral component. Adding cognitive and emotional components to behavioral components seemed beneficial.</div><div>This meta-analysis highlights the potential of parent-focused interventions for children's anxiety, and of behavioral components in particular, but is limited by the very low certainty of evidence. More high-quality research is needed to understand the exact potential of parent-focused interventions on children's anxiety, and their most effective components.</div></div>","PeriodicalId":48457,"journal":{"name":"Behaviour Research and Therapy","volume":"185 ","pages":"Article 104692"},"PeriodicalIF":4.2000,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Supporting parents to reduce children's anxiety: A meta-analysis of interventions and their theoretical components\",\"authors\":\"Karen Rienks , Elske Salemink , Liina Björg Laas Sigurðardóttir , G.J. Melendez-Torres , Janneke P.C. Staaks , Patty Leijten\",\"doi\":\"10.1016/j.brat.2025.104692\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<div><div>Parent-focused interventions hold promise for reducing child anxiety, but their content varies greatly, and little is known on the intervention content. We estimated the effects of parent-focused interventions on child anxiety and the most effective combinations of theoretical components.</div><div>We searched PsycINFO, Medline, and Web of Science in October 2022 for randomized trials on parent-focused interventions to reduce children's anxiety. We used robust variance estimation to estimate main effects and differential effects by individual theoretical components, and network meta-analysis to estimate the effects of clusters of components (preregistration: PROSPERO CRD42022362983).</div><div>We identified 26 studies (<em>k</em> = 157, <em>N</em> = 4098). Parent-focused interventions had a significant medium effect on children's anxiety (<em>d</em> = −0.59; 95% CI [−0.92, −0.26]). Interventions used seven theoretically distinct components. No significant differential effects were found, but all clusters of components that produced significant effects contained a behavioral component. Adding cognitive and emotional components to behavioral components seemed beneficial.</div><div>This meta-analysis highlights the potential of parent-focused interventions for children's anxiety, and of behavioral components in particular, but is limited by the very low certainty of evidence. More high-quality research is needed to understand the exact potential of parent-focused interventions on children's anxiety, and their most effective components.</div></div>\",\"PeriodicalId\":48457,\"journal\":{\"name\":\"Behaviour Research and Therapy\",\"volume\":\"185 \",\"pages\":\"Article 104692\"},\"PeriodicalIF\":4.2000,\"publicationDate\":\"2025-02-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Behaviour Research and Therapy\",\"FirstCategoryId\":\"102\",\"ListUrlMain\":\"https://www.sciencedirect.com/science/article/pii/S0005796725000142\",\"RegionNum\":2,\"RegionCategory\":\"心理学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q1\",\"JCRName\":\"PSYCHOLOGY, CLINICAL\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Behaviour Research and Therapy","FirstCategoryId":"102","ListUrlMain":"https://www.sciencedirect.com/science/article/pii/S0005796725000142","RegionNum":2,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q1","JCRName":"PSYCHOLOGY, CLINICAL","Score":null,"Total":0}

引用次数: 0

摘要

以家长为中心的干预措施有望减少儿童焦虑，但其内容差异很大，对干预内容知之甚少。我们估计了以父母为中心的干预对儿童焦虑的影响，以及理论成分的最有效组合。我们于2022年10月在PsycINFO、Medline和Web of Science上搜索了以父母为中心的干预措施以减少儿童焦虑的随机试验。我们使用稳健方差估计来估计单个理论成分的主效应和差异效应，并使用网络荟萃分析来估计成分集群的效应（预注册：PROSPERO CRD42022362983）。我们纳入了26项研究（k = 157, N = 4098）。以父母为中心的干预对儿童焦虑有显著的中等影响(d = -0.59；95% ci[-0.92, -0.26])。干预措施使用了七个理论上不同的组成部分。没有发现显著的差异效应，但所有产生显著效应的成分簇都包含一个行为成分。在行为成分中加入认知和情感成分似乎是有益的。这项荟萃分析强调了以父母为中心的干预儿童焦虑的潜力，特别是行为因素，但受到证据确定性非常低的限制。需要更多高质量的研究来了解以父母为中心的干预对儿童焦虑的确切潜力，以及它们最有效的组成部分。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

查看原文本刊更多论文

Supporting parents to reduce children's anxiety: A meta-analysis of interventions and their theoretical components

Parent-focused interventions hold promise for reducing child anxiety, but their content varies greatly, and little is known on the intervention content. We estimated the effects of parent-focused interventions on child anxiety and the most effective combinations of theoretical components.

We searched PsycINFO, Medline, and Web of Science in October 2022 for randomized trials on parent-focused interventions to reduce children's anxiety. We used robust variance estimation to estimate main effects and differential effects by individual theoretical components, and network meta-analysis to estimate the effects of clusters of components (preregistration: PROSPERO CRD42022362983).

We identified 26 studies (k = 157, N = 4098). Parent-focused interventions had a significant medium effect on children's anxiety (d = −0.59; 95% CI [−0.92, −0.26]). Interventions used seven theoretically distinct components. No significant differential effects were found, but all clusters of components that produced significant effects contained a behavioral component. Adding cognitive and emotional components to behavioral components seemed beneficial.

This meta-analysis highlights the potential of parent-focused interventions for children's anxiety, and of behavioral components in particular, but is limited by the very low certainty of evidence. More high-quality research is needed to understand the exact potential of parent-focused interventions on children's anxiety, and their most effective components.

求助全文

通过发布文献求助，成功后即可免费获取论文全文。去求助

来源期刊

Behaviour Research and Therapy PSYCHOLOGY, CLINICAL-

CiteScore

7.50

自引率

7.30%

发文量

148

期刊介绍： The major focus of Behaviour Research and Therapy is an experimental psychopathology approach to understanding emotional and behavioral disorders and their prevention and treatment, using cognitive, behavioral, and psychophysiological (including neural) methods and models. This includes laboratory-based experimental studies with healthy, at risk and subclinical individuals that inform clinical application as well as studies with clinically severe samples. The following types of submissions are encouraged: theoretical reviews of mechanisms that contribute to psychopathology and that offer new treatment targets; tests of novel, mechanistically focused psychological interventions, especially ones that include theory-driven or experimentally-derived predictors, moderators and mediators; and innovations in dissemination and implementation of evidence-based practices into clinical practice in psychology and associated fields, especially those that target underlying mechanisms or focus on novel approaches to treatment delivery. In addition to traditional psychological disorders, the scope of the journal includes behavioural medicine (e.g., chronic pain). The journal will not consider manuscripts dealing primarily with measurement, psychometric analyses, and personality assessment.