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

General Psychiatry 2019年第6期32卷 349-355页

作者： dina r hirshfeld-becker Aude Henin Stephanie J rapoport Timothy E Wilens Alice S Carter Child CBT Program Department of PsychiatryMassachusetts General HospitalBostonMassachusettsUSA Department of Psychiatry Harvard Medical SchoolBostonMassachusettsUSA Division of Child and Adolescent Psychiatry Department of PsychiatryMassachusetts General HospitalBostonMassachusettsUSA Department of Psychology University of Massachusetts BostonBostonMassachusettsUSA

Anxiety disorders represent the most common categor of psychiatric disorder in children and adolescents and contribute to distress,impairment and *** 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 *** date,most investigators have drawn the line at offering direct CBT to children under the age of ***,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 *** 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 was well tolerated by parents and children and showed promise for reducing anxiety symptoms and improving coping skills.

关键词： distress behaviour apply

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