ABSTRACT
BACKGROUND: Anxiety disorder is the most prevalent mental disorder among children and adolescents, causing significant psychosocial problems and physical health conditions. Cognitive behavioral therapy (CBT) is an effective treatment for anxiety disorder in children and adolescents. And parent-only CBT is an alternative treatment for childhood anxiety disorder, which includes psychologists and parents rather than children in the treatment. As a new type of CBT, parent-only CBT has some advantages. However, it remains unclear whether parent-only CBT interventions are effective for treating children and adolescents with anxiety disorder. METHODS: In this study, we evaluated the efficacy (the mean change scores of the anxiety rating scale from baseline to post-treatment, standardized mean difference SMD) and acceptability (the proportion of patients in the treatment group who withdrew from treatment early for any reason, risk ratios RRs) of parent-only cognitive behavioral therapy (CBT) for children and adolescents with anxiety disorder. We searched electronic databases, including PubMed, Cochrane Library, Embase, Web of Science, ProQuest, and PsycINFO from inception to June 2019. We included randomized controlled trials (RCTs) comparing parent-only CBT either with waitlist (WL), or CBT with parents in children and adolescents with anxiety disorder. RESULTS: Finally, six RCTs with 407 participants were included in the meta-analyses. In terms of efficacy, pooled analyses indicated that parent-only CBT was significantly more effective than WL for reducing anxiety symptoms with SMD of - 0.72 (95% CI - 1.41 to - 0.03, p = 0.04), and more remission rate with RR of 4.33 (37.96% vs. 6.85, 95% CI 1.82 to 10.27, p = 0.0009) at post-treatment. And our analyses showed no evidence that parent-only CBT had significantly greater efficacy than CBT with parents with SMD of 0.21 (95% CI - 0.09 to 0.50, p = 0.17). Acceptability in the parent-only CBT group was not significantly different to the WL group with RR of 0.92 (95% CI 0.52 to 1.62, p = 0.77), and was significantly worse than in the CBT with parents group with RR of 1.93 (95% CI 1.05 to 3.57, p = 0.03). CONCLUSIONS: Current evidence indicates that parent-only CBT can be an alternative and acceptable intervention for treating children and adolescents with anxiety disorder.
Subject(s)
Anxiety Disorders , Cognitive Behavioral Therapy , Adolescent , Anxiety Disorders/therapy , Child , Cognition , Humans , Parents , Randomized Controlled Trials as TopicABSTRACT
The professional quality of editors is the guarantee of the comprehensive quality of scientific and technological journals. As modern editors, we need to be versatile. We should not only master solid professional knowledge, but also be familiar with the relevant areas of knowledge. We should not only constantly learn knowledge in the competition and improve ourselves, but also be a good linkman among authors, review experts, readers. Only through multi-efforts can we improve the quality of manuscripts and run professional periodicals well.
ABSTRACT
If a paper can be accepted by a journal and finally published, it must go through the 'modification'stage, and the editor will write the modification opinion according to the specific situation of the paper. When the author receives the editor′s modification opinion, he must be treated correctly because it is a matter of paper'life and death'. However, the editor′s modification opinion cannot be fully authoritative, although the author should attach great importance to it, he should treat it correctly. The author should communicate with the editor to improve the quality of the paper.
ABSTRACT
The improper academic behavior in medical journal had occurred occasionally, this caused the reputation of entire academia very bad, the long-term formation of the scientific, academic honesty,and the pursuit of truth were questioned by the public,and faced an unprecedented credit crisis. In this article,the current status of improper academic behavior in medical journal were analyzed and the countermeasures were explored.
ABSTRACT
With the scientific development and social progress, people advocate late marriage and late childbirth, and some women because of marriage can't conceive naturally and need to lead to assisted reproduction, the elderly primipara population gradually increased. Postpartum depression is a common mental disease occurring in the puerperium, which seriously endangers the health of mother and baby, especially for the elderly primipara. This article summarized the intervention status of postpartum depression in elderly primipara from the primary prevention and two levels of prevention after birth, and provided the basis for reducing the incidence of postpartum depression.
