個別認知行為治療方案對於焦慮而同之療效評估

本研究主要目的在探討以Coping Cat Program為參考而發展之個別認知行為治療方案，應用於焦慮兒童之成效。共16位年齡8至12歲具焦慮症狀之兒童參與每週一次，共16次的治療課程，包含2次家長會談以及14次兒童個別治療，其中前八次為教導基本概念與技巧，後八次為想像與實際的暴露練習。於治療前、中、後以台灣版多向度兒童青少年焦慮量表（Taiwanese version of the Multidimensional Anxiety Scale for Children, MASC-T）、兒童行為檢核表（Child Behavior Checklist, CBCL）進行成效評估，以變異數分析探究受試兒童參加治療前、中、後之焦慮與相關行為問題之變化。結果顯示：經過本治療方案介入後，兒童自評與家長評量兒童在MASC-T的總分、焦慮症指標、身體症狀、社交焦慮均有顯著降低；家長評量兒童在CBCL之症候群量尺與DSM向度量尺中與焦慮行為問題相關之量尺得分均顯著降低。研究結果顯示本治療方案可改善兒童焦慮，其中以身體症狀、社交焦慮之改善最為顯著，而家長也報告在參與治療後，兒童的內化與外化問題行為皆有顯著減少，顯示本治療方案能有效改善部分焦慮及其他問題行為。

關鍵字

兒童焦慮；認知行為治療

並列摘要

The aim of this study was to investigate the effects of the individual cognitive-behavioral treatment program adapted from the Coping Cat Program for anxious children. A total of 16 children aged 8 to 12 years participated in this 16-session program, once a week, including 2 sessions for parents and 14 sessions for children. The first 8 sessions were the training segment and the second 8 sessions were the practice (exposure task) segment. At session 1, session 9 and session 16, children and parents completed the Taiwanese version of the Multidimensional Anxiety Scale for Children (MASC-T) and the Child Behavior Checklist (CBCL) as the measurements for outcome evaluation. The one-way analysis of variance (ANOVA) was conducted to examine the differences in anxiety symptoms on the MASC-T and behavioral symptoms on the CBCL among pre-, mid- and post-treatment assessments. The results showed that there were significant declines on both self- and parent-reported on the MASC-T (total scores, anxiety disorder index, physical symptom, social anxiety) and the measurements related to anxiety problems on the syndromes scale and the DSM-oriented scales of CBCL after receiving the treatment program. The results of this study indicated that the individual cognitive-behavioral treatment program for anxious children could help to reduce some of the children’s anxiety problems and problematic behaviors.