Anxiety disorders in young children are highly prevalent and increase the risk of social, school, and familial problems, and also of psychiatric disorders in adolescence and adulthood. Nevertheless, effective interventions for this age group are lacking. One of the few available interventions is the Fun FRIENDS program. We examined whether young children with anxiety disorders showed less anxiety after participating in Fun FRIENDS. Twenty-eight clinically anxious children (4–8 years old) participated in the cognitive behavioural Fun FRIENDS program. The program consists of 12 weekly 1.5-hour sessions and was provided in groups of 3 to 5 children. At preintervention and direct postintervention, parents completed the Anxiety Disorders Interview Schedule for Children and Child Behavior Checklist. Clinically and statistically significant decreases were found in number of anxiety disorders, symptom interference, emotional and behavioural problems, internalising problems, and anxiety problems. The decrease in anxious/depressed problems and externalising problems was not significant. Furthermore, higher preintervention anxiety levels predicted more treatment progress, whereas sex and age did not. The Dutch version of Fun FRIENDS is promising in treating anxiety disorders in young children. Randomised controlled trials are needed to draw definite conclusions on the effectiveness of Fun FRIENDS in a clinical setting.

中文翻译：

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幼儿焦虑症的认知行为疗法：Fun FRIENDS 计划的荷兰公开试验

幼儿的焦虑症非常普遍，并增加了社会、学校和家庭问题的风险，以及青春期和成年期的精神疾病的风险。然而，缺乏针对这一年龄组的有效干预措施。Fun FRIENDS 计划是少数可用的干预措施之一。我们检查了患有焦虑症的幼儿在参加 Fun FRIENDS 后是否表现出更少的焦虑。28 名临床焦虑儿童（4-8 岁）参加了认知行为趣味朋友计划。该计划包括 12 次每周 1.5 小时的课程，以 3 至 5 名儿童为一组提供。在干预前和直接干预后，父母完成了儿童和儿童行为检查表的焦虑症访谈时间表。焦虑症、症状干扰、情绪和行为问题、内化问题和焦虑问题的数量在临床和统计学上显着减少。焦虑/抑郁问题和外化问题的减少并不显着。此外，较高的干预前焦虑水平预示着更多的治疗进展，而性别和年龄则不然。荷兰版的 Fun FRIENDS 有望治疗幼儿的焦虑症。需要进行随机对照试验，以得出关于 Fun FRIENDS 在临床环境中的有效性的明确结论。此外，较高的干预前焦虑水平预示着更多的治疗进展，而性别和年龄则不然。荷兰版的 Fun FRIENDS 有望治疗幼儿的焦虑症。需要进行随机对照试验，以得出关于 Fun FRIENDS 在临床环境中的有效性的明确结论。此外，较高的干预前焦虑水平预示着更多的治疗进展，而性别和年龄则不然。荷兰版的 Fun FRIENDS 有望治疗幼儿的焦虑症。需要进行随机对照试验，以得出关于 Fun FRIENDS 在临床环境中的有效性的明确结论。