亲子监测对有发展障碍和外部化障碍的儿童进行亲子监测的有效性:系统性审查和元分析
Noel Kei1, Angela Hassiotis1, Rachel Royston1
1University College London, London, UK.
Clinical child psychology and psychiatry
|September 25, 2023
概括
以沟通为重点的家长为媒介的干预措施 (CF-PMT) 显著减少了发育障碍儿童的外部化行为. 虽然二次结果显示出有限的改善,但CF-PMT通过观察到的相互作用和反提供了好处.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 行为科学 行为科学
背景情况:
- 发展障碍儿童的外部化行为带来了重大挑战.
- 父母介导干预 (PMT) 对于解决这些行为至关重要.
- 以沟通为中心的PMT (CF-PMT) 涉及治疗师对父母和孩子的互动进行反.
研究的目的:
- 系统地审查CF-PMT对发育障碍儿童的治疗效果.
- 评估CF-PMT对儿童外部化行为和次要结果的影响.
- 评估CF-PMT随机对照试验中的质量和潜在偏差.
主要方法:
- 在三个电子数据库中进行系统的文献搜索.
- 纳入标准:CF-PMT与治疗师反,专注于发展障碍的外部化行为,随机对照试验设计.
- 从15项符合条件的研究中提取数据,重点关注13项有结果数据的研究.
主要成果:
- 通过CF-PMT观察到儿童外部化行为显著减少 (d = -0.60).
- 对于二次结果 (家长的压力,孩子的语言能力,社会反应能力) 没有发现显著的影响.
- 敏感性分析表明,对父母压力的影响很小,但很大 (d = -0.18);由于缺少数据,注意到了相当大的偏差.
结论:
- CF-PMT在减少发育障碍儿童的外部化行为方面表现出有效性.
- 结合直接亲子观察和反的干预措施显示出改善行为结果的希望.
- 需要进一步的研究来解决研究偏差,并探索对二次结果的影响.
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