早期情绪发展干预改善了低收入,高风险社区儿童的心理健康结果
Laura Hennefield1,2, Kirsten Gilbert3, Meghan Rose Donohue3
1Department of Psychiatry, Washington University School of Medicine, Saint Louis, MO, USA. lhennefield@wustl.edu.
Child psychiatry and human development
|January 14, 2024
概括
一个简短的亲子互动疗法-情感发展 (PCIT-ED) 干预,在面对面或远程交付,有效地减少了来自低收入背景的幼儿的精神病理症状. 这种早期干预改善了外部化行为和同行关系.
科学领域:
- 儿童心理学 儿童心理学
- 发展心理病理学 发展心理病理学
- 临床干预研究 临床干预研究
背景情况:
- 贫困地区的儿童面临更高的精神病理学风险.
- 早期敏感的照顾者可以减轻负面的心理结果.
- 护理人员和儿童对应的可访问干预措施有限.
研究的目的:
- 评估缩短的亲子互动治疗-情感发展 (PCIT-ED) 干预措施的可行性和有效性.
- 评估PCIT-ED在3-6岁的有风险儿童身上亲自或远程提供.
- 将PCIT-ED与低收入社区儿童的在线育儿教育进行比较.
主要方法:
- 一项随机对照试验,涉及62名护理人员和儿童.
- 参与者是来自低收入社区的3-6岁儿童,患精神病理的风险较高.
- 两位被随机分配到八次PCIT-ED或在线家长教育课程中.
主要成果:
- 与育儿教育组相比,接受PCIT-ED的儿童表现出明显较低的外部化症状.
- PCIT-ED干预导致儿童功能障碍减少.
- 在PCIT-ED小组中的儿童在干预后表现出改善的积极同龄人关系.
结论:
- 作为早期干预措施,一个缩短的八个会议的PCIT-ED程序是有效的.
- 个人和远程提供PCIT-ED是可行的和有益的.
- PCIT-ED改善了来自低收入家庭的高风险儿童的精神病理症状和功能.
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