父母参与青少年心理干预:一个元分析
Abigail E Pine1, Mary G Baumann2, Gabriella Modugno2
1Department of Psychology and Human Development, Vanderbilt University, Peabody 552, 230 Appleton Place, Nashville, TN, 37203, USA. abigail.e.pine@vanderbilt.edu.
将父母纳入心理治疗显著改善了青少年的结果,特别是在外部化问题方面. 这一元分析证实了父母参与青少年治疗的好处.
科学领域:
- 临床心理学 临床心理学
- 发展心理学 发展心理学
- 家庭治疗 家庭治疗
背景情况:
- 对青少年的心理干预显示出不同的有效性.
- 家长参与青少年治疗是改善结果的潜在因素.
- 现有的元分析缺乏关于父母在青少年专注干预中的作用的具体性.
研究的目的:
- 系统地审查和元分析家长参与青少年心理干预的影响.
- 为了比较包括家长在内的干预措施与针对各种疾病的青少年单独进行的干预措施.
- 检查症状类型 (内部化与外部化) 作为治疗效果的调节者.
主要方法:
- 随机对照试验 (RCT) 的系统文献综述.
- 搜索包括关键词: (家长或家庭) 和 (干预或治疗或治疗或预防) 和 (青少年).
- 纳入标准:与现有症状或风险的青少年进行个人心理干预比较的RCT与/或没有家长组成部分.
主要成果:
- 20项试验 (N=1251) 被纳入了元分析.
- 父母参与的干预措施对青少年精神病理学产生了显著更大的影响 (g = -0.18,p < .01).
- 这一效应对于外部化问题 (g = -0.20,p = .01) 而不是内部化问题 (p = .11) 是显著的.
结论:
- 家长参与心理干预可以提高青少年的治疗结果.
- 包含父母的好处尤其明显,因为它将精神病理外部化.
- 研究结果强调了以家庭为中心的方法在青少年心理健康治疗中的重要性.
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