针对儿童破坏性行为的基于证据的心理社会治疗:更新
Jennifer W Kaminski1, Angelika H Claussen2, Rebekah S Sims1
1Office of Policy, Performance, and Evaluation, Policy Analysis and Engagement Office, Centers for Disease Control and Prevention.
概括
专注于家长的心理社会治疗对于儿童的破坏性行为是成熟的. 这一审查更新了证据,证实了三个有效的治疗家庭,主要受益于12岁以下的儿童.
科学领域:
- 儿童心理学 儿童心理学
- 行为治疗是一种行为疗法.
- 基于证据的实践.
背景情况:
- 儿童的破坏性行为显著影响发展和家庭的运作.
- 之前的审查 (卡明斯基和克劳森,2017年) 为理解心理社会干预奠定了基础.
- 需要进行更新的审查,以纳入最近的研究和完善治疗分类.
研究的目的:
- 系统地审查和更新关于12岁以下儿童破坏性行为心理社会治疗的证据.
- 根据当前的研究,对不同治疗家族的疗效进行分类.
- 为临床实践,传播和未来研究方向提供信息.
主要方法:
- 搜索了2016年至2021年间发表的研究的文献.
- 包括44项研究,应用已建立的研究纳入和治疗分类程序.
- 将治疗家族分为有效性级别:已确立 (一级),可能有效 (二级) 和可能有效 (三级).
主要成果:
- 三个治疗家庭被归类为1级:稳固,全部以家长为中心.
- 小组家长行为治疗+小组儿童行为治疗现在是1级.
- 15个治疗家族是第二级:可能有效,8个是第三级:可能有效.
结论:
- 专注于家长的心理社会干预措施在儿童破坏性行为方面表现出强烈的有效性.
- 这些发现支持基于证据的治疗方法的传播和实施.
- 需要进一步的研究来解决参与者特征和有效护理的接入障碍.
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