范围审查:对儿童反应性攻击的基于证据的评估
Joshua A Langfus1, Eric A Youngstrom1,2, Chase M DuBois1,2
1University of North Carolina at Chapel Hill, Chapel Hill, North Carolina.
JAACAP open
|November 18, 2024
概括
评估儿童侵略性的有效工具很少. 本次审查确定了当前的措施,并强调需要更好的工具来帮助临床评估和治疗幼儿反应性侵略.
科学领域:
- 儿童心理学 儿童心理学
- 心理健康评估 心理健康评估
- 行为科学 行为科学
背景情况:
- 严重的反应性侵略是家庭的重大心理健康问题.
- 对幼儿缺乏经过验证的评估工具,阻碍了有效的临床干预.
- 现有的儿童侵略仪器需要进一步评估临床效用.
研究的目的:
- 对用于评估儿童侵略性行为的仪器进行范围审查.
- 确定对评估12岁以下儿童反应性侵略的工具的证据基础上的差距.
- 用基于证据的评估框架来评估可用的措施.
主要方法:
- 对临床试验和关于儿童侵略现有文献进行了全面的审查.
- 工具包括如果在英语中提供,至少有3项关于侵略,和一个验证研究在12岁以下的儿童.
- 通过结构化查询和全文审查来编码和评估措施.
主要成果:
- 在173个候选措施中,有17个符合纳入标准 (3个宽带,14个窄带).
- 与商业选择相比,自由的,有针对性的侵略措施显示出较弱的规范和较少的验证研究.
- 对于幼儿的许多攻击性评估工具的验证证据存在重大差距.
结论:
- 改善用于评估反应性侵略的仪器对于临床实践和研究至关重要.
- 对于在12岁以下的儿童中使用的措施,需要进行进一步的验证研究,特别是使用非临床样本.
- 为提供者提供了临床上有用,心理测量上健全和可访问的措施的建议.
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