减少青少年在安全住院护理中的行为问题和治疗时间:多个单一案例实验设计研究
Raymond V Gutterswijk1,2, Chris H Z Kuiper2, Annemiek T Harder1
1Department of Psychology, Education & Child Studies, Erasmus University Rotterdam, Netherlands.
Evaluation & the health professions
|December 2, 2024
概括
安全的住院护理 (SRC) 对青少年的行为问题提供了有限的改善. 在SRC停留的时间对这些人的治疗有效性没有影响.
科学领域:
- 心理学 心理学 心理学
- 儿童和青少年精神病学 儿童和青少年精神病学
- 社会工作 社会工作 社会工作
背景情况:
- 安全的住宿护理 (SRC) 面临批评,导致限制青少年逗留的政策.
- 对SRC的有效性及其对青少年行为问题的影响的研究是有限的.
研究的目的:
- 研究SRC对青少年行为和注意力问题的治疗效果.
- 为了确定在SRC停留的时间是否会缓和治疗的有效性.
主要方法:
- 使用单个案例实验设计与时间序列分析.
- 在SRC的40名青少年在基线和治疗阶段每两周完成行为和注意力问题问卷.
- 两级回归分析检查了SRC效应和停留时间的适度.
主要成果:
- 在个人层面上,在0%-8%的青少年中观察到统计学上显著的改善,而在3%-10%的青少年中观察到负面影响.
- 在群体层面上,从基线到出院时,没有发现行为或注意力问题的显著减少.
- 逗留的时间并没有减轻SRC的有效性.
结论:
- 大多数青少年在SRC逗留期间没有表现出改善.
- 在SRC中治疗的有效性与停留时间无关.
- 青少年特征无法解释观察到的有效性或缺乏有效性.
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