治疗坚持,治疗联盟和临床结果在基于暴露的认知行为疗法治疗儿科易怒症期间
Reut Naim1,2, Ramaris E German3, Jamell White3
1School of Psychological Sciences, Tel-Aviv University, Tel-Aviv, Ramat Aviv, 6139001, Israel. reutnaim@tauex.tau.ac.il.
BMC psychiatry
|February 26, 2025
概括
治疗坚持和治疗结盟是儿童易怒症暴露性认知行为疗法 (CBT) 成功结果的关键预测因素. 这项研究检查了他们在一项新的父母与儿童心理治疗中的角色.
科学领域:
- 精神病学和行为科学
- 儿童和青少年心理学 儿童和青少年心理学
背景情况:
- 儿科易怒症是一个重大问题,需要有效的治疗干预措施.
- 专注于家长和儿童的心理治疗正在开发中,以解决年轻人严重易怒的问题.
- 了解治疗坚持和结盟的动态对于优化治疗结果至关重要.
研究的目的:
- 为了调查治疗坚持和治疗联盟的变化,在小儿易怒的新型父母和儿童心理治疗期间.
- 检查会话治疗过程 (坚持和结盟) 与儿科易怒症症状变化之间的关联.
主要方法:
- 40名严重易怒的儿童及其父母接受了12次基于暴露的认知行为疗法 (CBT) 与家长管理培训 (PMT).
- 测量了临床医生评估的坚持,联盟尺度 (TASC-r,WAI) 和临床医生,家长和儿童报告的易怒性 (ARI).
- 线性混合模型分析了每次会议的变化和坚持,联盟和易怒之间的双向关联.
主要成果:
- 随着时间的推移,对标准治疗要素的坚持下降,而对暴露和PMT的关注增加.
- 更高的坚持与临床医生报告的易怒性降低有关.
- 父母报告的联盟增加,而儿童报告的联盟保持稳定.
- 发现了双向关联:儿童报告的联盟预测了随后的易怒性,而易怒性的减少预测了联盟的增加.
结论:
- 治疗坚持和治疗结盟显著预测了儿童易怒的基于暴露的CBT的结果.
- 这些发现凸显了监测和促进坚持和结盟对于有效治疗儿科易怒症的重要性.
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