一个开放的随机对照试验对照小组和个别的父母儿童互动治疗注意力缺陷/过度活动障碍的学前儿童
Sheila Eyberg1, Melanie M Nelson2, Andrew G Guzick3
1Department of Clinical and Health Psychology, University of Florida, Gainesville, Florida, USA.
Evidence-based practice in child and adolescent mental health
|August 26, 2025
概括
亲子互动疗法 (PCIT) 有效地治疗幼儿的破坏性行为和ADHD症状,并且长期改善. 单个PCIT显示只有ADHD病例的行为变化更大.
科学领域:
- 儿童心理学
- 行为治疗
- 临床精神病学
背景情况:
- 亲子互动治疗 (PCIT) 是一种基于证据的破坏性行为治疗方法.
- 关于PCIT对注意力缺陷/多动症 (ADHD) 的疗效的研究有限.
研究的目的:
- 对于患有多动症的幼儿来说,比较小组与个体PCIT的有效性.
- 检查PCIT对ADHD的影响,包括并发的破坏性行为障碍 (DBD).
主要方法:
- 这是一项对128名患有ADHD的4-6岁儿童进行的随机对照试验.
- 在治疗前,治疗后以及1年和2年的随访期间进行了评估.
- 评估家长报告的破坏性行为和ADHD症状.
主要成果:
- 团队和个人PCIT都减少了破坏性行为和ADHD症状,并持续改善.
- 对于只有ADHD的儿童来说,单个PCIT导致了更高的可靠变化率.
- 大多数儿童显示出临床显著的ADHD症状改善,但破坏性行为改善因诊断而异.
结论:
- 对于儿童多动症和同时出现的破坏性行为来说, PCIT 是一种潜在的有效治疗方法.
- PCIT可能提供一种非药物治疗方法来治疗ADHD的症状.
- 需要进一步的研究来证实研究结果和概括性.
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