对于患有精神健康问题的婴儿和幼儿的二度依恋疗法:一个范围审查
Katherine Matheson1,2,3, Constance de Schaetzen4,5, Adrienne Li4,5
1Faculty of Medicine, University of Ottawa, 451 Smyth Road, Ottawa, ON, K1H 8L1, Canada. kmatheson@cheo.on.ca.
Child and adolescent psychiatry and mental health
|November 13, 2025
概括
基于依恋的干预措施,如亲子互动疗法 (PCIT) 和早期途径 (EP),对患有心理健康障碍的婴儿和幼儿有希望. 需要进一步的研究来加强证据和探索实施障碍.
科学领域:
- 儿童心理学 儿童心理学
- 发展性精神病学是一个发展性精神病学.
- 附着理论 附着理论
背景情况:
- 幼儿护理人员的依恋对心理健康至关重要.
- 临床医生经常治疗现有的精神健康障碍的婴儿和幼儿.
- 需要对这群人群进行基于依恋的二干预措施进行总结.
研究的目的:
- 对0-6岁的患有临床精神健康症状的儿童进行基于依恋的二次干预措施进行范围审查.
- 识别和描述在临床群体中使用的基于关系的治疗方式.
主要方法:
- 对多个数据库 (CINAHL,MEDLINE,PsycINFO,Web of Science,Cochrane CENTRAL) 和手动搜索的文章进行范围审查.
- 包括的研究检查了超出预防方法的临床人群的治疗方式.
- 对资格性和特征性干预进行选研究.
主要成果:
- 确定的干预措施包括亲子互动疗法 (PCIT),早期途径 (EP),观察,等待和惊奇,亲子心理治疗和视频反.
- PCIT和EP有最多的公布数据,并显示了儿童或关系方面的显著改善.
- 大多数研究的样本大小小和方法上的局限性;很少使用RCT等严格的设计.
结论:
- 早期途径 (EP) 和亲子互动疗法 (PCIT) 显示了最多的证据,特别是在面临健康社会决定因素的家庭中.
- 需要进一步的研究来解决实施障碍 (例如,适应性,资源需求).
- 需要更多的研究来支持对幼儿临床心理健康问题的双向,依恋治疗的证据.
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