打破虐待的代际循环 - - 一个随机对照的预防试验,针对患有严重精神疾病的父母
Psychotherapy and psychosomatics
|December 18, 2025
概括
基于心智化的育儿计划改善了与标准护理相比,患有精神疾病的父母的育儿实践. 这种干预措施有望减少弱势家庭虐待儿童的风险.
科学领域:
- 精神病学是一个精神病学.
- 儿童发展 儿童发展
- 临床心理学 临床心理学
背景情况:
- 父母患有精神疾病 (MI) 的孩子面临不良童年经历和虐待的风险增加.
- 对患有心脏病的父母进行的预防试验有限,现有研究存在方法上的缺陷.
研究的目的:
- 为了评估一个12小时的基于心智化的育儿咨询计划 (MB-PC) 的现实世界的有效性.
- 将MB-PC与精神教育研讨会 (SCC+) 进行比较,作为标准临床护理 (SCC) 的辅助.
主要方法:
- 一个大规模的,集群随机化,双中心优越性试验,涉及德国医院的252名精神病患者.
- MB-PC包括专注于理解儿童心理状态的个人和小组会议,并补充了社会咨询.
- 由非心理治疗师组成的跨专业医院团队进行的干预.
主要成果:
- 与SCC+ (ES = 0.43,p=0.004) 相比,MB-PC显著改善了干预后的育儿实践 (阿拉巴马育儿问卷总分).
- 在3个月的随访后,育儿实践的改善减少了 (ES = 0.25,p = 0.085).
- 二次结果,包括减少家长的压力和虐待儿童的潜力,有利于MB-PC干预.
结论:
- 将基于心态化的育儿计划整合到常规精神病治疗中,可以降低虐待和忽视儿童的风险.
- 这种方法为支持父母患有严重精神障碍的后代提供了一个有价值的策略.
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