对破坏性行为障碍的基于证据的心理治疗.
June Sung Park1, Jae Hyun Yoo2
1Dodream Clinic, Bucheon, Korea.
Journal of the Korean Academy of Child and Adolescent Psychiatry
|January 12, 2026
概括
破坏性行为障碍 (DBD) 治疗最有效的是以父母为中心的行为疗法. 对于严重的青少年病例,建议采用多系统和基于社区的方法,需要在韩国开展更多以家长为中心的试验.
科学领域:
- 儿童和青少年精神病学 儿童和青少年精神病学
- 行为心理学 行为心理学
- 基于证据的实践.
背景情况:
- 破坏性行为障碍 (DBD),包括反对性挑性障碍和行为障碍,在年轻人中很普遍.
- 有效的心理治疗对于管理这些常见的外部化障碍至关重要.
研究的目的:
- 为DBD确定基于证据的心理治疗方法.
- 总结这些干预的经验基础和特征.
主要方法:
- 随机对照试验的系统审查和系统审查.
- 在PubMed,PsycINFO和谷歌学者上进行的搜索.
- 专注于来自NICE,APA和AHRQ的指导方针.
主要成果:
- 六项干预措施显示出强有力的实证支持:令人难以置信的岁月,Triple P,亲子互动疗法,家长管理培训-俄勒冈模型,多系统疗法和治疗寄养护理-俄勒冈模型.
- 这些项目强调以家长为中心的行为干预.
- 建议针对严重的青少年反社会行为采取多系统和基于社区的方法.
结论:
- 基于父母的行为疗法需要在韩国进一步传播和验证.
- 未来的研究应该集中在长期跟踪和数字/远程医疗适应可访问性.
- 加强可扩展的,基于证据的行为干预措施是韩国青年DBD的关键.
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