对于儿童和青少年破坏性行为的心理社会干预:一个元分析
Shelley S Selph1, Erika Brodt1,2, Tracy Dana1
1Pacific Northwest Evidence-based Practice Center, Department of Medical Informatics and Clinical Epidemiology, Oregon Health & Science University, Portland, Oregon.
Pediatrics
|January 12, 2026
概括
单亲和多组件的心理社会干预措施有效地减少了幼儿的破坏性行为. 这些方法有望在治疗后立即改善儿童心理健康结果.
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
- 基于证据的干预措施
背景情况:
- 破坏性行为是儿童和青少年精神健康转诊的主要原因.
- 识别有效的干预措施对这一群体至关重要.
研究的目的:
- 系统地审查和确定对儿童和青少年破坏性行为的最有效的心理社会干预措施.
- 综合来自随机对照试验 (RCT) 的证据.
主要方法:
- 从2014年到2024年7月,搜索的主要数据库 (MEDLINE,Cochrane图书馆,PsycINFO,Embase) 进行了搜索.
- 包括RCT比较心理社会干预与通常的治疗或等待列表.
- 进行了数据抽象,偏差风险评估和证据强度评估,由两名审稿人进行.
主要成果:
- 在学龄前和学龄儿童中对64个RCT的元分析显示,破坏性行为显著减少.
- 单亲干预和多组件干预 (包括父母/照顾者/教师和儿童) 在治疗后立即有效.
- 长期结果和青少年干预措施的证据因异质性和较少的聚合研究而受到限制.
结论:
- 多元组件和只针对父母的心理社会干预措施在减少幼儿破坏性行为方面表现出优于常规治疗或等待列表的优势.
- 跨年龄组和干预措施的大量异质性挑战了最终的结论,特别是在长期影响和青少年人群中.
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