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儿童和青少年精神障碍的有效治疗方法。

Effective treatment for mental disorders in children and adolescents.

作者信息

Burns B J, Hoagwood K, Mrazek P J

机构信息

Department of Psychiatry and Behavioral Sciences, Duke University Medical Center, Durham, North Carolina, USA.

出版信息

Clin Child Fam Psychol Rev. 1999 Dec;2(4):199-254. doi: 10.1023/a:1021826216025.

Abstract

As pressure increases for the demonstration of effective treatment for children with mental disorders, it is essential that the field has an understanding of the evidence base. To address this aim, the authors searched the published literature for effective interventions for children and adolescents and organized this review as follows: (1) prevention; (2) traditional forms of treatment, namely outpatient therapy, partial hospitalization, inpatient treatment, and psychopharmacology; (3) intensive comprehensive community-based interventions including case management, home-based treatment, therapeutic foster care, and therapeutic group homes; (4) crisis and support services; and (5) treatment for two prevalent disorders, major depressive disorder and attention-deficit hyperactivity disorder. Strong evidence was found for the treatment of attention-deficit hyperactivity disorder, depression, anxiety, and disruptive behavior disorders. Guidance from the field relevant to moving the evidence-based interventions into real-world clinical practice and further strengthening the research base will also need to address change in policy and clinical training.

摘要

随着为患有精神障碍的儿童提供有效治疗的压力不断增加,该领域了解证据基础至关重要。为实现这一目标,作者检索了已发表的文献,寻找针对儿童和青少年的有效干预措施,并按以下方式组织了本综述:(1) 预防;(2) 传统治疗形式,即门诊治疗、部分住院治疗、住院治疗和精神药理学;(3) 基于社区的强化综合干预措施,包括病例管理、家庭治疗、治疗性寄养和治疗性集体家庭;(4) 危机和支持服务;以及 (5) 对两种常见疾病,即重度抑郁症和注意力缺陷多动障碍的治疗。已发现有强有力的证据支持对注意力缺陷多动障碍、抑郁症、焦虑症和破坏性行为障碍的治疗。该领域在将循证干预措施应用于实际临床实践并进一步加强研究基础方面的指导,还需要解决政策和临床培训方面的变革问题。

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