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认知问题解决技能训练与家长管理训练对儿童反社会行为的治疗作用

Cognitive problem-solving skills training and parent management training in the treatment of antisocial behavior in children.

作者信息

Kazdin A E, Siegel T C, Bass D

机构信息

Department of Psychology, Yale University, New Haven, Connecticut 06520-7447.

出版信息

J Consult Clin Psychol. 1992 Oct;60(5):733-47. doi: 10.1037//0022-006x.60.5.733.

DOI:10.1037//0022-006x.60.5.733
PMID:1401389
Abstract

This study evaluated the effects of problem-solving skills training (PSST) and parent management training (PMT) on children (N = 97, ages 7-13 years) referred for severe antisocial behavior. Children and families were assigned randomly to 1 of 3 conditions: PSST, PMT, or PSST and PMT combined. It was predicted that (a) each treatment would improve child functioning (reduce overall deviance and aggressive, antisocial, and delinquent behavior, and increase prosocial competence); and (b) PSST and PMT combined would lead to more marked, pervasive, and durable changes in child functioning and greater changes in parent functioning (parental stress, depression, and overall symptoms). Expectations were supported by results at posttreatment and 1-year follow-up. PSST and PMT combined led to more marked changes in child and parent functioning and placed a greater proportion of youth within the range of nonclinic (normative) levels of functioning.

摘要

本研究评估了解决问题技能训练(PSST)和家长管理训练(PMT)对因严重反社会行为而被转介的儿童(N = 97,年龄7 - 13岁)的影响。儿童及其家庭被随机分配到三种情况中的一种:PSST、PMT或PSST与PMT相结合。研究预测:(a)每种治疗方法都能改善儿童的机能(减少总体偏差以及攻击、反社会和犯罪行为,并提高亲社会能力);(b)PSST与PMT相结合会使儿童机能发生更显著、更普遍和更持久的变化,同时使家长机能发生更大变化(家长压力、抑郁和总体症状)。治疗后及1年随访的结果支持了这些预期。PSST与PMT相结合导致儿童和家长机能发生更显著的变化,并使更大比例的青少年处于非临床(正常)机能水平范围内。

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