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[为自闭症儿童家庭开发和评估一个心理教育家长团体培训项目]

[Development and evaluation of a psychoeducational parent group training program for families with autistic children].

作者信息

Probst Paul

机构信息

Universität Hamburg, Fachbereich Psychologie, Von-Melle-Park 5, 20146 Hamburg.

出版信息

Prax Kinderpsychol Kinderpsychiatr. 2003 Sep;52(7):473-90.

PMID:14526758
Abstract

In the introduction of this study, the concept of "psychoeducational parent training" is analyzed, and an outline of the research literature on "parent training in families with autistic children" is presented. Based on these findings a psychoeducational group parent training, which focused on (1) addressing issues of nature, etiology, treatment and family-related consequences of autism (2) teaching child management and education skills was developed, and the training outcomes were evaluated within a 3-months-follow-up design. A total of 24 parents of 23 autistic children (mean age: 9 yrs.) participated in the center-based training program which was performed in three small groups in different areas of Germany in 3 one-day sessions succeeding in 1-month-intervals. The outcome variables included: (a) group training assessments by parents; they evaluated quality of trainer variables, curriculum, and group atmosphere using a questionnaire format of bipolar rating scale-items (b) parental 3-months-follow-up assessments of the effects of group training on parent-child interactions and family adaptation, using a questionnaire based on rating scales, and a semi-structured questionnaire on training-related child and parent behaviors in the family. The parent training resulted in (a) a high degree of parent satisfaction with the training format and (b) positive effects on daily parent-child interactions from the perspective of parents. These findings provide some evidence for both clinical and social validity of the parent training procedure examined in this study.

摘要

在本研究的引言部分,分析了“心理教育家长培训”的概念,并概述了关于“自闭症儿童家庭家长培训”的研究文献。基于这些发现,开发了一种心理教育团体家长培训,其重点在于:(1)解决自闭症的性质、病因、治疗及家庭相关后果等问题;(2)教授儿童管理和教育技能。在为期3个月的随访设计中对培训效果进行了评估。共有23名自闭症儿童的24位家长(平均年龄:9岁)参加了以中心为基础的培训项目,该项目在德国不同地区以三个小组的形式进行,为期3天,分三次进行,每次间隔1个月。结果变量包括:(a)家长对团体培训的评估;他们使用双极评分量表项目的问卷形式评估培训师变量、课程和团体氛围的质量;(b)家长在3个月随访时对团体培训对亲子互动和家庭适应影响的评估,使用基于评分量表的问卷以及一份关于家庭中与培训相关的儿童和家长行为的半结构化问卷。家长培训带来了以下结果:(a)家长对培训形式高度满意;(b)从家长的角度来看,对日常亲子互动产生了积极影响。这些发现为该研究中所考察的家长培训程序的临床有效性和社会有效性提供了一些证据。

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