Axberg Ulf, Hansson Kjell, Broberg Anders G
Department of Psychology, Göteborg University, Göteborg, SE-405 30, Sweden.
Nord J Psychiatry. 2007;61(2):143-51. doi: 10.1080/08039480701226120.
Behaviour management problems (BMP) are common among children (4-12%) and the prevalence seems to be rising. Persistent antisocial behaviour often leads to poor long-term psychosocial adjustment. Structured parent-training programmes have proven to be the most effective way of treating BMP in young children. The Incredible Years Series (IYS), which is a manual-based programme, was introduced in Sweden in 2001. The aim of the present study was to evaluate the effectiveness of IYS in diverse clinical settings in Sweden. Parents of 113 children (3-9 years), recruited through the IYS-trained group leaders' ordinary services, participated in the study. The parents answered various questionnaires regarding their children's symptoms and their own psychological well-being before and after participating in the parent-training groups. The results are very encouraging; significant reduction of BMP in the children was found on all relevant measures. A significant increase in the self-rated well-being of the mothers was also found. The IYS seems to work in Sweden, even when used by group leaders who are in training. The importance of using a well-documented manualized method when implementing new models is accentuated.
行为管理问题(BMP)在儿童中很常见(占4%-12%),且患病率似乎在上升。持续的反社会行为往往会导致长期社会心理适应不良。结构化的家长培训项目已被证明是治疗幼儿BMP最有效的方法。《不可思议的岁月系列》(IYS)是一个基于手册的项目,于2001年在瑞典引入。本研究的目的是评估IYS在瑞典不同临床环境中的有效性。通过IYS培训的小组组长的常规服务招募了113名3至9岁儿童的家长参与研究。家长们在参加家长培训小组前后回答了各种关于孩子症状和自身心理健康的问卷。结果非常令人鼓舞;在所有相关指标上都发现儿童的BMP显著降低。还发现母亲的自我幸福感显著提高。IYS在瑞典似乎有效,即使是由正在接受培训的小组组长使用。强调了在实施新模式时使用有充分记录的手册化方法的重要性。