Silovsky Jane F, Niec Larissa, Bard David, Hecht Debra B
Department of Pediatrics, University of Oklahoma Health Sciences Center, Oklahoma City, OK 73190, USA.
J Clin Child Adolesc Psychol. 2007 Jul-Sep;36(3):378-91. doi: 10.1080/15374410701444330.
This pilot study evaluated a 12-week group treatment program for preschool children with interpersonal sexual behavior problems (SBP; N = 85; 53 completed at least 8 sessions). Many children presented with co-occurring trauma symptoms and disruptive behaviors. In intent-to-treat analysis, a significant linear reduction in SBP due to number of treatment sessions attended was found, an effect that was independent of linear reductions affiliated with elapsed time. Under the assumption that treatment can have an incremental impact, more than one third of the variance was accounted for by treatment effects, with female and older children most favorably impacted. Caregivers reported increase in knowledge, satisfaction, and usefulness of treatment. In addition to replication, future research is needed to examine (a) effects of environment change and time on SBP, (b) stability of treatment effects, and (c) best practices to integrate evidence-based treatments for comorbid conditions.
这项试点研究评估了一项针对有人际性行为问题（SBP）的学龄前儿童的为期12周的团体治疗项目（N = 85；53名儿童至少完成了8次治疗）。许多儿童同时出现创伤症状和破坏性行为。在意向性分析中，发现由于参加治疗的次数，SBP有显著的线性下降，这一效果与经过时间的线性下降无关。假设治疗可以产生增量影响，超过三分之一的方差可由治疗效果解释，女性和年龄较大的儿童受影响最为明显。照顾者报告称对治疗的知识、满意度和有用性有所提高。除了重复研究外，未来还需要开展研究以考察：（a）环境变化和时间对SBP的影响；（b）治疗效果的稳定性；以及（c）整合针对共病状况的循证治疗的最佳实践。
