Bagner Daniel M, Eyberg Sheila M
Department of Clinical and Health Psychology, University of Florida, Gainesville, FL 32610, USA.
J Clin Child Adolesc Psychol. 2007 Jul-Sep;36(3):418-29. doi: 10.1080/15374410701448448.
This article presents results of a randomized controlled trial examining the efficacy of Parent-Child Interaction Therapy (PCIT) for treating disruptive behaviors of young children (ages 3 to 6) with mental retardation (MR) and comorbid oppositional defiant disorder. Thirty families were randomly assigned to an immediate treatment (IT) or waitlist (WL) control group. Results indicated that IT mothers interacted more positively with their children after treatment than WL mothers, and their children were more compliant after treatment. On parent-report measures, IT mothers reported fewer disruptive behaviors at home and lower parenting stress related to difficult child behavior than WL mothers after treatment. Whether evidence-based treatments for disruptive behavior require modification before application to children with MR is discussed.
本文介绍了一项随机对照试验的结果，该试验检验了亲子互动疗法（PCIT）对治疗患有智力障碍（MR）和共患对立违抗障碍的幼儿（3至6岁）破坏性行为的疗效。30个家庭被随机分配到即时治疗（IT）组或等待名单（WL）对照组。结果表明，治疗后，IT组的母亲与孩子的互动比WL组的母亲更积极，且她们的孩子在治疗后更顺从。在家长报告的测量中，治疗后，IT组的母亲报告家中的破坏性行为更少，且与孩子难相处行为相关的育儿压力比WL组的母亲更低。本文还讨论了针对破坏性行为的循证治疗方法在应用于患有智力障碍的儿童之前是否需要调整。
