Lavigne John V, Lebailly Susan A, Gouze Karen R, Cicchetti Colleen, Pochyly Jonathan, Arend Richard, Jessup Bryn W, Binns Helen J
Department of Child and Adolescent Psychiatry (#10), Children's Memorial Hospital, Chicago, IL 60614, USA.
J Pediatr Psychol. 2008 Jun;33(5):449-61. doi: 10.1093/jpepsy/jsm074. Epub 2007 Oct 23.
To determine if a nurse-led or psychologist-led parent-training program was more successful than a minimal intervention in treating early childhood Oppositional Defiant Disorder (ODD) in pediatric primary care.
Twenty-four practices were randomized to conditions in which parents of 117, 3- to 6.11-year-olds with ODD received the 12-session Webster-Stratton Incredible Years program led by primary care nurses or clinical psychologists, or to a minimal intervention group in which parents received only the companion book to the treatment program.
There was improvement across posttreatment and 12-month follow-up for all groups, but no overall treatment group effects. There was a dose effect, with a reliable, clinically significant gain after seven sessions on the Eyberg intensity scale, and nine sessions on the Child Behavior Checklist externalizing scale.
There is little advantage to the therapist-led treatment over bibliotherapy unless parents attend a significant number of sessions.
确定由护士主导或心理学家主导的家长培训项目在治疗儿科初级保健中幼儿对立违抗障碍（ODD）方面是否比最小干预更成功。
24家医疗机构被随机分配到不同条件下，117名患有ODD的3至6.11岁儿童的家长接受由初级保健护士或临床心理学家主导的为期12节的韦伯斯特-斯特拉顿《不可思议的岁月》项目，或被分配到最小干预组，在该组中家长仅获得治疗项目的配套书籍。
所有组在治疗后和12个月随访时均有改善，但无总体治疗组效应。存在剂量效应，在艾伯格强度量表上七节课程后以及在儿童行为检查表外化量表上九节课程后有可靠的、临床上显著的改善。
除非家长参加大量课程，否则由治疗师主导的治疗相对于阅读疗法几乎没有优势。
