Buckner Julia D, Lopez Cristina, Dunkel Stephanie, Joiner Thomas E
Yale School of Medicine, New Haven, CT, USA.
Child Maltreat. 2008 Aug;13(3):289-97. doi: 10.1177/1077559508318396. Epub 2008 May 19.
Reactive Attachment Disorder (RAD) is a childhood disorder characterized by extremely inappropriate social relating across a variety of interactions that must be present by age 5. Although children diagnosed with RAD appear to demonstrate significantly more behavioral problems and psychosocial difficulties than children without RAD, there have been few examinations of empirically informed treatments for this disorder. One avenue that may be particularly promising is the use of treatments that have been successfully used to decrease similar problematic behaviors in children. The present case study outlines the use of behavior management training (BMT) in the treatment of a 7-year-old female child with RAD. Given the marked reduction in problematic behaviors exhibited by this child as a result of a typical course of BMT, it is recommended that randomized clinical trials be conducted to test the efficacy of BMT for RAD.
反应性依恋障碍（RAD）是一种儿童期障碍，其特征是在各种互动中存在极不适当的社交关系，且这种情况必须在5岁前出现。虽然被诊断为RAD的儿童似乎比未患RAD的儿童表现出明显更多的行为问题和心理社会困难，但针对这种障碍的基于实证的治疗方法却很少得到研究。一条可能特别有前景的途径是使用已成功用于减少儿童类似问题行为的治疗方法。本案例研究概述了行为管理训练（BMT）在治疗一名患有RAD的7岁女童中的应用。鉴于该儿童在接受典型疗程的BMT后问题行为明显减少，建议进行随机临床试验以测试BMT对RAD的疗效。
