Okuno Hiroko, Nagai Toshisaburo, Sakai Saeko, Mohri Ikuko, Yamamoto Tomoka, Yoshizaki Arika, Kato Kumi, Tachibana Masaya, Iwasaka Hidemi, Taniike Masako
Osaka University, Japan.
Brain Dev. 2011 Feb;33(2):152-60. doi: 10.1016/j.braindev.2010.03.007. Epub 2010 Apr 10.
This study used parent training (PT), with modifications to smaller groups and shorter schedules (PTSS), for mothers of children with Pervasive Developmental Disorder (PDD). The usefulness of PTSS was evaluated according to the parent's confidence and child's behavior by questionnaire.
PTSS was used on 14 mothers of 14 children with PDD of preschool to elementary school age, and performed in small groups of 3-4 mothers each. One PTSS course comprised six consecutive sessions and was completed within three months. The sessions consisted mainly of training for parenting skills, understanding the children's inappropriate behaviors, and helping the children adapt to school. The effectiveness of PTSS was assessed by changes in the scores for confidence degree questionnaire for families (CDQ) and the child behavior checklist (CBCL), determined before and after each course.
The average CDQ scores increased for 17 of 18 items after completion of the PTSS course in all 14 mothers. The change was statistically significant in five items. Increases in average CDQ scores were also seen in 10 of 18 items assessed in fathers, although none were significant. The CBCL total T-score decreased in 10 of 14 children (71.4%). The remaining four children showed an increased CBCL total T-score.
These results indicated that PTSS is useful based on changes in the parents' CDQ scores and children's CBCL scores.
本研究对广泛性发育障碍(PDD)患儿的母亲采用了家长培训(PT),并对其进行了调整,使其适用于更小的群体且日程安排更短(PTSS)。通过问卷调查,根据家长的信心和孩子的行为来评估PTSS的有效性。
对14名学龄前至小学年龄的PDD患儿的14名母亲采用PTSS,每组由3 - 4名母亲组成小组进行。一个PTSS课程包括连续六次课程,并在三个月内完成。课程主要包括育儿技能培训、理解孩子的不当行为以及帮助孩子适应学校。通过每次课程前后家庭信心度问卷(CDQ)和儿童行为检查表(CBCL)得分的变化来评估PTSS的有效性。
在所有14名母亲完成PTSS课程后,18项中的17项CDQ平均得分有所提高。其中5项的变化具有统计学意义。在父亲评估的18项中的10项中,CDQ平均得分也有所提高,尽管均无统计学意义。14名儿童中有10名(71.4%)的CBCL总T分下降。其余4名儿童的CBCL总T分有所上升。
这些结果表明,基于家长的CDQ得分和孩子的CBCL得分的变化,PTSS是有效的。