Jerrott Susan, Clark Sharon E, Fearon Isabel
IWK Health Centre, Halifax, Nova Scotia.
J Can Acad Child Adolesc Psychiatry. 2010 May;19(2):88-93.
The present study investigates the effectiveness of a short-term day treatment program for children with a primary diagnosis of a Disruptive Behaviour Disorder (DBD) using best-practice treatment strategies. This study, using a wait list control, compared children's admission and discharge test scores on standardized measures of behaviour and functioning, as rated by parents.
A repeated measures MANOVA was used to evaluate symptom change.
The treatment group was found to have improved significantly more than the waitlist group on parent reports of externalizing behaviour, aggression, social problems, hyperactivity and parent stress.
Children with DBD who attended a short-term day treatment program using best-practice treatment strategies showed significant improvement in their behaviour at home. The current study lends support to the idea that severe DBD can be treated using multi-modal, intensive and evidence-based treatment techniques.
本研究采用最佳治疗策略,调查针对原发性破坏性行为障碍(DBD)儿童的短期日间治疗项目的有效性。本研究采用等待列表对照,比较了家长评定的儿童在行为和功能标准化测量上的入院和出院测试分数。
采用重复测量多变量方差分析来评估症状变化。
在家长报告的外化行为、攻击行为、社会问题、多动和家长压力方面,治疗组的改善显著高于等待列表组。
参加采用最佳治疗策略的短期日间治疗项目的DBD儿童在家中的行为有显著改善。当前研究支持了重度DBD可采用多模式、强化和循证治疗技术进行治疗这一观点。