Department of Clinical and Health Psychology, University of Florida, FL, USA.
Behav Ther. 2010 Sep;41(3):375-87. doi: 10.1016/j.beth.2009.11.002. Epub 2010 Mar 11.
Behavioral screening and preventive intervention were implemented for 3- to 6-year-olds in pediatric primary care with subclinical behavior problems. One hundred eleven children were screened with the Eyberg Child Behavior Inventory. Thirty children who scored within one standard deviation of the normative mean whose mothers indicated wanting help for their child's behavior were randomized to one of two abbreviated versions of Parent-Child Interaction Therapy (PCIT) for use in pediatric primary care: (a) a 4-session group preventive intervention called Primary Care PCIT (PC-PCIT); or (b) written materials describing basic steps of PCIT and guidelines for practice, called PCIT Anticipatory Guidance (PCIT-AG). Decreases in child problem behaviors and ineffective parenting strategies, and increases in parental feelings of control were not significantly different between versions at post-intervention or 6-month follow-up. Changes during intervention were significantly larger for both groups than changes during pretreatment baseline, with moderate to large effect sizes. These brief versions of PCIT are both promising primary care preventive interventions that deserve further study.
对有亚临床行为问题的 3 至 6 岁儿童在儿科初级保健中进行行为筛查和预防干预。用 Eyberg 儿童行为问卷对 111 名儿童进行了筛查。对得分在正态均值一个标准差范围内且其母亲表示希望帮助孩子行为的 30 名儿童进行随机分组，分为两组接受两种简化版亲子互动疗法 (PCIT)：(a) 一个 4 节小组预防干预，称为初级保健 PCIT (PC-PCIT)；或 (b) 描述 PCIT 基本步骤和实践指南的书面材料，称为 PCIT 预期指导 (PCIT-AG)。在干预后或 6 个月随访时，两种版本在儿童问题行为和无效育儿策略的减少以及父母控制感的增加方面没有显著差异。与治疗前基线相比，两组在干预期间的变化都显著更大，具有中等到较大的效果量。这些简短版本的 PCIT 都是有前途的初级保健预防干预措施，值得进一步研究。
