School of Nursing, University of Washington, Seattle, WA 98195. USA.
J Clin Child Adolesc Psychol. 2011;40(2):191-203. doi: 10.1080/15374416.2011.546044.
The efficacy of the Incredible Years parent and child training programs is established in children diagnosed with oppositional defiant disorder but not among young children whose primary diagnosis is attention-deficit/hyperactivity disorder (ADHD). We conducted a randomized control trial evaluating the combined parent and child program interventions among 99 children diagnosed with ADHD (ages 4-6). Mother reported significant treatment effects for appropriate and harsh discipline, use of physical punishment, and monitoring, whereas fathers reported no significant parenting changes. Independent observations revealed treatment effects for mothers' praise and coaching, mothers' critical statements, and child total deviant behaviors. Both mothers and fathers reported treatment effects for children's externalizing, hyperactivity, inattentive and oppositional behaviors, and emotion regulation and social competence. There were also significant treatment effects for children's emotion vocabulary and problem-solving ability. At school teachers reported treatment effects for externalizing behaviors and peer observations indicated improvements in treated children's social competence.
经证实，“难以置信的岁月”父母与子女培训项目对患有对立违抗性障碍的儿童有效，但对主要诊断为注意力缺陷/多动障碍（ADHD）的幼儿无效。我们进行了一项随机对照试验，评估了 99 名患有 ADHD（年龄 4-6 岁）的儿童的父母和儿童综合项目干预措施。母亲报告说，适当和严厉的纪律、使用体罚和监督方面有显著的治疗效果，而父亲则没有报告显著的育儿变化。独立观察发现，母亲的表扬和指导、母亲的批评性言论以及儿童的所有偏差行为都有治疗效果。母亲和父亲都报告说，儿童的外化、多动、注意力不集中和对立行为以及情绪调节和社会能力都有治疗效果。儿童的情绪词汇和解决问题的能力也有显著的治疗效果。在学校，教师报告说，儿童的外化行为有治疗效果，同伴观察表明，接受治疗的儿童的社会能力有所提高。
