University of San Diego, Rady Children's Hospital Child andAdolescent Services Research Center, 3020 Children's Way, San Diego, CA 92123, USA.
Behav Ther. 2012 Sep;43(3):606-18. doi: 10.1016/j.beth.2011.11.001. Epub 2011 Dec 3.
We examined treatment effects over a 6- to 24-month period posttreatment for 3 different interventions for externalizing behavior problems in young Mexican American (MA) children: a culturally modified version of Parent-Child Interaction Therapy (PCIT), called Guiando a Niños Activos (GANA), standard PCIT, and treatment as usual (TAU). Fifty-eight MA families with a 3- to 7-year-old child with clinically significant behavior problems were randomly assigned to GANA, standard PCIT, or TAU. As previously reported, all three treatment approaches produced significant pre-post improvement in conduct problems across a wide variety of parent-report measures, and those effects remained significant over the follow-up period. GANA produced results that were significantly superior to TAU on 6 out of 10 parent-report measures 6 to 24months posttreatment, and GANA significantly outperformed PCIT on child internalizing symptoms. However, PCIT and TAU did not differ significantly from one another. These data suggest that both PCIT and GANA produce treatment gains that are maintained over time, and that GANA continues to outperform TAU over the long term.
我们考察了 3 种针对外化行为问题的干预措施在治疗后 6 至 24 个月期间的治疗效果，这 3 种措施分别是：针对墨西哥裔美国（MA）儿童的亲子互动疗法（PCIT）的文化修正版 Guiando a Niños Activos（GANA）、标准 PCIT 和常规治疗（TAU）。58 个有 3 至 7 岁行为问题明显的儿童的 MA 家庭被随机分配到 GANA、标准 PCIT 或 TAU 组。如之前报道的，所有 3 种治疗方法在各种父母报告的措施上均产生了显著的治疗前后改善，并且这些效果在随访期间仍然显著。GANA 在治疗后 6 至 24 个月时，在 10 项父母报告的措施中的 6 项上产生了明显优于 TAU 的结果，并且在儿童内化症状方面 GANA 明显优于 PCIT。然而，PCIT 和 TAU 之间没有显著差异。这些数据表明，PCIT 和 GANA 都能产生随着时间推移而维持的治疗效果，并且 GANA 在长期内继续优于 TAU。
