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符号建模与家长行为训练:对多动症儿童不服从行为的影响。

Symbolic modeling and parent behavioral training: effects on noncompliance of hyperactive children.

作者信息

Henry G K

出版信息

J Behav Ther Exp Psychiatry. 1987 Jun;18(2):105-13. doi: 10.1016/0005-7916(87)90023-1.

DOI:10.1016/0005-7916(87)90023-1
PMID:2440911
Abstract

Six children, stabilized on psychostimulant medication and diagnosed as attention-deficit disorder with hyperactivity, underwent, with their mothers, a treatment program which consisted of symbolic modeling and parent training. Symbolic modeling, which required the children to view videotaped sequences of the same-sex and age-equivalent models complying with parental commands, was of limited effectiveness in bringing about better compliance. Phase one of parent training, which taught mothers appropriate attending, ignoring, and rewarding behaviors, was more effective than symbolic modeling alone. Phase two of parent training, which incorporated a time-out procedure for noncompliance, was most effective. Follow-up questionnaire data obtained at six months indicated maintenance of treatment effects.

摘要

六名服用精神振奋药物并被诊断为注意力缺陷多动障碍的儿童,与其母亲一起接受了一个由象征性示范和家长培训组成的治疗项目。象征性示范要求儿童观看与他们同性且年龄相仿的榜样遵守家长指令的录像片段,但在促使儿童更好地遵守指令方面效果有限。家长培训的第一阶段,教会母亲们恰当的关注、忽视和奖励行为,比单独的象征性示范更有效。家长培训的第二阶段,纳入了针对不遵守指令的暂停程序,效果最为显著。在六个月时获得的随访问卷数据表明治疗效果得以维持。

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