Oruche Ukamaka M, Draucker Claire, Alkhattab Halima, Knopf Amy, Mazurcyk Jill
Department of Community and Health Systems, Indiana University School of Nursing, Indianapolis, IN, USA.
J Child Adolesc Psychiatr Nurs. 2014 Aug;27(3):99-108. doi: 10.1111/jcap.12078. Epub 2014 Jun 17.
The family members of adolescents diagnosed with disruptive behavior disorders (DBDs) experience profound stress and burden. Despite the need for empirically supported interventions that address the challenges faced by these family members, few such interventions are available.
In this qualitative descriptive study, we conducted in-depth interviews with 15 families of adolescents diagnosed with DBD. We asked the family members to identify what types of mental health services they needed and to describe the "ideal" program that would best address their concerns.
Family members identified several intervention modalities that would fit their needs, including multifamily groups, family therapy, individual therapy, and community-based hotlines. They indicated that programs should address the following topics: family communication, conflict resolution, education about DBD, and strategies to improve interactions with child service agencies.
Clinicians should recognize that all family members may need support to manage the stressors associated with caring for or living with adolescents with DBD. When working with families, clinicians should provide information about the etiology and management of DBD, help navigate interactions with child service agencies, and employ strategies to improve family communication and functioning.
被诊断患有破坏性行为障碍（DBD）的青少年的家庭成员承受着巨大的压力和负担。尽管需要有实证支持的干预措施来应对这些家庭成员所面临的挑战，但此类干预措施却很少。
在这项定性描述性研究中，我们对15个被诊断患有DBD的青少年家庭进行了深入访谈。我们要求家庭成员确定他们需要何种类型的心理健康服务，并描述最能解决他们担忧的“理想”项目。
家庭成员确定了几种符合他们需求的干预方式，包括多家庭小组、家庭治疗、个体治疗以及社区热线。他们指出，项目应涉及以下主题：家庭沟通、冲突解决、关于DBD的教育以及改善与儿童服务机构互动的策略。
临床医生应认识到，所有家庭成员在应对与照顾患有DBD的青少年或与其共同生活相关的压力源时可能都需要支持。在与家庭合作时，临床医生应提供有关DBD的病因和管理的信息，帮助处理与儿童服务机构的互动，并采用策略来改善家庭沟通和功能。
