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针对发育障碍青少年家长的家长培训比较评估

A Comparative Evaluation of Parent Training for Parents of Adolescents with Developmental Disorders.

作者信息

Matsuo Risa, Inoue Masahiko, Maegaki Yoshihiro

机构信息

Division of Child Neurology, Development of Brain and Neurosciences, School of medicine, Tottori University Faculty of Medicine, Yonago 683-8503, Japan ; †Department of Child studies, College of Humanities, Okinawa University, Naha 902-8521, Japan.

‡Department of Clinical Psychology, Graduate School of Medical Sciences, Tottori University, Yonago 683-8503, Japan.

出版信息

Yonago Acta Med. 2015 Sep;58(3):109-14. Epub 2015 Oct 14.

Abstract

BACKGROUND

In the present study, we evaluated the effectiveness of a parent training (PT) program in Japan for parents of adolescents with developmental disorders (DDs). In Japan, there were no separate programs for parents of children with DDs in early adolescence and beginning to assert their independence from their families despite the many parent-child conflicts and secondary disorders arising from the children.

METHODS

The parents of forty-four adolescent children ranging in ages from ten to seventeen were assigned to either a control group or an experimental group. The program comprised two hour biweekly sessions for three months. The program we examined in this program are: how to praise, stress management for parents, cognitive restructuring, how to scold, problem-solving communication training and how to make a behavior contract. To compare the effectiveness of this program in the control and experimental groups, two-way analysis of variance was used to analyze data collected using psychological assessment scales such as the Strengths and Difficulties Questionnaire (SDQ), the Child Behavior Checklist (CBCL), the Conflict Behavior Questionnaire for Parents (CBQ), and the Beck Depression Inventory (BDI-II).

RESULTS

The results showed a significant difference between pre- and post test scores on CBCL, BDI-II, and CBQ, but not on SDQ. The findings indicate that children's behavioral problems and parent-child conflict in the experimental group were improved at the end of the program.

CONCLUSION

Accordingly, special programs are needed for adolescent PT as well as PT programs for children with DDs.

摘要

背景

在本研究中,我们评估了日本一项针对发育障碍(DD)青少年家长的家长培训(PT)项目的有效性。在日本,尽管处于青春期早期的DD儿童会引发许多亲子冲突和继发性障碍,且他们开始表现出独立于家庭的倾向,但却没有专门为这些儿童的家长设立的项目。

方法

将44名年龄在10至17岁之间的青少年儿童的家长分为对照组和实验组。该项目包括为期三个月、每两周一次、每次两小时的课程。我们在本项目中考察的内容有:如何表扬、家长压力管理、认知重构、如何责骂、解决问题的沟通训练以及如何制定行为契约。为比较该项目在对照组和实验组中的效果,我们使用双向方差分析来分析通过心理评估量表收集的数据,这些量表包括优势与困难问卷(SDQ)、儿童行为清单(CBCL)、家长冲突行为问卷(CBQ)以及贝克抑郁量表(BDI-II)。

结果

结果显示,CBCL、BDI-II和CBQ的测试前和测试后分数存在显著差异,但SDQ没有。研究结果表明,实验组儿童的行为问题和亲子冲突在项目结束时得到了改善。

结论

因此,除了针对DD儿童的PT项目外,还需要针对青少年的特殊PT项目。

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