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儿童破坏性行为心理社会治疗的循证更新

Evidence Base Update for Psychosocial Treatments for Disruptive Behaviors in Children.

作者信息

Kaminski Jennifer W, Claussen Angelika H

机构信息

a National Center on Birth Defects and Developmental Disabilities , Centers for Disease Control and Prevention.

出版信息

J Clin Child Adolesc Psychol. 2017 Jul-Aug;46(4):477-499. doi: 10.1080/15374416.2017.1310044. Epub 2017 May 1.

Abstract

This article reviews the state of the science on psychosocial treatments for disruptive behaviors in children, as an update to Eyberg, Nelson, and Boggs (2008). We followed procedures for literature searching, study inclusion, and treatment classification as laid out in Southam-Gerow and Prinstein (2014), focusing on treatments for children 12 years of age and younger. Two treatments (group parent behavior therapy, and individual parent behavior therapy with child participation) had sufficient empirical support to be classified as well-established treatments. Thirteen other treatments were classified as probably efficacious. Substantial variability in effectiveness of different programs within the same treatment family has been previously documented; thus, a particular level of evidence might not hold true for every individual program in a treatment family. Systematic investigations of implementation, dissemination, and uptake are needed to ensure that children and families have access to effective treatments. Investigations into how to blend the strengths of the effective approaches into even more effective treatment might also lead to greater impact.

摘要

本文回顾了儿童破坏性行为心理社会治疗的科学现状,作为对艾伯格、尼尔森和博格斯(2008年)研究的更新。我们遵循了索瑟姆-杰罗和普林斯汀(2014年)中规定的文献检索、研究纳入和治疗分类程序,重点关注12岁及以下儿童的治疗方法。两种治疗方法(团体家长行为疗法和有儿童参与的个体家长行为疗法)有足够的实证支持,被归类为成熟的治疗方法。其他13种治疗方法被归类为可能有效。先前已有文献记载,同一治疗类别中不同项目的有效性存在很大差异;因此,某一特定水平证据可能并不适用于治疗类别中的每个具体项目。需要对实施、传播和采用情况进行系统调查,以确保儿童和家庭能够获得有效的治疗。研究如何将有效方法的优势融合到更有效的治疗中,也可能产生更大的影响。

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