Briegel Wolfgang
1 Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Leopoldina Hospital, Schweinfurt, Germany /.
2 Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, University of Würzburg, Germany.
Z Kinder Jugendpsychiatr Psychother. 2018 Jul;46(4):298-304. doi: 10.1024/1422-4917/a000536. Epub 2017 Aug 15.
Parent-Child Interaction Therapy (PCIT) is an evidence-based intervention designed for families of 2- to 6-year-old children with disruptive behavior disorders. This article illustrates the application of PCIT in a 10-year-old boy with attention deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD). Both parents and the patient attended PCIT sessions. The course of therapy included minor changes to the PCIT protocol. After 13 PCIT sessions, the patient displayed disruptive behaviors within normal limits, and 12 months later he no longer met diagnostic criteria for ODD. Results remained stable at a 17-month follow-up assessment. This case study suggests that the use of PCIT in families of children with ODD markedly older than the recommended age range might be a promising approach for improving family functioning and reducing behavior problems. Further research with larger samples of older children with ODD is needed to replicate and elaborate the findings of this case study.
亲子互动疗法（PCIT）是一种循证干预措施，专为有破坏性行为障碍的2至6岁儿童家庭设计。本文阐述了PCIT在一名患有注意力缺陷/多动障碍（ADHD）和对立违抗障碍（ODD）的10岁男孩身上的应用。父母双方和患儿都参加了PCIT治疗课程。治疗过程中对PCIT方案做了一些微调。经过13次PCIT治疗后，患儿的破坏性行为处于正常范围内，12个月后他不再符合ODD的诊断标准。在17个月的随访评估中结果保持稳定。该案例研究表明，在明显大于推荐年龄范围的ODD患儿家庭中使用PCIT可能是改善家庭功能和减少行为问题的一种有前景的方法。需要对更多大龄ODD患儿样本进行进一步研究，以复制和细化该案例研究的结果。
