Larsson Bo
Department of Child & Youth Psychiatry, University Hospital, Uppsala, Sweden.
Eur Child Adolesc Psychiatry. 1992 Apr;1(2):68-81. doi: 10.1007/BF02091789.
During the past decade the field of behavioural medicine has developed rapidly and several somatic disorders in adults have been successfully treated. By contrast, the effects of behavioural interventions of somatic disorders in paediatric populations have been examined less extensively in controlled outcome research. The present review concerns the promising development and application of behavioural methods in the treatment of various somatic disorders in children and adolescents. The studies reviewed were required to be conducted on an individual or group basis and, in addition, to employ quasi-experimental or experimental designs. It is concluded that of psychological treatments, primarily behavioural approaches have proven to be effective for childhood disorders such as obesity, nocturnal enuresis and recurrent headaches. Further, in the treatment of recurrent abdominal pain and asthma in children, behavioural approaches have shown promising outcomes. This progress should alert the clinician and personnel in health care facilities to the contributions of behavioural paediatrics so that behavioural treatment methods may be utilized where appropriate.
在过去十年中，行为医学领域发展迅速，成人的几种躯体疾病已得到成功治疗。相比之下，在对照结局研究中，针对儿科人群躯体疾病的行为干预效果的研究较少。本综述关注行为方法在治疗儿童和青少年各种躯体疾病方面的有前景的发展和应用。所综述的研究要求是在个体或群体基础上进行的，此外，还需采用准实验或实验设计。得出的结论是，在心理治疗中，主要是行为方法已被证明对肥胖、夜间遗尿和复发性头痛等儿童疾病有效。此外，在治疗儿童复发性腹痛和哮喘方面，行为方法已显示出有前景的结果。这一进展应提醒临床医生和医疗机构的工作人员注意行为儿科学的贡献，以便在适当的情况下利用行为治疗方法。
