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行为父母训练对 ADHD 儿童的不服从行为及其相关的父母压力的情境严重程度具有降低作用。

Behavioral Parent Training for ADHD Reduces Situational Severity of Child Noncompliance and Related Parental Stress.

机构信息

Cincinnati Children's Hospital Medical Center, OH, USA.

Department of Pediatrics, University of Cincinnati College of Medicine, OH, USA.

出版信息

J Atten Disord. 2020 Mar;24(5):758-767. doi: 10.1177/1087054719843181. Epub 2019 May 3.

Abstract

Parents are more likely to seek treatment when a child's behaviors cause impairment and increase parental burden. Thus, it is important to document the effectiveness of behavioral parent training (BPT) on the pervasiveness and severity of children's behavior and related parental distress. Data were obtained from 304 parents of school-aged children with attention-deficit hyperactivity disorder (ADHD) attending BPT groups in an outpatient setting. After BPT, parents reported fewer and less severe problematic situations related to child noncompliance, particularly for chores, homework, mealtimes, and peer interactions. Parents also reported significantly reduced stress related to parenting a child with ADHD. Improvements in Nonfamilial Transactions and Task Performance were associated with reductions in degree of parental stress. BPT offered in a real-world clinical setting has meaningful impacts on the child behaviors that lead parents to seek treatment and reduces stress related to parenting a child with ADHD.

摘要

当孩子的行为导致功能损害和增加父母负担时,父母更有可能寻求治疗。因此,记录行为家长培训(BPT)对儿童行为的普遍性和严重程度以及相关父母困扰的有效性很重要。 数据来自 304 名在门诊环境中参加 BPT 小组的注意力缺陷多动障碍(ADHD)学龄儿童的父母。 在 BPT 之后,父母报告说与孩子不遵守规定有关的问题情况减少了,特别是与家务、家庭作业、用餐时间和同伴互动有关的情况。 父母还报告说与 ADHD 儿童养育相关的压力显著降低。 非家庭交易和任务表现的改善与父母压力程度的降低相关。 在现实临床环境中提供的 BPT 对导致父母寻求治疗的儿童行为具有重要影响,并减轻了与 ADHD 儿童养育相关的压力。

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