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儿童及青少年短程心理动力治疗的有效性:一项结果研究。

Effectiveness of Brief Psychodynamic Therapy With Children and Adolescents: An Outcome Study.

作者信息

Gatta Michela, Miscioscia Marina, Svanellini Lorenza, Spoto Andrea, Difronzo Manuela, de Sauma Maxim, Ferruzza Emilia

机构信息

Department of Women's and Children's Health, University of Padua, Padua, Italy.

Department of Developmental Psychology and Socialization, University of Padua, Padua, Italy.

出版信息

Front Pediatr. 2019 Dec 20;7:501. doi: 10.3389/fped.2019.00501. eCollection 2019.

Abstract

Studies on the effectiveness of child and adolescent psychotherapy treatments provided by the Italian National Health Service lag behind, while the scientific community has rather focused on the value of cognitive-behavioral psychotherapeutic approaches. This paper evaluates the effectiveness of a one year psychodynamically-oriented intervention with children and adolescents-aged between 6 and 18 years ( = 12.08, SD = 3.7)-and their parents, carried out in a Child and Adolescent Neuropsychiatric Service (SCIAF), part of the Italian National Health System. Following a psychodiagnostic assessment, two types of therapeutic intervention were offered: children and adolescents allocated to Group 1 ( = 26) were offered individual psychodynamic psychotherapy alone, whilst youths in Group 2 ( = 31) were offered individual psychotherapy, accompanied by parental support. This study examines the effects of this time-limited (12 month) psychodynamically-oriented psychotherapy in terms of improvements in patients' symptoms (measured on the Achenbach's questionnaires: and ). This study also examines the effects of treatment on parents' perception of their family empowerment. This domain is measured on the (FES). Our findings seem to be partly in line with published studies according to which poor parenting (i.e., characterized by lack of warmth, a rigid and/or negative parenting style, poor monitoring of the children, etc.) would be positively associated with Externalizing problems in childhood. Our preliminary findings suggest that brief psychodynamic therapy seemed to show positive outcomes in both "Internalizing" and "Externalizing" difficulties, accounting for age-related differences, ICD-10 (1) diagnoses, and the types of treatment offered. However, no statistically significant changes were detected in the parents' perceptions of empowerment at 12 months.

摘要

意大利国家医疗服务体系所提供的儿童及青少年心理治疗的有效性研究相对滞后,而科学界更关注认知行为心理治疗方法的价值。本文评估了一项为期一年、以心理动力学为导向的干预措施对6至18岁儿童及青少年( = 12.08,标准差 = 3.7)及其父母的有效性,该干预在意大利国家卫生系统下属的儿童及青少年神经精神科服务机构(SCIAF)中进行。经过心理诊断评估后,提供了两种类型的治疗干预:分配到第1组( = 26)的儿童及青少年仅接受个体心理动力学心理治疗,而第2组( = 31)的青少年则接受个体心理治疗,并伴有家长支持。本研究从患者症状改善方面(通过阿chenbach问卷进行测量: 和 )考察了这种限时(12个月)的以心理动力学为导向的心理治疗的效果。本研究还考察了治疗对父母对家庭赋权感知的影响。这一领域通过 (FES)进行测量。我们的研究结果似乎部分与已发表的研究一致,根据这些研究,不良养育方式(即缺乏温暖、僵化和/或消极的养育风格、对孩子监管不力等)与儿童期的外化问题呈正相关。我们的初步研究结果表明,简短的心理动力学治疗似乎在“内化”和“外化”困难方面都显示出积极的结果,同时考虑到年龄相关差异、ICD - 10(1)诊断以及所提供的治疗类型。然而,在12个月时,父母对赋权的感知未检测到统计学上的显著变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b837/6951412/bbe5c2f2939c/fped-07-00501-g0001.jpg

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