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儿童和青少年品行问题的循证心理社会治疗:综述

Evidence-based psychosocial treatments of conduct problems in children and adolescents: an overview.

作者信息

Gatti Uberto, Grattagliano Ignazio, Rocca Gabriele

机构信息

Department of Health Sciences, Section of Criminology, University of Genoa, Genoa, Italy.

Section of Forensic Psychiatry, University of Bari, Bari, Italy.

出版信息

Psychiatr Psychol Law. 2018 Nov 20;26(2):171-193. doi: 10.1080/13218719.2018.1485523. eCollection 2019.

Abstract

The aims of the present study were to identify empirically supported psychosocial intervention programs for young people with conduct problems and to evaluate the underpinnings, techniques and outcomes of these treatments. We analyzed reviews and meta-analyses published between 1982 and 2016 concerning psychosocial intervention programs for children aged 3 to 12 years with conduct problems. Parent training should be considered the first-line approach to dealing with young children, whereas cognitive-behavioral approaches have a greater effect on older youths. Family interventions have shown greater efficacy in older youths, whereas multi-component and multimodal treatment approaches have yielded moderate effects in both childhood and adolescence. Some limitations were found, especially regarding the evaluation of effects. To date, no single program has emerged as the best. However, it emerges that the choice of intervention should be age-specific and should take into account developmental differences in cognitive, behavioral, affective and communicative abilities.

摘要

本研究的目的是确定针对有行为问题的青少年得到实证支持的心理社会干预项目,并评估这些治疗的基础、技术和结果。我们分析了1982年至2016年间发表的有关针对3至12岁有行为问题儿童的心理社会干预项目的综述和荟萃分析。家长培训应被视为处理幼儿问题的一线方法,而认知行为方法对年龄较大的青少年有更大影响。家庭干预在年龄较大的青少年中显示出更大的疗效,而多成分和多模式治疗方法在儿童期和青少年期都产生了中等效果。研究发现了一些局限性,特别是在效果评估方面。迄今为止,尚未出现一个最佳的单一项目。然而,干预措施的选择应根据年龄而定,并应考虑到认知、行为、情感和沟通能力方面的发展差异。

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