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针对执行功能缺陷儿童的适应性跨诊断治疗的可行性和初步疗效

Feasibility and Preliminary Efficacy of an Adapted Transdiagnostic Treatment for Children With Executive Function Deficits.

作者信息

Elias Rebecca, Murphy Haley G, Turner K Amber, White Susan W

机构信息

Department of Psychology, Virginia Polytechnic Institute and State University, Blacksburg, Virginia.

Graduate School of Medicine, University of Tennessee, Knoxville, Tennessee.

出版信息

J Cogn Psychother. 2019 Nov 1;33(4):343-356. doi: 10.1891/0889-8391.33.4.343.

DOI:10.1891/0889-8391.33.4.343
PMID:32746396
Abstract

Few psychological interventions exist to target executive function difficulties in children and adolescents. The current study modified the intervention protocol for use in an outpatient clinic setting with a diagnostically diverse group of participants. Participants engaged in a 10-week child and parent group treatment with assessment measurement at pre- and post-treatment. Assessments consisted of parent-report questionnaires, clinician-administered tasks, and treatment fidelity ratings. Results suggest that the modified intervention was delivered with high fidelity and is feasible and acceptable in a transdiagnostic sample. Although preliminary, efficacy appears promising and suggests that parent-rated executive function, as well as behavioral and emotional challenges, are amenable to change as a result of intervention participation. The results imply that the modified intervention has merit, and should be further explored within the context of larger studies.

摘要

针对儿童和青少年执行功能障碍的心理干预措施很少。本研究对干预方案进行了修改,以便在门诊环境中用于诊断多样的参与者群体。参与者参加了为期10周的儿童与家长团体治疗,并在治疗前后进行评估测量。评估包括家长报告问卷、临床医生实施的任务以及治疗保真度评级。结果表明,修改后的干预措施实施保真度高,在跨诊断样本中是可行且可接受的。尽管是初步结果,但疗效似乎很有前景,表明家长评定的执行功能以及行为和情绪挑战,可因参与干预而发生改变。结果表明,修改后的干预措施有价值,应在更大规模研究的背景下进一步探索。

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引用本文的文献

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Pre-pandemic Executive Function Protects Against Pandemic Anxiety in Children with and Without Autism Spectrum Disorder.大流行前的执行功能可预防自闭症谱系障碍儿童和非自闭症谱系障碍儿童的大流行焦虑。
J Autism Dev Disord. 2024 Dec;54(12):4610-4623. doi: 10.1007/s10803-023-06175-4. Epub 2023 Dec 1.
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Mental Health Therapist Perspectives on the Role of Executive Functioning in Children's Mental Health Services.
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