Baruch Geoffrey, Vrouva Ioanna, Wells Charles
Brandon Centre for Counselling and Psychotherapy for Young People, 26 Prince of Wales Road, London NW5 3LG, UK. E-mail:
Research Department of Clinical, Educational and Health Psychology University College London, 1-19 Torrington Place, London, WC1E 7HB, UK.
Child Adolesc Ment Health. 2011 Feb;16(1):47-54. doi: 10.1111/j.1475-3588.2010.00574.x.
Group-based parent training programmes are a common intervention for tackling conduct problems in young people. The objective of this study was to evaluate the impact of a parent training programme on young people presenting with conduct problems.
123 parents of young people aged 10 to 17 with conduct problems participated in the study. A one-group, pre-post design was adopted. Participants completed the Child Behaviour Check List (CBCL) at the beginning and end of the parenting programme. The degree of change was indexed by: a) Mean change; b) change from clinical to non-clinical status; and c) Reliable change. Logistic regression was used to identify predictors of reliable positive change in CBCL problems.
Analyses from all three sources suggest that there was a significant reduction in CBCL internalising, externalising and total scores. Withdrawn score pre-treatment was the only independent predictor of reliable change in internalising and total scores: the higher the score pre-treatment, the greater the chances of reliable improvement in post-treatment scores.
The study provides evidence in support of the therapeutic improvement achieved by some young people whose parents attended the group parent training programme. The programme had a significant impact on internalising as well as externalising problems. Further studies of the programme would benefit from being run as a randomised clinical trial.
基于小组的家长培训项目是解决青少年行为问题的常见干预措施。本研究的目的是评估家长培训项目对有行为问题的青少年的影响。
123名10至17岁有行为问题青少年的家长参与了该研究。采用单组前后测设计。参与者在家长培训项目开始和结束时完成儿童行为检查表（CBCL）。变化程度通过以下指标衡量：a）平均变化；b）从临床状态转变为非临床状态；c）可靠变化。使用逻辑回归来确定CBCL问题中可靠正向变化的预测因素。
来自所有三个来源的分析表明，CBCL内化、外化和总分均有显著降低。治疗前退缩得分是内化和总分可靠变化的唯一独立预测因素：治疗前得分越高，治疗后得分可靠改善的机会越大。
该研究为一些家长参加小组家长培训项目的青少年所实现的治疗改善提供了证据支持。该项目对内化和外化问题均有显著影响。对该项目的进一步研究采用随机临床试验将会更有益。
