Dixius Andrea, Goth Kirstin, Möhler Eva
Universitäre Psychiatrische Kliniken Basel (UPK) Schweiz.
Universität des Saarlandes Klinik für Kinder- und Jugendpsychiatrie und Psychotherapie Deutschland.
Prax Kinderpsychol Kinderpsychiatr. 2021 Nov;70(8):679-698. doi: 10.13109/prkk.2021.70.8.679.
Emotional Dysregulation is a frequent challenge in clinical child psychiatric contexts. The Stress-Arousal-Regulation-Treatment for Children aged six to twelve (START-Kids, Dixius u. Möhler, 2021a), was developed as low threshold treatment tool for children with emotional dysregulation. The program is based on principles of dialectic behavioral therapy. The present article focuses feasibility and a first evaluation of this innovative treatment tool for emotionally dysregulated children. 23 child psychiatric patients aged six to twelve years took part in this eight weeks program with two group sessions at 60 min per week. Immediately before and after treatment personality functioning was assessed with the Levels of Personality Functioning Questionnaire LoPF-Q E and OPD-KJ2-SF E. There was no drop-out. Significant positive changes could be found after treatment with regard to therapists' and a trend for parent's ratings. Limitations are small sample size and lack of a treatment-as-usual-control group. START-Kids is an innovative program with high amount of feasibility and a positive influence on aspects of personality functions in children. Future studies, specifically a randomized controlled trial of START-Kids is warranted.
情绪调节障碍是儿童临床精神病学领域常见的挑战。针对6至12岁儿童的应激 - 唤醒 - 调节 - 治疗（START-Kids，迪克修斯和默勒，2021a），被开发为一种针对情绪调节障碍儿童的低门槛治疗工具。该项目基于辩证行为疗法的原则。本文重点关注这种针对情绪失调儿童的创新治疗工具的可行性及首次评估。23名6至12岁的儿童精神病患者参加了这个为期八周的项目，每周有两次时长60分钟的小组课程。在治疗前后，使用人格功能水平问卷LoPF-Q E和OPD-KJ2-SF E对人格功能进行评估。没有出现退出情况。治疗后，在治疗师评分方面发现了显著的积极变化，家长评分也有变化趋势。局限性在于样本量小且缺乏常规治疗对照组。START-Kids是一个具有高度可行性且对儿童人格功能方面有积极影响的创新项目。未来有必要开展进一步研究，特别是对START-Kids进行随机对照试验。
