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基于心理化的团体育儿干预措施的疗效:文献系统综述

The efficacy of group delivered mentalization-based parenting interventions: A systematic review of the literature.

作者信息

Lavender Sarah R, Waters Cerith S, Hobson Christopher W

机构信息

School of Psychology, 2112Cardiff University, UK.

出版信息

Clin Child Psychol Psychiatry. 2023 Apr;28(2):761-784. doi: 10.1177/13591045221113392. Epub 2022 Jul 12.

Abstract

Mentalization refers to the capacity to understand and interpret one's own and others mental states. There is good evidence for individualised treatments aimed at increasing this capacity with children and adolescents. However, there has been no focused synthesis of the literature concerning specifically group delivered mentalization-based parenting interventions. The current study aimed to systematically review the literature in relation to group delivered mentalization-based parenting interventions. Three databases were searched to identify =515 studies that were screened and reported according to PRISMA guidelines. Inclusion criteria were met by =10 studies. Interventions varied in terms of content, but often included psychoeducation, experiential group exercises and homework tasks. The length and setting of interventions did not appear to influence outcomes. Significant improvements in parental reflective functioning were found in eight of the ten studies. There was mixed evidence for the efficacy in terms of other parental and child outcomes. This may be due to the lack of high quality studies and the absence of longer-term follow-ups. There is a need for future research to conduct high quality studies with greater diversity in participating parents and long-term follow-up.

摘要

心理化是指理解和诠释自己及他人心理状态的能力。有充分证据表明,针对儿童和青少年的个性化治疗旨在提高这种能力。然而,目前尚无针对专门以小组形式开展的基于心理化的育儿干预措施的文献综述。本研究旨在系统回顾与以小组形式开展的基于心理化的育儿干预措施相关的文献。通过检索三个数据库,共筛选出515项研究,并按照PRISMA指南进行报告。其中10项研究符合纳入标准。干预措施在内容上各有不同,但通常包括心理教育、体验式小组练习和家庭作业任务。干预措施的时长和实施环境似乎并未对结果产生影响。在10项研究中有8项发现父母的反思功能有显著改善。关于其他父母和孩子的结果,疗效证据不一。这可能是由于缺乏高质量研究以及缺乏长期随访。未来研究需要开展高质量研究,增加参与父母的多样性并进行长期随访。

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