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亲子互动疗法(PCIT)对注意力缺陷/多动障碍(ADHD)青少年的疗效:一项荟萃分析。

The Efficacy of Parent-Child Interaction Therapy (PCIT) for Youth with Attention-Deficit/Hyperactivity Disorder (ADHD): A Meta-Analysis.

作者信息

Phillips Sharon T, Druskin Lindsay R, Mychailyszyn Matthew P, Victory Erinn, Aman Emily, McNeil Cheryl B

机构信息

Department of Psychology, West Virginia University, 53 Campus Drive, Morgantown, WV, 26506, USA.

Department of Psychology, Towson University, 8000 York Road, Towson, MD, 21252, USA.

出版信息

Child Psychiatry Hum Dev. 2024 Mar 5. doi: 10.1007/s10578-024-01678-2.

Abstract

Attention-deficit/hyperactivity disorder (ADHD) is highly prevalent in early childhood and has long-term negative effects when left untreated. Parent-Child Interaction Therapy (PCIT) is an early intervention for children aged 2- to-7-years that has extensive evidence for treating child externalizing problems by teaching parents effective strategies to manage child behavior. However, the effect of PCIT for families with children diagnosed with ADHD is not completely understood. This meta-analysis aims to synthesize research on the use of PCIT for children with ADHD. Nine out of 711 identified studies were analyzed. Summary effect sizes were calculated using the standardized mean gain for child ADHD symptoms, child behaviors, parent stress, and parenting behaviors, and the Fail-Safe N was calculated to determine the robustness of the results. Overall, PCIT had a significant beneficial effect on child ADHD symptoms (g = 0.90), child behavior (g = 0.44), parent stress (g = 0.82), and parenting behaviors (g = 2.15). Results of this meta-analysis suggest that PCIT is an effective treatment for reducing core symptoms of ADHD.

摘要

注意缺陷多动障碍(ADHD)在幼儿期极为常见,若不治疗会产生长期负面影响。亲子互动疗法(PCIT)是针对2至7岁儿童的一种早期干预方法,通过教导父母有效管理孩子行为的策略,在治疗儿童外化问题方面有大量证据支持。然而,PCIT对诊断为ADHD的儿童家庭的效果尚未完全明确。本荟萃分析旨在综合关于PCIT用于ADHD儿童的研究。在711项已识别研究中,分析了9项。使用儿童ADHD症状、儿童行为、父母压力和养育行为的标准化平均增益计算汇总效应量,并计算失安全数以确定结果的稳健性。总体而言,PCIT对儿童ADHD症状(g = 0.90)、儿童行为(g = 0.44)、父母压力(g = 0.82)和养育行为(g = 2.15)有显著有益影响。本荟萃分析结果表明,PCIT是减轻ADHD核心症状的有效治疗方法。

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