对话式家庭指导干预对神经发育障碍儿童家庭中儿童治疗反应的效果。

The effectiveness of a dialogical family guidance intervention regarding child treatment response in families with a child with neurodevelopmental disorders.

机构信息

Faculty of Social Science, Nursing Science, University of Tampere, Tampere, Finland.

Neuropsychiatric Unit, Helsinki University Hospital (HUH), Child psychiatry, Helsinki, Finland.

出版信息

BMC Psychol. 2024 Apr 5;12(1):189. doi: 10.1186/s40359-024-01706-9.

DOI:10.1186/s40359-024-01706-9

PMID:38580992

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10998394/

Abstract

BACKGROUND

Children with neurodevelopmental disorders (NDD) can have emotional and behavioral symptoms affecting not only the child, but the whole family. Since family members have a strong impact on each other, studies highlight the need to offer effective family interventions to strengthen the wellbeing of the family. The aim of the current study is to clarify whether there is a difference between parents opinions regarding their childs emotional and behavioral condition immediately after Dialogical Family Guidance (DFG) has ended and after a three and six month follow-up.

METHOD

Fifty families with a child with NDD were randomized into two groups. Group 1 received DFG with an immediate starting point, and Group 2 received DFG after a three-month waiting period. Parent experiences of treatment response regarding their children`s emotional and behavioral symptoms were estimated before and after DFG using the parent version of the Strengths and Difficulties Questionnaire (SDQ-p) at baseline, and after three and six months. Additionally, comparisons between boys and girls, and the age of the child were analyzed.

RESULTS

The total difficulties score between Group 1 and Group 2 showed no difference immediately after DFG, or after three months. Regarding subdomains boys had more peer problems than girls, and at baseline, children between 3 and 6 years appeared to have more conduct problems than children between 7 and 13 years. Subdomain prosocial behavior increased statistically significantly during the study period in Group 1. Other SDQ-p subdomains remained constant in both groups between baseline and three and six month follow-up.

CONCLUSIONS

The result does not show any differences between parents opinions regarding their child immediately after or three months after DFG regarding SDQ-p total difficulties scores in either group. The difference between younger and older children regarding conduct problems at baseline, and the difference between boys and girls regarding peer problems is worth paying attention to in the clinical setting. Because of the small sample, it is not possible to draw relevant conclusions regarding the interventions effect regarding the child`s mental health dimensions, gender, or age. Nevertheless, Dialogical family Guidance represents one intervention that can be used.

TRIAL REGISTRATION

ClinicalTrials.gov NCT04892992 (retrospectively registered May 18th 2021).

摘要

背景

患有神经发育障碍 (NDD) 的儿童不仅会出现情绪和行为症状，还会影响整个家庭。由于家庭成员之间相互影响很大，因此研究强调需要提供有效的家庭干预措施来增强家庭的幸福感。目前研究的目的是明确在 Dialogical Family Guidance（DFG）结束后立即和 3 个月及 6 个月随访后，父母对孩子情绪和行为状况的看法是否存在差异。

方法

将 50 个有 NDD 儿童的家庭随机分为两组。第 1 组在立即开始时接受 DFG，第 2 组在等待 3 个月后接受 DFG。在基线时，使用父母版的 Strengths and Difficulties Questionnaire（SDQ-p），在 DFG 前后，即基线时和 3 个月及 6 个月后，评估父母对孩子情绪和行为症状的治疗反应体验。此外，还分析了男孩和女孩以及孩子年龄之间的差异。

结果

DFG 结束后立即或 3 个月后，第 1 组和第 2 组的总困难评分之间没有差异。在子领域方面，男孩比女孩有更多的同伴问题，而且在基线时，3 至 6 岁的儿童比 7 至 13 岁的儿童出现更多的行为问题。在研究期间，第 1 组的亲社会行为子领域显著增加。在两组中，其他 SDQ-p 子领域在基线与 3 个月和 6 个月随访之间保持不变。

结论

结果显示，在 DFG 结束后立即或 3 个月后，两组的父母对孩子的意见，即 SDQ-p 总困难评分，没有差异。在基线时，年幼和年长儿童在行为问题上的差异，以及男孩和女孩在同伴问题上的差异，在临床环境中值得关注。由于样本较小，因此无法就干预对儿童心理健康维度、性别或年龄的影响得出相关结论。尽管如此，Dialogical Family Guidance 代表了一种可以使用的干预措施。