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关于BOAM如何通过整合心理教育和自我诊断提供简短家庭治疗的病例报告。

A Case Report on How BOAM Offers a Brief Family-Based Treatment by Integrating Psychoeducation and Self-Diagnostics.

作者信息

Potharst Eva S, Truijens Damiët, van Steensel Francisca J A, Killick Steve, Bögels Susan M

机构信息

UvA Minds, Academic Outpatient (Child and Adolescent) Treatment Centre of the University of Amsterdam, Banstraat 29, 1071 JW Amsterdam, The Netherlands.

Research Institute of Child Development and Education, University of Amsterdam, Nieuwe Achtergracht 127, 1018 WS Amsterdam, The Netherlands.

出版信息

Int J Environ Res Public Health. 2025 Apr 3;22(4):559. doi: 10.3390/ijerph22040559.

Abstract

BOAM is a family-based method in which children and parents together create an explanatory, personal and systemic diagnosis. Based on ten playful and visual models, the therapist provides universal psychoeducation to gain insight into the personal, relational and contextual causes of the child's problems for a shared understanding of how to approach them. This case report describes a seven-session BOAM trajectory in a family with a 6-year-old child with emotional and behavioural dysregulation, such as frequent temper tantrums, hitting her infant sister, and threatening with knives. In this case report, the course of the sessions is described, including the way the family applied the BOAM models within their (cultural) family values. The mother completed questionnaires on child psychopathology (Child Behaviour Checklist), executive functioning (Behaviour Rating Inventory of Executive Function), parenting stress (Parenting Stress Index) and partner relationship (Family Functioning Questionnaire) at baseline, pretest, post-test, and 3- and 5-month follow-up, and the father completed questionnaires on child psychopathology and parenting stress at baseline and 5-month follow-up. Parents reported clinically significant improvements, as calculated with reliable change indexes, in child externalising psychopathology, self-regulation, and parenting stress (post-test and 3- and 5-month follow-up). BOAM is a short and accessible method for psychoeducation, diagnostics and treatment. BOAM seems to be an effective intervention for this family; however, more research is necessary to demonstrate its effectiveness. This case report painted a vivid picture of how family conversations can be structured and targeted using the models.

摘要

BOAM是一种基于家庭的方法,在这种方法中,孩子和父母共同做出一个解释性的、个性化的和系统性的诊断。基于十个有趣的视觉模型,治疗师提供通用的心理教育,以深入了解孩子问题的个人、关系和背景原因,从而就如何解决这些问题达成共识。本病例报告描述了一个针对一个有情绪和行为失调问题的6岁孩子的家庭进行的为期七节的BOAM治疗过程,该孩子存在频繁发脾气、殴打她的婴儿妹妹以及用刀威胁等行为。在本病例报告中,描述了各节治疗的过程,包括家庭如何在其(文化)家庭价值观范围内应用BOAM模型。母亲在基线、预测试、后测试以及3个月和5个月随访时完成了关于儿童精神病理学(儿童行为检查表)、执行功能(执行功能行为评定量表)、育儿压力(育儿压力指数)和伴侣关系(家庭功能问卷)的问卷调查,父亲在基线和5个月随访时完成了关于儿童精神病理学和育儿压力的问卷调查。父母报告称,根据可靠变化指数计算,在儿童外化精神病理学、自我调节和育儿压力方面(后测试以及3个月和5个月随访)有临床显著改善。BOAM是一种简短且易于理解的心理教育、诊断和治疗方法。BOAM似乎对这个家庭是一种有效的干预措施;然而,需要更多研究来证明其有效性。本病例报告生动地描绘了如何使用这些模型来构建和定位家庭对话。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/187d/12027024/7aaedc3498aa/ijerph-22-00559-g001.jpg

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