Grizenko N, Sayegh L, Papineau D
Lyall Preadolescent Day Treatment Program, Douglas Hospital, Montreal, Quebec.
Can J Psychiatry. 1994 Nov;39(9):557-62. doi: 10.1177/070674379403900908.
The demand for day treatment programs for children with severe behaviour problems has greatly increased in the past decade. The objective of this study is to identify characteristics of children who benefit most from such a program. The sample consisted of 63 children, aged five to 13, assessed at admission and discharge from the program. Outcome measures included behavioural improvement and school reintegration. At admission, multivariate analyses revealed that children who made the greatest behavioural improvements had less severe behaviour problems, lower IQ scores and more disturbed family functioning. Children reintegrated into regular classes after discharge were younger at admission, had better reading skills, no attention deficit hyperactivity disorder and little parental marital discord. Findings suggest that successful outcome can be predicted from characteristics of children at intake. A multimodal approach is needed to address the different problems areas in a child's life.
在过去十年中，对患有严重行为问题儿童的日间治疗项目的需求大幅增加。本研究的目的是确定最能从此类项目中受益的儿童的特征。样本包括63名年龄在5至13岁之间的儿童，在项目入院和出院时进行了评估。结果指标包括行为改善和重返学校。入院时，多变量分析显示，行为改善最大的儿童行为问题不太严重，智商得分较低，家庭功能障碍较多。出院后重新融入常规班级的儿童入院时年龄较小，阅读技能较好，没有注意力缺陷多动障碍，父母婚姻不和较少。研究结果表明，可以根据儿童入院时的特征预测成功的结果。需要一种多模式方法来解决儿童生活中不同的问题领域。
