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基于医院的青少年行为矫正项目:结果评估与预测因素

Hospital-based behavior modification program for adolescents: evaluation and predictors of outcome.

作者信息

al Ansari A, Gouthro S, Ahmad K, Steele C

机构信息

Nova Scotia Hospital, Dartmouth, Canada.

出版信息

Adolescence. 1996 Summer;31(122):469-76.

PMID:8726904
Abstract

This study is an evaluation of a residential short-term program (10-12 weeks) which utilizes a behavior modification program (BMP) in an inpatient unit for adolescents with mostly conduct problems. Evaluation included predictors of outcome such as age, gender, diagnosis, length of stay, father's presence, other treatments received, and presence of learning problems. The design used was a retrospective analysis of performance of patients on BMP measured by mean point earned in the first four weeks (pre-test) and the last 4 weeks of admission (post-test). Subjects were 60 adolescents aged 12-18 enrolled for at least eight weeks in the BMP. Findings showed that the BMP was generally beneficial especially for females and nonconduct-disordered patients. Factors such as father's presence, and absence of learning problems were associated with better outcome. Age and length of stay were not correlated with significant improvement. It was found that the BMP was effective in reducing frequency of undesirable behaviors for the majority of adolescents with conduct problems. However, males with a diagnosis of conduct disorder might require a longer stay for the program to be effective.

摘要

本研究是对一个为期10至12周的住院短期项目的评估,该项目在一个住院部为主要有行为问题的青少年采用了行为矫正项目(BMP)。评估内容包括结果的预测因素,如年龄、性别、诊断、住院时间、父亲是否陪伴、接受的其他治疗,以及是否存在学习问题。所采用的设计是对患者在行为矫正项目中的表现进行回顾性分析,通过入院前四周(预测试)和最后四周(后测试)获得的平均分数来衡量。研究对象是60名年龄在12至18岁之间、参加行为矫正项目至少八周的青少年。研究结果表明,行为矫正项目总体上是有益的,特别是对女性和无品行障碍的患者。父亲陪伴以及不存在学习问题等因素与更好的结果相关。年龄和住院时间与显著改善无关。研究发现,行为矫正项目对大多数有行为问题的青少年减少不良行为的频率是有效的。然而,被诊断为品行障碍的男性可能需要更长的住院时间才能使该项目有效。

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