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Superior Parietal Volume in Adolescents with a History of Trauma 有创伤史的青少年的上顶叶容积
Pub Date : 2016-07-08 DOI: 10.4172/2375-4494.1000303
Lisa A Pan, Thomas M Zimmer, A. Segreti, Petra C. Martin, Emily Klawson
Objective: Early trauma exposure has been demonstrated to significantly impact brain volume. Childhood trauma also contributes to onset of psychopathology, particularly depression. We sought to identify gray matter volume changes unique to trauma exposure in adolescent depression and hypothesized that adolescents with diagnosis of major depressive disorder (MDD) and childhood trauma would have smaller gray matter volume and thickness in areas previously identified as reduced with childhood trauma exposure relative to non-traumatized depressed adolescents and healthy controls. Methods: We obtained structural MRI scans for 120 adolescents with a history of past trauma exposure and a current diagnosis major depressive disorder (MDD, n=29), a diagnosis of MDD, but no trauma exposure (n=49), and healthy controls (n=42). Adolescents with a diagnosis of MDD and trauma exposure compared with adolescents with MDD and no history of trauma exposure showed increased gray matter volume in the right superior parietal lobe (p=0.001), a cortical region important for processing of visuospatial cues and implicated in traumatic memory. Positive trauma history status included sexual or physical abuse, or trauma with risk of death or bodily harm. Results: Our findings indicate increased right superior parietal volume in depressed adolescents with history of trauma exposure that is distinct from findings related to depression or suicidal behavior. Conclusion: Our finding of increased superior parietal volume in adolescents exposed to past trauma compared with adolescents not exposed to past trauma may indicate differences in information processing, particularly visuospatial processing and working memory, in trauma exposed, depressed adolescents. The absence of any significant relationships between superior parietal lobe volume abnormality and measures of present symptom severity, suicidal ideation, past suicide attempt and medication in adolescents with history of depression and past trauma suggests that increased right superior parietal lobe volume may be related to trauma exposure in adolescents with depression.
目的:早期创伤暴露已被证明对脑容量有显著影响。童年创伤也会导致精神病理,尤其是抑郁症。我们试图确定青少年抑郁症中创伤暴露所特有的灰质体积变化,并假设被诊断为重度抑郁症(MDD)和儿童期创伤的青少年,相对于未受创伤的抑郁青少年和健康对照者,在先前被确定为儿童期创伤暴露减少的区域中,灰质体积和厚度更小。方法:我们获得了120名青少年的结构MRI扫描,这些青少年有过去的创伤暴露史,目前诊断为重度抑郁症(MDD, n=29),诊断为重度抑郁症,但没有创伤暴露(n=49),健康对照(n=42)。诊断为重度抑郁症和创伤暴露的青少年与没有创伤暴露史的青少年相比,右顶叶上灰质体积增加(p=0.001),这是一个处理视觉空间线索和涉及创伤记忆的重要皮质区域。阳性创伤史包括性虐待或身体虐待,或有死亡或身体伤害风险的创伤。结果:我们的研究结果表明,有创伤暴露史的抑郁青少年右侧上顶叶容积增加,这与抑郁或自杀行为相关的结果不同。结论:经历过创伤的青少年与未经历过创伤的青少年相比,上顶叶体积增加,这可能表明经历过创伤的抑郁青少年在信息加工,特别是视觉空间加工和工作记忆方面存在差异。在有抑郁史和创伤史的青少年中,上顶叶体积异常与当前症状严重程度、自杀意念、过去的自杀企图和药物治疗之间没有任何显著的关系,这表明在有抑郁症的青少年中,右上顶叶体积的增加可能与创伤暴露有关。
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引用次数: 2
Self-Harm in Children under 14: A Comparison of Inpatients Who Self-Harm with Those Who Do Not 14岁以下儿童的自我伤害:有自我伤害与没有自我伤害的住院患者的比较
Pub Date : 2016-06-30 DOI: 10.4172/2375-4494.1000302
Bonnie Palmer, G. Martin
This study investigated characteristics and variables associated with self-harm in patients in a psychiatric unit which accepted children aged 7-13 years. It sought specifically to determine the role of emotion regulation as a motivation for self-harm in children. The study involved hypothesis driven examination of case files from 80 in patients admitted between 2003-8 to the Child and Family Therapy Unit (CFTU) at the Royal Children’s Hospital, Brisbane, Australia. Inpatients were selected, independent of the researchers, based on scores for HoNOSCA Item 3: ‘Non-accidental self-injury’. Forty inpatients (‘self-harm group’) had been scored on admission by inpatient staff as 2 (mild problem but definitely present), 3 (moderately severe problem) and 4 (severe to very severe problem). Forty inpatients (the ‘No self-harm comparison group’) had been scored 0 (No problem) or 1 (Minor problem requiring no action). Most common methods were ‘cutting’ and ‘head-banging’. The self-harm group differed from the comparison group in terms of family-related factors such as living situation, and psychological functioning as measured by the Strengths and Difficulties Questionnaire (SDQ), total HoNOSCA scores, and a history of sexual abuse. Our hypothesis that children engage in self-harm to regulate their emotions was not supported. Explanations for the findings and implications for research, intervention and prevention are discussed.
本研究调查了某精神科收治的7-13岁儿童的自我伤害特征和相关变量。它特别试图确定情绪调节作为儿童自残动机的作用。这项研究以假设为基础,对澳大利亚布里斯班皇家儿童医院儿童和家庭治疗部门(CFTU) 2003- 2008年间收治的80名患者的病例档案进行了检查。住院病人的选择,独立于研究人员,基于HoNOSCA项目3的分数:“非意外自伤”。40名住院患者(“自残组”)在入院时被住院工作人员打分为2(轻度问题但肯定存在),3(中度严重问题)和4(严重到非常严重问题)。40名住院患者(“无自残对照组”)得分为0(没有问题)或1(不需要采取行动的轻微问题)。最常见的方法是“切割”和“头部撞击”。自残组与对照组在家庭相关因素(如生活状况)、优势与困难问卷(SDQ)测量的心理功能、HoNOSCA总分和性虐待史等方面存在差异。我们的假设是,儿童通过自残来调节自己的情绪,但这一假设没有得到支持。对研究结果的解释以及对研究、干预和预防的影响进行了讨论。
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引用次数: 3
Designing, Implementing and Assessing a Novel Text-MessagingIntervention for an Adolescent Mobile Health Clinic: A CollaborativeApproach 设计、实施和评估青少年移动健康诊所的新型短信干预:一种协作方法
Pub Date : 2016-06-24 DOI: 10.4172/2375-4494.1000299
S. Ammerman, Chris Weiss
Purpose: To determine if a text messaging intervention (TMI) delivering adolescent-relevant health information is feasible and effective at engaging underserved adolescents in a mobile health clinic setting. Methods: Mobile clinic adolescent patients, along with clinic staff, helped develop the text messaging content and format. Patients subsequently received text messages presenting health information in a question-and-answer format for 14 weeks. Participants could reply to receive messages with correct answers and further information. Focus groups and interviews were conducted post-intervention to evaluate messaging functionality and participant engagement. Results: All participants received and replied to texts for the duration of the study, and they reported high levels of engagement with the program. Participant input was instrumental in developing the structure and content of the text messages. Conclusions: TMIs that deliver health-related information are feasible in the mobile health care setting with high levels of engagement by underserved adolescents. Implications and contribution: Underserved adolescents will actively engage in TMI-based interventions aimed at disseminating health-related information, and these interventions have significant potential to increase knowledge and promote health-related behavior change. Moreover, adolescents can (and should) play an integral role in the development of these interventions.
目的:确定短信干预(TMI)提供青少年相关的健康信息是否可行和有效的参与服务不足的青少年在移动卫生诊所设置。方法:移动诊所青少年患者与诊所工作人员共同开发短信内容和格式。随后,患者在14周内收到以问答形式提供健康信息的短信。参加者可回复以收到正确答案及进一步资料的讯息。干预后进行焦点小组和访谈,以评估消息传递功能和参与者参与度。结果:所有参与者在研究期间都收到并回复了文本,他们报告了对该计划的高度参与。参与者的意见有助于发展文本消息的结构和内容。结论:提供健康相关信息的tmi在流动卫生保健环境中是可行的,服务不足的青少年的参与度很高。影响和贡献:得不到充分服务的青少年将积极参与以tmi为基础的干预措施,旨在传播与健康有关的信息,这些干预措施具有增加知识和促进与健康有关的行为改变的巨大潜力。此外,青少年可以(也应该)在制定这些干预措施方面发挥不可或缺的作用。
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引用次数: 0
Problematic Internet Use among Medical School Students in MenoufiaUniversity Egypt 埃及menoufia大学医学院学生的互联网使用问题
Pub Date : 2016-06-17 DOI: 10.4172/2375-4494.1000298
H. Shaheen, T. Farahat, Hala Gaber
Background: The use of computer and internet is increasing day after day. It can lead to a state that appears to be as disorder with wide range of definitions and diagnosis as problematic, pathological internet using up to internet addiction. The purpose of this study: was to estimate the prevalence and risk factors of Pathological internet use among Menoufia medical students and effect on their academic achievement. Method: Case control study nested in cross sectional study was conducted. The estimated sample was 369 students. Predesigned questionnaire used including socioeconomic status, validated twenty questions Young scale to assess the condition of internet using in the last six months, risk factor and the previous students' year result. Result: About 48.5% of students were included in pathological internet user. The main causes for internet using were chatting and games 43.1%. Risk factors were being males, from urban area, middle and high socioeconomic status, availability of internet at home, private laptop and private android mobile were. There was significant negative correlation between problematic internet use and academic achievement. The main predictor of pathological internet use in this study was availability of android mobile. Conclusion: The pathological/problematic internet use was prevalent among 48.5% of the studied students however the students with pathological internet use showed significant better academic grade than the other group. Implications and Contribution: There is wide use of internet for studying activities among medical school students. The use of internet for long period may cause variable degrees of dependence on the computer and internet use. So there is need to study the effect of their use on the academic achievement and weight the benefit to the hazards.
背景:计算机和互联网的使用日益增加。它可能导致一种状态,这种状态似乎与有问题的、病态的网络使用直至网络成瘾一样,具有广泛的定义和诊断。摘要本研究的目的是评估Menoufia医学院学生病理性上网的流行程度、危险因素及其对学业成绩的影响。方法:采用横断面研究嵌套法进行病例对照研究。估计样本为369名学生。使用预先设计的问卷,包括社会经济状况,验证了20个问题的青年量表,以评估过去六个月的互联网使用状况,风险因素和前一年的学生成绩。结果:48.5%的学生属于病理性网络使用者。上网的主要原因是聊天和游戏(43.1%)。男性、来自城市地区、社会经济地位中高、家中是否有互联网、私人笔记本电脑和私人安卓手机是风险因素。不良上网与学业成绩呈显著负相关。在本研究中,病理性互联网使用的主要预测因子是android手机的可用性。结论:病理性/问题性网络使用在48.5%的学生中普遍存在,但病理性网络使用学生的学习成绩明显优于其他组。启示与贡献:医学生广泛使用网际网路进行学习活动。长时间使用互联网可能会导致对计算机和互联网使用的不同程度的依赖。因此,有必要研究它们的使用对学业成绩的影响,并权衡利弊。
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引用次数: 4
Initial Long-Term Findings from a Multimodal Treatment Program forChild Sexual Abuse Victims Demonstrate Reduction of PTSD Frequencyand Symptoms 一项针对儿童性侵受害者的多模式治疗方案的初步长期研究结果表明,创伤后应激障碍的频率和症状有所减少
Pub Date : 2016-06-03 DOI: 10.4172/2375-4494.1000297
Jacqueline Linder, P. Silverstone
It is well recognized that sexually abused children frequently experience long-term negative outcomes including Posttraumatic Stress Disorder (PTSD). To assist victims, a long-term, multimodal approach was developed at the “Be Brave Ranch” (BBR), a treatment facility specifically designed for this program. This paper reports on the initial long-term (1-year) findings from the first 40 children to attend BBR, aged 8-12 (mean age 10.0), of whom 27 were female and 13 were male. While the program remains in progress, here we report here on the results of those who have completed Baseline visits and Assessment #2 at the end of 4-weeks (n=40), those who have completed Assessment #3 at 13-weeks (n=34), those who have completed Assessment #4 at 26-weeks (n=21), and those who have completed Assessment #5, final visit, at 52-weeks (n=14). Of the 40 children who entered the BBR program, two have dropped out, one between Assessment #2 and Assessment #3 and the other between Assessment #3 and Assessment #4. The findings from data collected as part of the standard program demonstrate highly statistically significant reductions in Child Posttraumatic Stress Disorder Symptom Scale (CPSS) scores, which decreased from a mean score at baseline of 20.8 ± 1.4 to a mean of 12.5 ± 2.3 at 52-weeks. There was also a marked reduction in the percentage of children whose scores were above threshold for the diagnosis of PTSD, decreasing from 73% at baseline to 29% at 52-weeks. It should be noted that while much of the reduction in mean CPSS scores occurred in the first 4-weeks, the percentage reduction in those who met criteria for PTSD continued over time. These initial longer-term findings support the utility of this program, but further research is required to determine the potential role of each of the elements of this multimodal program.
众所周知,遭受性虐待的儿童经常经历长期的负面结果,包括创伤后应激障碍(PTSD)。为了帮助受害者,“勇敢牧场”(BBR)开发了一种长期的、多模式的方法,这是一个专门为这个项目设计的治疗设施。本文报告了前40名参加BBR的儿童的初步长期(1年)调查结果,年龄为8-12岁(平均年龄10.0岁),其中27名女性,13名男性。当项目仍在进行时,我们在这里报告在4周结束时完成基线访问和评估#2的患者(n=40),在13周完成评估#3的患者(n=34),在26周完成评估#4的患者(n=21),以及在52周完成评估#5的患者(n=14)的结果。在参加BBR项目的40个孩子中,有两个已经退出,一个在评估2和评估3之间,另一个在评估3和评估4之间。作为标准项目的一部分收集的数据显示,儿童创伤后应激障碍症状量表(CPSS)得分在统计上有显著降低,从基线时的平均得分20.8±1.4下降到52周时的平均得分12.5±2.3。得分高于PTSD诊断阈值的儿童比例也有显著下降,从基线时的73%下降到52周时的29%。值得注意的是,虽然CPSS平均得分的大部分下降发生在前4周,但符合PTSD标准的患者的百分比下降持续时间。这些初步的长期研究结果支持了该项目的实用性,但需要进一步的研究来确定这个多模式项目中每个元素的潜在作用。
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引用次数: 3
The Influence of Self-Disclosure on School-Age Childrens Perceptionsof Children Who Stutter 自我表露对学龄期儿童口吃知觉的影响
Pub Date : 2016-05-30 DOI: 10.4172/2375-4494.1000296
C. Byrd, Zoi Gkalitsiou, Megann McGill, Olivia Reed, E. Kelly
Purpose: The purpose of this study was to investigate whether school-age observer perceptions of children who stutter varied based upon the presence or absence of a self-disclosure statement. The secondary purpose was to determine if school-age observer perceptions were susceptible to the same gender bias observed in adult males versus females who stutter. Method: Observers (N=130) were randomly assigned to view two of four possible videos (i.e., male selfdisclosure, male no self-disclosure, female self-disclosure, and female no self-disclosure). Immediately after viewing both videos, observers completed a survey assessing their perceptions of the speakers. Results: Observers were significantly more likely to select self-disclosure videos as more friendly and they reported being less distracted when they were viewing videos in which the speakers self-disclosed, when controlling for observer and speaker gender. Additionally, when controlling for self-disclosure and observer gender, observers were more likely to choose the female speaker as more friendly and intelligent compared to the male speaker and they were also more likely to select the male speaker as more unfriendly and unintelligent compared to the female speaker. Conclusion: Results from this study lend further support regarding the effectiveness of self-disclosure as a technique that children who stutter can employ in order to positively influence listener perceptions.
目的:本研究的目的是调查学龄观察者对口吃儿童的看法是否会因自我披露陈述的存在或缺失而变化。第二个目的是确定学龄观察者的感知是否容易受到在成年男性和口吃女性中观察到的相同性别偏见的影响。方法:观察者(N=130)被随机分配观看四种可能的视频中的两种(即男性自我表露、男性无自我表露、女性自我表露和女性无自我表露)。观看完这两个视频后,观察者立即完成了一项调查,评估他们对说话者的看法。结果:在控制观察者和说话者性别的情况下,观察者更有可能选择自我披露视频,因为它更友好,而且当他们观看说话者自我披露的视频时,他们报告说他们更少分心。此外,当控制自我表露和观察者性别时,观察者更倾向于选择女性说话者比男性说话者更友好和聪明,他们也更倾向于选择男性说话者比女性说话者更不友好和不聪明。结论:本研究的结果进一步支持了自我表露作为一种技巧的有效性,口吃儿童可以使用它来积极影响听者的感知。
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引用次数: 15
Customer Value of LINE Mobile Services: The Study of Adolescents inThree East Asian Cities LINE移动服务的顾客价值:东亚三个城市青少年的研究
Pub Date : 2016-05-27 DOI: 10.4172/2375-4494.1000294
Y. Wang
Although previous studies on customer satisfaction and loyalty are quite extensive, few have focused on customer value in LINE mobile services (LMSs) and its effect on customers, and the belief transmission mechanism of customer value has been ignored or underestimated. This study used grounded theory to summarize the evidentiary bases and concepts for establishing a conceptual model for an underlying LMSs belief transmission mechanism on the basis of customer value. The results obtained offer three potential contributions: value-driven, situational dynamics, and beliefs transmission. The analysis demonstrated two plausible pathways in beliefs transmission: beliefs adaptation and augmentation, and beliefs adaptation manifested in satisfaction and social exchange. Beliefs augmentation manifested in word-of-mouth, interpersonal network, and demonstrative effects. The pathways associated with customer value modes were uncovered in this study. The findings concerning beliefs transmission mechanism expands literature on the origins of customer value.
虽然以往对顾客满意度和忠诚度的研究相当广泛,但很少有研究关注LINE移动服务中的顾客价值及其对顾客的影响,忽视或低估了顾客价值的信念传递机制。本研究运用扎根理论,总结证据基础和概念,建立基于顾客价值的lms信念传递机制的概念模型。所获得的结果提供了三个潜在的贡献:价值驱动、情境动态和信念传递。分析表明,信念的传递有两种可能的途径:信念适应和增强,以及信念适应表现为满足和社会交换。信念增强表现在口碑效应、人际网络效应和示范效应上。本研究揭示了与顾客价值模式相关的路径。关于信念传递机制的研究结果扩展了关于顾客价值起源的文献。
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引用次数: 0
Associations between Children s Food Preferences and Food Habitstowards Healthy Eating in Japanese Children 日本儿童食物偏好与饮食习惯对健康饮食的影响
Pub Date : 2016-05-24 DOI: 10.4172/2375-4494.1000292
Tomoko Osera, Setsuko Tsutie, Misako Kobayashi, Tetsuya Sato, N. Kurihara
Background: Food-related preferences and practices are essential for nutrition and are formed in early childhood. In this study, we investigated the associations between the frequency of food dislikes of children at 3-5 years old and their attitudes toward healthy eating. Methods: In February 2012, a questionnaire was given to the mothers of 928 children who attended eight kindergartens or nursery facilities in Japan. In the questionnaire, the mothers were asked about their children's food behaviors and attitudes including whether they have disliked food. The mothers also answered the foods that the children disliked, which were chosen from a list of 55 foods. We analyzed the data with the structural equation model to examine the mutual relationships of the questionnaire items. Then, we investigated the association of the frequency of the children's food dislikes with their levels of "respect for food" and "concern about food" on the basis of the results of the structured equation model analysis. Results: The structural equation model showed that "respect for food", "concern about food" and their preferences were classified into the same category. In the model, "respect for food" and "concern about food" and their preferences affected morning habits, sleeping habits, meal preparation, and communication with their family (GFI=0.97; AGFI=0.95; CFI=0.93; RMSEA=0.05). The number of foods disliked by the children significantly decreased according to increasing levels of "respect for food" (p<0.001) and "concern about food" (p<0.001). The ratio of each of the top 10 foods which children disliked decreased significantly as the level of "respect for food" and "concern about food" increased respectively. Conclusion: The present data suggested that the children's "respect for food" and "concern about food" were associated with a decrease in children's food dislikes.
背景:与食物相关的偏好和做法对营养至关重要,并在儿童早期形成。在本研究中,我们调查了3-5岁儿童不喜欢食物的频率与他们对健康饮食的态度之间的关系。方法:2012年2月,对日本8所幼儿园或托儿所的928名儿童的母亲进行问卷调查。在调查问卷中,母亲们被问及她们孩子的饮食行为和态度,包括她们是否不喜欢食物。母亲们还回答了孩子们不喜欢的食物,这些食物是从55种食物中选出的。我们用结构方程模型对数据进行分析,以检验问卷条目之间的相互关系。然后,在结构方程模型分析结果的基础上,研究了儿童不喜欢的食物出现频率与“尊重食物”和“关心食物”水平的关系。结果:结构方程模型显示,“对食物的尊重”、“对食物的关注”及其偏好被归为同一类。在模型中,“对食物的尊重”和“对食物的关心”及其偏好影响了他们的早晨习惯、睡眠习惯、膳食准备和与家人的沟通(GFI=0.97;AGFI = 0.95;CFI = 0.93;RMSEA = 0.05)。随着“对食物的尊重”(p<0.001)和“对食物的关心”(p<0.001)水平的提高,儿童不喜欢的食物数量显著减少。儿童不喜欢的前10种食物的比例分别随着“对食物的尊重”和“对食物的关心”水平的提高而显著下降。结论:儿童的“对食物的尊重”和“对食物的关心”与儿童对食物的厌恶程度的降低有关。
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引用次数: 9
Impact of Dysmenorrhea on Quality of Life of Adolescent Girls ofChandigarh 痛经对昌迪加尔少女生活质量的影响
Pub Date : 2016-05-24 DOI: 10.4172/2375-4494.1000295
A. Ahuja, M. Sharma, Amarjeet Singh
Objective: A study was conducted to ascertain the impact of dysmenorrhea on quality life of adolescent girls of Chandigarh. Methods: Multistage stratified sampling was done and 5 sectors, 5 villages, 5 slums were selected by lottery method. Then from each area 20 respondents were selected by simple random sampling. A Self-designed interview schedule was used to collect data from 300 Adolescent girls (11-18 years) of Chandigarh during January-May 2012. Demographic & family profile, Menstrual history, symptoms of dysmenorrhea, effect of pain on daily activities, Visual analogue scale (VAS) was used to document severity of pain. Results: Majority of girls 184 (61.33%) reported dysmenorrhea. Some of the girls 50 (27%) told that it interfered with their tolerance to stand for long periods whereas one fourth 45 (24.45%) girls said that dysmenorrhea interfered with going to school/office. VAS scale showed that 271 (90.34%) of the girls felt unhappy during menstruation. Conclusion: Dysmenorrhea profoundly affected the Quality of life of adolescent girls.
目的:探讨痛经对昌迪加尔地区少女生活质量的影响。方法:采用多阶段分层抽样方法,采用摇号法抽取5个区、5个村、5个贫民窟。然后采用简单随机抽样的方法从每个区域中抽取20名受访者。2012年1月至5月,采用自行设计的访谈时间表收集昌迪加尔300名青春期女孩(11-18岁)的数据。采用人口统计学和家庭概况、月经史、痛经症状、疼痛对日常活动的影响、视觉模拟量表(VAS)记录疼痛的严重程度。结果:184例(61.33%)女生报告痛经。50名女孩(27%)中的一些人说痛经影响了她们长时间站立的耐受性,而四分之一(24.45%)的女孩说痛经影响了上学/上班。VAS量表显示,271名(90.34%)女生在月经期间感到不愉快。结论:痛经严重影响青春期少女的生活质量。
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引用次数: 16
Parent-Child Interaction Therapy: Case Study of Application to aParentally Bereaved Child 亲子互动治疗:应用于丧亲儿童的个案研究
Pub Date : 2016-05-24 DOI: 10.4172/2375-4494.1000293
R. Franke
Parent-Child Interaction Therapy (PCIT) is an empirically supported therapy used to treat young children with behavior problems. The literature on parentally bereaved children indicates that they are at an increased risk for behavior problems and psychopathology. There is minimal literature to describe the efficacy of current intervention programs in reducing this risk for children under the age of 6 years. PCIT is designed to improve the quality of the parent child relationship and increase the parents’ use of effective discipline; two factors which are strongly correlated with decreased risk for psychopathology. This article presents a case study describing the use of PCIT with a parentally bereaved preschool child experiencing behavioral problems and symptoms of depression. At the end of treatment the child’s behavior had significantly improved and symptoms of depression were no longer observed. These findings suggest that PCIT may be an effective therapy for reducing the risk of behavior problems and psychopathology in young children.
亲子互动疗法(PCIT)是一种经验支持的治疗幼儿行为问题的疗法。关于父母失去亲人的孩子的文献表明,他们的行为问题和精神病理的风险增加。很少有文献描述当前干预方案在降低6岁以下儿童这种风险方面的有效性。PCIT旨在改善亲子关系的质量,并增加父母对有效管教的使用;这两个因素与降低精神病理风险密切相关。这篇文章提出了一个案例研究,描述了使用PCIT与父母失去的学龄前儿童经历行为问题和抑郁症状。在治疗结束时,孩子的行为有了显著的改善,抑郁的症状不再被观察到。这些发现表明PCIT可能是一种有效的治疗方法,可以降低幼儿行为问题和精神病理的风险。
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引用次数: 2
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Journal of child and adolescent behavior
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