儿童辩证行为疗法:家长技能培训小组试点研究

Marit Coldevin, Maia Daasvand Skyberg, Solveig M. Kirchhofer, Per Martin Løken, Synne Jenssen, Jan Stubberud
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摘要

背景和目的:本试验性研究的总体目标是考察家长在参加儿童辩证行为疗法(DBT-C)技能培训小组后如何报告治疗结果。DBT-C是为满足严重情绪失调儿童的治疗需求而开发的。据我们所知,这是世界上第一项探索家长参加 DBT-C 技能培训小组治疗效果的研究。方法和结果:这项受试者内研究的样本包括门诊样本中 23 名儿童的家长,这些儿童的年龄在 8 到 13 岁之间(Mdn = 11,74% 为男孩)。研究结果的衡量标准是艾伯格儿童行为量表(ECBI),比较干预前后的得分,并对干预的可行性和接受度进行评估。结果表明,干预后,破坏性行为的频率(ECBI 强度)降低了(t(21) = 5.127,p < .001),家长认为孩子行为麻烦的程度(ECBI 问题)降低了(t(19) = 2.714,p = .014)。结论:由于样本量较小和缺乏对照组,本试验性研究显示,有初步证据表明,针对家长的 DBT-C 技能培训小组可减少情绪失调儿童的行为问题。迄今为止,关于 DBT-C 有益效果的研究很少,本研究为这方面的研究做出了贡献,并为进一步研究该治疗方法铺平了道路。关键词DBT-C、DMDD、技能培训小组、家长干预、破坏性行为
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Dialektisk atferdsterapi for barn: En pilotstudie av ferdighetstreningsgrupper for foreldre
Background and purpose: The overall aim of the present pilot study was to examine how parents report treatment outcomes after participating in skill training groups in dialectical behaviour therapy for children (DBT-C). DBT-C was developed to meet the therapeutical needs of children with severe emotional dysregulation. To our knowledge, this is the first study in the world to explore treatment outcomes of skill training groups for parents in DBT-C. Methods and results: The sample in this within-subjects study consisted of parents of 23 children from an outpatient sample aged between eight and 13 years (Mdn = 11, 74% boys). The outcome measures were the Eyberg Child Behaviour Inventory (ECBI), comparing scores pre- and post-intervention, and an evaluation of the perceived feasibility and acceptance of the intervention. Findings indicated a reduction in the frequency of disruptive behaviours (ECBI Intensity) (t(21) = 5.127, p < .001) and in the extent to which the parent finds the child’s behaviour troublesome (ECBI Problem) (t(19) = 2.714, p = .014) following intervention. Conclusion: With reservations for the small sample size and the lack of a control group, the present pilot study shows preliminary evidence that DBT-C skill training groups for parents reduce behavioural problems in children with emotional dysregulation. The study contributes to the scant research conducted to date on the promising effects of DBT-C and paves the way for further research of the treatment method. Keywords: DBT-C, DMDD, skill training groups, parent intervention, disruptive behaviour
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