针对多动症儿童家长的行为家长培训计划能否改善结果?试点项目。

Tracie Clark Morgan, Louise C O'Keefe
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引用次数: 0

摘要

注意力缺陷多动障碍(ADHD)是儿童时期最常见的慢性神经行为障碍。研究表明,在有多动症儿童的家庭中,亲子间的冲突会增加。证据表明,儿童行为问题与父母的养育方式有关。行为父母训练(BPT)是一种基于证据的干预措施,被推荐用于治疗多动症。建议将 BPT 作为六岁以下多动症儿童的一线治疗方法,并作为六岁以上儿童的综合治疗方法。事实证明,BPT 方案能明显改善与多动症相关的注意力不集中、多动和冲动等问题行为。在评估 BPT 计划的疗效时,使用了 BPT 前和 BPT 后家长评分表以及范德比尔特多动症家长和教师诊断评分表。计算了每位参与者在 BPT 前和 BPT 后的百分比变化。父母教养量表总分和过度反应因子分在 BPT 后有显著改善(p = .05)。参加 BPT 计划可以影响父母的养育方式,并改善多动症儿童的治疗效果。BPT 计划能有效减少消极的养育方式,并改善这一人群的结果。
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Does a Behavioral Parent Training Program for Parents of ADHD Children Improve Outcomes? A Pilot Project.

Attention Deficit Hyperactivity Disorder (ADHD) is the most common chronic neurobehavioral disorder of childhood. Research suggests increased parent-child conflict exists in families with an ADHD child. The evidence indicates links between child behavior problems and parenting practices. Behavioral Parent Training (BPT) is an evidence-based intervention recommended for the treatment of ADHD. BPT is recommended as first-line treatment in ADHD children under age six and as a combination treatment approach for children older than the age six. BPT programs have demonstrated significant improvement in frequency of the problem behaviors of inattention, hyperactivity, and impulsivity associated with ADHD. Pre- and Post-BPT Parenting Scales and Vanderbilt ADHD Diagnostic Rating Scales for Parents and Teachers were used to evaluate the efficacy of the BPT program. Percent changes for each participant pre- and post-BPT were calculated. The Parenting Scale overall score and overreactivity factor score showed significant improvement post-BPT (p = .05). Participation in a BPT program can affect parenting practices and improve outcomes for ADHD children. BPT programs are effective in reducing negative parenting practices and improving outcomes for this population.

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