The efficacy of problem-solving communication training alone, behavior management training alone, and their combination for parent-adolescent conflict in teenagers with ADHD and ODD
The efficacy of problem-solving communication training alone, behavior management training alone, and their combination for parent-adolescent conflict in teenagers with ADHD and ODD
复制标题
DOI：
10.1037//0022-006x.69.6.926
复制
发表时间：
2001-12-01
影响因子：
5.9
通讯作者：
Metevia, L
中科院分区：
文献类型：
--
作者：
Barkley, RA;Edwards, G;Metevia, L
两种家庭疗法对患有注意力缺陷/多动障碍的青少年进行了比较。97个家庭分别接受18个单独的问题解决沟通训练（PSCT）或9个单独的行为管理训练（BMT）和9个单独的PSCT （BMT/PSCT）。两种治疗方法在中点的亲子冲突评分上都有显著改善，但没有差异。通过后处理，两者在评分和观察上都有改善，但没有差异。单独退出PSCT的家庭明显多于退出BMT/PSCT的家庭。最多23%的家庭在中点或治疗后表现出可靠的变化，治疗之间没有差异。然而，31%-70%的家庭是正常的。组水平的变化和正常化率支持治疗效果，而可靠变化指数则不那么令人印象深刻。
Two family therapies were compared using teens with attention-deficit/hyperactivity disorder. Ninety-seven families were assigned to either 18 sessions of problem-solving communication training (PSCT) alone or behavior management training (BMT) for 9 sessions followed by PSCT for 9 sessions (BMT/PSCT). Both treatments demonstrated significant improvement in ratings of parent-teen conflicts at the midpoint but did not differ. By posttreatment, both produced improvement on ratings and observations but did not differ. Significantly more families dropped out of PSCT alone than out of BMT/PSCT. At most, 23% of families showed reliable change either by midpoint or by posttreatment, with no differences between therapies. Yet 31%-70% of families were normalized. Group-level change and normalization rates support treatment efficacy, whereas indices of reliable change are less impressive.