Cognitive-behavioral therapy and relationship therapy in the treatment of children referred for antisocial behavior.
Cognitive-behavioral therapy and relationship therapy in the treatment of children referred for antisocial behavior.
复制标题
认知行为疗法和关系疗法治疗因反社会行为而转介的儿童。
DOI：
10.1037//0022-006x.57.4.522
复制
发表时间：
1989
影响因子：
5.9
通讯作者：
Thomas,C
中科院分区：
文献类型：
--
作者：
Kazdin,AE;Bass,D;Siegel,T;Thomas,C
本研究评估了儿童（N= 112，7-13岁）严重反社会行为的替代治疗。儿童被随机分配到三种治疗中的一种：问题解决技能训练（PSST），问题解决技能训练与体内实践（PSST-P），其中包括治疗计划的活动，将训练扩展到治疗之外的环境，或以客户为中心的关系治疗（RT）。PSST和PSST-P儿童表现出显着更大的减少反社会行为和整体行为问题，更大的增加亲社会行为比RT儿童。这些影响是显而易见的措施后立即获得治疗和一年的后续行动，并在家里和学校的儿童表现的措施。PSST-P儿童在治疗后的学校功能指标方面比PSST儿童表现出更大的变化，但这些差异在随访时不再明显。在这两种PSST条件下的儿童表现出显着减少越轨行为和改善亲社会行为从治疗前到随访，而RT儿童往往保持在他们的治疗前水平的功能。尽管有显著的改善，与非临床（规范）样本的比较显示，大多数青年仍然在正常范围外的越轨行为。可能的方向，以改善治疗反社会青年强调。
The present study evaluated alternative treatments for children (N= 112, ages 7-13) referred for severe antisocial behavior. Children were randomly assigned to one of three treatments: problemsolving skills training (PSST), problem-solving skills training with in vivo practice (PSST-P), which included therapeutically planned activities to extend training to settings outside of treatment, or client-centered relationship therapy (RT). PSST and PSST-P children showed significantly greater reductions in antisocial behavior and overall behavior problems, and greater increases in prosocial behavior than RT children. These effects were evident on measures obtained immediately after treatment and at a I-year follow-up, and on measures of child performance at home and at school. PSST-P children showed greater changes than PSST children on measures of functioning at school at posttreatment, but these differences were no longer evident at follow-up. Children in both PSST conditions showed significant reductions in deviant behavior and improvements in prosocial behavior from pretreatment to follow-up, whereas RT children tended to remain at their pretreatment level of functioning. Notwithstanding the significant improvements, comparisons with nonclinic (normative) samples revealed that the majority of youth remained outside of the normal range of deviant behavior. Possible directions for improving treatment for antisocial youth are highlighted.