Effects of Parent Skills Training with Behavioral Couples Therapy for alcoholism on children: a randomized clinical pilot trial.
Effects of Parent Skills Training with Behavioral Couples Therapy for alcoholism on children: a randomized clinical pilot trial.
复制标题
父母技能培训与行为夫妻疗法对儿童酗酒的影响：一项随机临床试点试验。
DOI：
10.1016/j.addbeh.2008.04.002
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发表时间：
2008
影响因子：
4.4
通讯作者：
Kelley,MichelleL
中科院分区：
文献类型：
--
作者：
Lam,WendyK;Fals-Stewart,William;Kelley,MichelleL
本研究考察了父母技能训练结合行为夫妻疗法对儿童行为功能的初步影响。参与者为进入门诊酒精治疗的男性（N=30）、他们的女性伴侣和一名8至12岁的被监护儿童。夫妇被随机分配到三种同样强化的条件之一：(a)父母技能与行为夫妻治疗（PSBCT）， (b) BCT（没有父母培训），以及(c)基于个人的治疗（IBT，没有基于夫妇或父母技能的干预）。父母在治疗前、治疗后、6个月和12个月随访时完成儿童外化和内化行为测量；儿童在每次评估时完成内化症状的自我报告。在12个月的随访中，只有PSBCT参与者报告了所有儿童测量指标的显著影响。从基线到随访，PSBCT对儿童功能的影响相对于IBT有中等到较大的影响，相对于BCT有中等到较小的影响。效应量表明，PSBCT与BCT和IBT之间存在临床意义上的差异，值得进一步实证评估BCT与父母培训对酗酒男性及其伴侣的影响。
This pilot study examined preliminary effects of Parent Skills Training with Behavioral Couples Therapy on children's behavioral functioning. Participants were men (N=30) entering outpatient alcohol treatment, their female partners, and a custodial child between 8 and 12 years of age. Couples were randomly assigned to one of three equally intensive conditions: (a) Parent Skills with Behavioral Couples Therapy (PSBCT), (b) BCT (without parent training), and (c) Individual-Based Treatment (IBT; without couples-based or parent skills interventions). Parents completed measures of child externalizing and internalizing behaviors at pretreatment, posttreatment, 6- and 12-month follow up; children completed self-reports of internalizing symptoms at each assessment. Only PSBCT participants reported significant effects on all child measures throughout the 12-month follow up. PSBCT showed medium to large effects in child functioning relative to IBT, and small to medium effects relative to BCT from baseline through follow up. Effect sizes suggest clinically meaningful differences between PSBCT and both BCT and IBT that warrant further empirical evaluation of BCT with parent training for alcohol-abusing men and their partners.