Parent-Child Interaction Therapy for Children Born Premature: A Case Study and Illustration of Vagal Tone as a Physiological Measure of Treatment Outcome.
Parent-Child Interaction Therapy for Children Born Premature: A Case Study and Illustration of Vagal Tone as a Physiological Measure of Treatment Outcome.
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DOI：
10.1016/j.cbpra.2009.05.002
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发表时间：
2009-11-01
影响因子：
2.9
通讯作者：
Lester BM
中科院分区：
文献类型：
--
作者：
Bagner DM;Sheinkopf SJ;Miller-Loncar CL;Vohr BR;Hinckley M;Eyberg SM;Lester BM
文献中尚未报道针对早产儿外化行为问题的循证心理社会干预措施。本单一案例研究描述了对一名胎龄29周出生、体重1020克、23个月大且存在严重外化行为问题的儿童进行的亲子互动治疗（PCIT）。治疗结果通过母婴功能的标准测量、亲子互动的观察测量以及用于评估儿童副交感神经控制的心率变异性（即迷走神经张力）的生理测量进行评估。治疗后，母亲对儿童行为问题以及自身压力和抑郁症状的报告有所减少。行为观察显示养育方式和儿童的依从性有所改善，迷走神经张力也有类似的提高。结果表明，PCIT对于有外化行为问题的早产儿是一种有前景的心理社会干预措施，并且迷走神经张力可能是一种有用的治疗结果测量指标。
Evidence-based psychosocial interventions for externalizing behavior problems in children born premature have not been reported in the literature. This single-case study describes Parent-Child Interaction Therapy (PCIT) with a 23-month-old child born at 29 weeks gestation weighing 1,020 grams, who presented with significant externalizing behavior problems. Treatment outcome was assessed using standard measures of maternal and child functioning and observational measures of the parent-child interaction, as well as a physiological measure of heart rate variability (i.e., vagal tone) used to assess parasympathetic control in the child. Maternal reports of child behavior problems and their own stress and depressive symptoms decreased after treatment. Behavioral observations demonstrated improved parenting practices and child compliance, and vagal tone showed comparable increases as well. Results suggest that PCIT is a promising psychosocial intervention for children born premature with externalizing behavior problems, and that vagal tone may be a useful measure of treatment outcome.
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发表时间：
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