Positive Family Intervention for Severe Challenging Behavior I
Positive Family Intervention for Severe Challenging Behavior I
复制标题
对严重挑战行为的积极家庭干预 I
DOI：
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发表时间：
2012
期刊：
影响因子：
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通讯作者：
Melissa L. Rinaldi
中科院分区：
文献类型：
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作者：
V. Durand;Meme Hieneman;Shelley Clarke;Mo Wang;Melissa L. Rinaldi
本研究是一项多中心随机临床试验，评估在积极行为支持（PBS）中添加认知行为干预的效果。54个符合以下标准的家庭：（a）有一个发育障碍的孩子，（B）孩子表现出严重的挑战性行为（例如，攻击，自伤，发脾气），和（c）得分高的父母悲观的措施被随机分配到PBS干预或PBS和乐观的父母（积极的家庭干预[PFI]）的组合。两种干预措施的手动方法用于每周8次的单独会议。两组在父母的悲观情绪得分以及标准化测量和对儿童挑战行为的直接观察方面都有所改善。与单独使用PBS组相比，PFI干预显著改善了独立行为量表修订版的一般适应不良指数评分。在两种不同的方法中没有观察到损耗的差异。重要的是，通过以诊所为基础的方法，儿童在家中的行为得到了显着改善。与家庭谁可能不太可能受益于家长培训的影响进行了讨论。
The present study was a multisite randomized clinical trial assessing the effects of adding a cognitive-behavioral intervention to positive behavior support (PBS). Fifty-four families who met the criteria of (a) having a child with a developmental disability, (b) whose child displayed serious challenging behavior (e.g., aggression, self-injury, tantrums), and (c) who scored high on a measure of parental pessimism were randomly assigned to either PBS intervention or a combination of PBS and optimism training for parents (positive family intervention [PFI]). A manualized approach to both interventions was used for eight weekly individual sessions. Both groups improved in scores of parental pessimism as well as on standardized measures and direct observations of child challenging behavior. The PFI intervention resulted in significantly improved scores on the General Maladaptive Index of the Scales of Independent Behavior–Revised when compared with the PBS alone group. No differences in attrition were observed across the two different approaches. Importantly, significant improvements in child behavior at home were achieved through a clinic-based approach. Implications for working with families who may be less likely to benefit from parent training are discussed.
影响因子：
5.9
作者：
JACOBSON, NS;TRUAX, P
通讯作者：
TRUAX, P