A controlled evaluation of a brief parenting psychoeducation intervention in Burundi
A controlled evaluation of a brief parenting psychoeducation intervention in Burundi
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DOI：
10.1007/s00127-012-0630-6
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发表时间：
2013-11-01
影响因子：
4.4
通讯作者：
Komproe, I. H.
中科院分区：
文献类型：
--
作者：
Jordans, M. J. D.;Tol, W. A.;Komproe, I. H.
行为问题和精神痛苦已被确定为战后布隆迪儿童和青少年的主要问题。本研究采用前后对照的研究设计，旨在探讨父母心理教育干预对儿童心理健康的影响。两次心理教育干预提供给儿童（平均年龄12.3岁，60.8%为女性）的父母群体，这些儿童已被筛选为心理社会压力升高。将干预组（n = 58）的儿童与等待名单对照组（n = 62）进行比较。结果指标包括儿童报告的攻击水平（使用攻击问卷），抑郁症状（使用抑郁自评量表）和感知的家庭社会support.The干预有减少行为问题的有益效果相比，控制条件（科恩d = 0.60），特别是在男孩，而不显示对抑郁症状或家庭社会支持的影响。家长积极评价干预措施，提高认识的积极育儿策略和适当的纪律技术报告为最常见的learningpoints.A简短的育儿心理教育干预由外行社区辅导员进行是一个有前途的公共卫生策略，在处理广泛的行为问题，在男孩生活在暴力影响的设置，而不是这样的社会和情感指标和女孩。有必要进行一项疗效研究来证实这些初步发现。
Conduct problems and emotional distress have been identified as key problems among children and adolescents in post-war Burundi. This pilot study aims to evaluate the impact of a brief parenting psychoeducation intervention on children's mental health.This study employs a controlled pre and post evaluation design. The two-session psychoeducation intervention was offered to groups of parents of children (mean age 12.3 years, 60.8 % female) who had been screened for elevated psychosocial distress. Children in the intervention group (n = 58) were compared to a waitlist control group (n = 62). Outcome indicators included child-reported levels of aggression (using the Aggression Questionnaire), depression symptoms (using the Depression Self Rating Scale) and perceived family social support.The intervention had a beneficial effect on reducing conduct problems compared to the control condition (Cohen d = 0.60), especially among boys, while not showing impact on depression symptoms or family social support. Parents evaluated the intervention positively, with increased awareness of positive parenting strategies and appropriate disciplinary techniques reported as the most common learning points.A brief parenting psychoeducation intervention conducted by lay community counselors is a promising public health strategy in dealing with widespread conduct problems in boys living in violence-affected settings and not so for social and emotional indicators and for girls. An efficacy study is warranted to confirm these preliminary findings.