Sustained remission of child depression despite drift in parent emotion management skills 18 weeks following Parent Child Interaction Therapy: emotion development.
Sustained remission of child depression despite drift in parent emotion management skills 18 weeks following Parent Child Interaction Therapy: emotion development.
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在亲子互动疗法18周后，尽管家长的情绪管理技能出现偏差，但儿童抑郁症仍持续缓解：情绪发展。
DOI：
10.1007/s00787-020-01522-7
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发表时间：
2021-03
影响因子：
6.4
通讯作者：
Barch DM
中科院分区：
文献类型：
--
作者：
Luby J;Donohue MR;Gilbert K;Tillman R;Barch DM
心理疗法对抑郁症的疗效在治疗后是否持续是一个重要的临床问题。对于年龄较大的抑郁儿童和青少年，此类治疗已被证明能持续数月。在一项大规模研究中，缓解率在3个月到1年期间从62% - 69%不等。到目前为止，尚无数据表明学龄前抑郁症早期干预的效果是否持续。
为了解决这个问题，我们使用了一项针对抑郁症的新型早期干预（名为“亲子互动治疗情绪发展”）的随机对照试验的数据，该干预已显示对抑郁症、养育压力和养育方式有效。参与者及其照顾者在治疗完成18周后接受了重新评估。在收集数据之前，所有研究程序都经过了华盛顿大学医学院内部审查委员会的批准。
研究结果表明，在一群幼儿中完成亲子互动治疗情绪发展（PCIT - ED）试验18周后，抑郁症缓解、养育压力降低和父母抑郁情况持续改善的比率很高。父母对孩子情绪表达的反应这一关键治疗目标在3个月后回落到基线水平。复发率为17%，复发的预测因素包括存在外化障碍、共病障碍数量较多以及在治疗完成时测量到的内疚修复和情绪调节较差。
这扩充了相关文献，表明亲子互动治疗（PCIT）对幼儿抑郁症的目标性破坏症状具有持续影响。18周后的这种相对较低的复发率与许多针对年龄较大儿童的经实证验证的抑郁症治疗方法相当或更好。
Whether effects of psychotherapies for depression are sustained after treatment is an important clinical issue. In older depressed children and adolescents such treatments have been shown to be sustained for several months. Rates of remission ranged from 62–69% at 3 months to 1 year in one large scale study. To date there has been no data to inform whether the effects of earlier interventions for depression in the preschool period are sustained. To address this, we used data from a randomized controlled trial of a novel early intervention for depression called “Parent Child Interaction Therapy Emotion Development” that has shown efficacy for depression, parenting stress and parenting practices. Participants and their caregivers were re-assessed 18 weeks after treatment completion. All study procedures were approved by the Washington University School of Medicine Internal Review Board prior to data collection. Study findings demonstrated a high rate of sustained gains in remission from depression, decreased parenting stress and parental depression 18 weeks after completion of a trial of PCIT-ED in a population of young children. Parental response to the child expression of emotion, a key treatment target drifted back towards baseline after 3 months. Relapse rates were 17% and predictors of relapse were the presence of an externalizing disorder, a higher number of co-morbid disorders and poorer guilt reparation and emotion regulation measured at treatment completion. This extends the body of literature demonstrating PCIT to have sustained effects on targeted disruptive symptom profiles to early childhood depression. This relatively low relapse rate after 18 weeks is comparable or better than many empirically proven treatments for depression in older children.
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DOI：
10.1176/appi.ajp.2012.12020268
发表时间：
2012-11
期刊：
The American journal of psychiatry
影响因子：
--
作者：
Bufferd SJ;Dougherty LR;Carlson GA;Rose S;Klein DN
通讯作者：
Klein DN
影响因子：
--
作者：
Birmaher, B;Brent, DA;Ulloa, RE
通讯作者：
Ulloa, RE
影响因子：
0.5
作者：
Eyberg, SM;Funderburk, BW;Hood, KK
通讯作者：
Hood, KK
影响因子：
0.5
作者：
Boggs, SR;Eyberg, SM;Hood, KK
通讯作者：
Hood, KK
治疗高风险家庭中的儿童破坏性行为：基于社区实施的比较有效性试验。
影响因子：
2.1
作者：
Abrahamse ME;Junger M;van Wouwe MA;Boer F;Lindauer RJ
通讯作者：
Lindauer RJ