Evidence-Based Parenting Interventions to Promote Secure Attachment: Findings From a Systematic Review and Meta-Analysis.
Evidence-Based Parenting Interventions to Promote Secure Attachment: Findings From a Systematic Review and Meta-Analysis.
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DOI：
10.1177/2333794x16661888
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发表时间：
2016
影响因子：
2.2
通讯作者：
Edginton E
中科院分区：
文献类型：
--
作者：
Wright B;Edginton E
临床实践中使用各种干预措施来解决不安全或混乱的依恋模式和依恋障碍。其中最常见的是育儿干预措施，但并非所有干预措施都有可靠的经验证据基础。我们对随机试验进行了系统回顾，比较了育儿干预措施与对照，其中使用了经过验证的依恋工具，以评估旨在改善患有严重依恋问题的儿童（平均年龄<13岁）依恋的干预措施的临床和成本效益。本文旨在向临床医生介绍我们系统评价中包含的育儿干预措施，这些干预措施在临床上可有效促进安全依恋。为了完整起见，我们还简要讨论了没有随机对照试验证据的其他干预措施，这些干预措施是在我们的审查完成时在患者公众参与研讨会和专家组中确定的，被使用或推荐。我们概述了我们的研究结果对临床实践和未来研究的主要影响。
Various interventions are used in clinical practice to address insecure or disorganized attachment patterns and attachment disorders. The most common of these are parenting interventions, but not all have a robust empirical evidence base. We undertook a systematic review of randomized trials comparing a parenting intervention with a control, where these used a validated attachment instrument, in order to evaluate the clinical and cost-effectiveness of interventions aiming to improve attachment in children with severe attachment problems (mean age <13 years). This article aims to inform clinicians about the parenting interventions included in our systematic review that were clinically effective in promoting secure attachment. For completeness, we also briefly discuss other interventions without randomized controlled trial evidence, identified in Patient Public Involvement workshops and expert groups at the point our review was completed as being used or recommended. We outline the key implications of our findings for clinical practice and future research.