Problem-solving skills training and relationship therapy in the treatment of antisocial child behavior.
Problem-solving skills training and relationship therapy in the treatment of antisocial child behavior.
复制标题
治疗反社会儿童行为的问题解决技能培训和关系治疗。
DOI：
10.1037//0022-006x.55.1.76
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发表时间：
1987
影响因子：
5.9
通讯作者：
Unis,AS
中科院分区：
文献类型：
--
作者：
Kazdin,AE;Esveldt-Dawson,K;French,NH;Unis,AS
本研究评价认知-行为问题解决技能训练(PSST)和非直接关系疗法(RT)治疗儿童反社会行为的效果。精神科住院儿童(N=56，年龄7-13岁)被随机分配到Psst、RT或治疗-接触控制条件(其中儿童单独会见治疗师，但不参与旨在改变反社会行为的特定活动)。儿童在接受治疗期间住院，此后出院。与RT和接触控制条件相比，Psst条件下的外在行为和攻击性行为以及家庭和学校的总体行为问题显著减少，亲社会行为和总体适应能力增加。这些效果在治疗后和一年的随访中立即明显。RT组和对照组儿童在治疗和随访期内并没有持续改善。与非临床(正常)功能水平的比较显示，与其他条件下的儿童相比，Psst儿童在治疗后和随访时显著更高的比例落在亲社会行为的正常范围内。尽管如此，大多数Psst儿童和几乎所有RT和对照儿童仍然处于越轨行为的标准范围之外。研究结果对反社会青年的进一步研究具有重要意义。(参考文献31)(《心理信息组织数据库记录》(C)2016年《行政程序法》，版权所有)
The present investigation evaluated the effects of cognitive-behavioral problem-solving skills training (PSST) and nondirective relationship therapy (RT) for the treatment of antisocial child behavior. Psychiatric inpatient children (N= 56, ages 7–13) were assigned randomly either to PSST, RT, or to a treatment-contact control condition (in which children met individually with a therapist but did not engage in specific activities designed to alter antisocial behavior). Children were hospitalized during the period in which treatment was administered and discharged thereafter. The PSST condition led to significantly greater decreases in externalizing and aggressive behaviors and in overall behavioral problems at home and at school and to increases in prosocial behaviors and in overall adjustment than the RT and contact-control conditions. These effects were evident immediately after treatment and at a 1-year follow-up. The RT and control children did not consistently improve over the treatment and follow-up periods. Comparisons with nonclinical (normative) levels of functioning revealed that a significantly higher proportion of PSST children, compared with those in other conditions, fell within the normative range for prosocial behavior at posttreatment and at follow-up. Even so, the majority of PSST children and almost all RT and control children remained outside the normative range of deviant behavior. The implications of the results for further research for antisocial youth are highlighted.(31 ref)(PsycINFO Database Record (c) 2016 APA, all rights reserved)