Clinical monitoring of treatment course in child physical abuse: Psychometric characteristics and treatment comparisons
Clinical monitoring of treatment course in child physical abuse: Psychometric characteristics and treatment comparisons
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DOI：
10.1016/0145-2134(95)00113-1
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发表时间：
1996-01-01
影响因子：
4.8
通讯作者：
Kolko, DJ
中科院分区：
文献类型：
--
作者：
Kolko, DJ
从被随机分配到个别儿童和父母认知行为治疗（CBT）或家庭治疗（FT）的身体虐待的学龄儿童及其父母/监护人那里获得了旨在监测治疗过程的高风险指标的每周报告。父母的愤怒和身体的纪律/武力，和家庭问题的措施，获得每届会议。这些措施表明，中度稳定性和亲子对应。在两名举报人的报告中，分别有20%和23%承认在治疗的早期和晚期阶段有高水平的身体纪律/武力，更高比例的病例报告了父母的愤怒和家庭问题。早期治疗报告，从两个线人预测后期报告，但只有父母的报告与有效性措施。父母的愤怒和身体纪律/力量的整体水平在CBT比FT家庭低，虽然每个组都显示出这些项目从早期到后期的治疗会议减少。常规监测干预过程中的临床过程的重要性，特别是在确定的情况下，在再滥用的风险，进行了讨论。
Weekly reports of high-risk indicators designed to monitor the course of treatment were obtained from physically abused, school-aged children and their parents/guardians who were randomly assigned to Individual Child and Parent Cognitive-Behavioral Treatment (CBT) or Family Therapy (FT). Measures of parental anger and physical discipline/force, and family problems were obtained each session. The measures showed moderate stability and parent-child correspondence. Between 20% and 23% of the two informant's reports acknowledged high levels of physical discipline/force during the early and late phases of treatment, respectively, and an even higher percentage of cases reported heightened parental anger and family problems. Early treatment reports from both informants predicted late period reports, but only parent reports were related to validity measures. The overall levels of parental anger and physical discipline/force were lower in CBT than FT families, though each group showed a reduction on these items from the early to late treatment sessions. The importance of routine monitoring of clinical course during intervention, especially in the identification of cases at-risk of reabuse, is discussed.