Toward evidence-based treatment: Child-parent psychotherapy with preschoolers exposed to marital violence
Toward evidence-based treatment: Child-parent psychotherapy with preschoolers exposed to marital violence
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DOI：
10.1097/01.chi.0000181047.59702.58
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发表时间：
2005-12-01
影响因子：
13.3
通讯作者：
Ippen, CG
中科院分区：
文献类型：
--
作者：
Lieberman, AF;Van Horn, P;Ippen, CG
目的：评估学龄前儿童婚姻暴力的治疗效果，比较亲子心理治疗（CPP）与个案管理加社区常规治疗的效果。方法：75名来自不同社会经济背景的多民族学龄前母亲被随机分配到(1)CPP组或(2)病例管理加社区转诊个体化治疗组。CPP包括每周一次的亲子会议，为期一年，通过使用治疗手册和强化培训和监督来监测其完整性。家长填写儿童行为检查表，并参加DC:0-3的结构化临床访谈，评估儿童的情绪和行为问题以及创伤后应激障碍（PTSD）症状。母亲们完成了症状检查表-90和临床医生管理的创伤后应激障碍量表访谈，以评估他们的一般精神和创伤后应激障碍症状。结果：重复测量方差分析证实了CPP在组x时间交互作用下对儿童总体行为问题、创伤应激症状、诊断状态、母亲回避症状的有效性，以及组x时间交互作用对母亲创伤后应激障碍症状和一般痛苦的趋势。结论：研究结果为CPP对这一人群的疗效提供了证据，并强调了关系焦点在治疗创伤学龄前儿童中的重要性。
Objective: Treatment outcome for preschool-age children exposed to marital violence was assessed, comparing the efficacy of Child-Parent Psychotherapy (CPP) with case management plus treatment as usual in the community. Method: Seventy-five multiethnic preschool mother dyads from diverse socioeconomic backgrounds were randomly assigned to (1) CPP or (2) case management plus community referral for individual treatment. CPP consisted of weekly parent-child sessions for 1 year monitored for integrity with the use of a treatment manual and intensive training and supervision. Parents completed the Child Behavior Checklist and participated in the Structured Clinical Interview for DC:0-3 to assess children's emotional and behavioral problems and posttraumatic stress disorder (PTSD) symptoms. Mothers completed the Symptom Checklist-90 and the Clinician Administered PTSD Scale interview to assess their general psychiatric and PTSD symptoms. Results: Repeated-measures analysis of variance demonstrated the efficacy of CPP with significant group x time interactions on children's total behavior problems, traumatic stress symptoms, and diagnostic status, and mothers' avoidance symptoms and trends toward significant group x time interactions on mothers'PTSD symptoms and general distress. Conclusions: The findings provide evidence of the efficacy of CPP with this population and highlight the importance of a relationship focus in the treatment of traumatized preschoolers.