NEW TREATMENT DELIVERY MODEL FOR ANTISOCIAL CHILDREN

针对反社会儿童的新治疗模式

• 批准号: 2723733
• 负责人: ALAN KAZDIN
• 金额: $ 27.07万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 1998
• 资助国家: 美国
• 起止时间: 1998-12-01 至 2001-11-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/2723733
• 关键词: antisocial personality; behavioral /social science research tag; child mental health service; clinical research; combination therapy; conduct disorder; family structure /dynamics; family therapy; health care model; health care service utilization; health services research tag; human subject; human therapy evaluation; longitudinal human study; mental disorder prevention; middle childhood (6-11); outcomes research; parents; problem solving; psychological stressor; therapy compliance

The goal of this study is to improve the effectiveness of treatment of children referred for conduct disorder (aggressive and antisocial behavior). This goal is achieved by: 1) identifying key child, parent, and family domains that moderate the effectiveness of treatment, and 2) testing a new model of providing after-care once treatment is terminated. Child functioning and impairment, parent dysfunction and stress, and the ways in which families experience treatment are three domains that are predicted to moderate the effectiveness of treatment. The after-care program consists of systematically monitoring children and families and providing periodic treatment sessions, as needed. The purpose is to maintain treatment gains, to prevent relapse, and to reduce the need for and use of additional services following treatment. Children (N=160, ages 6-12) referred to outpatient treatment for conduct disorder will receive treatment, which includes the combination of problem-solving skills training and parent management training. After an initial treatment period, families will be randomly assigned to receive or not to receive a 12-month after-care program. The major predictions of the study are that: 1) responsiveness to treatment will be influenced by adversity in three domains (child dysfunction and impairment, parent dysfunction and stress, and barriers to participation in treatment); 2) children who receive the after-care program will show greater improvement than those who do not receive the program; 3) the benefits of after care will be reflected in improved parent and family functioning and reduced utilization of mental- and physical-health services; and 4) the impact of the after-care program will be particularly marked for the more severe and recalcitrant children, i.e., youth with greater adversity in the three domains. The study provides a model of care that has implications for delivery of services for children beyond the specific focus on conduct disorder.

这项研究的目的是提高治疗的有效性， 因行为障碍（攻击性和反社会）而转介的儿童 行为）。 这个目标是通过以下方式实现的：1）识别关键子节点、父节点， 和家庭领域，缓和治疗的有效性，和2） 测试一种新的模式，一旦治疗， 终止 儿童功能和损伤，父母功能障碍， 压力，以及家庭经历治疗的方式有三种 被预测为调节治疗效果的领域。 善后方案包括系统地监测儿童 并根据需要提供定期治疗。 的 目的是保持治疗效果，防止复发， 减少治疗后对额外服务的需求和使用。 儿童（N=160，6-12岁）转诊至门诊治疗进行行为 疾病将接受治疗，其中包括组合 解决问题技巧训练及家长管理训练。 后 在初始治疗期，家庭将被随机分配到 接受或不接受为期12个月的善后计划。 主要 该研究的预测是：1）对治疗的反应将 在三个领域受到逆境的影响（儿童功能障碍和 缺陷、父母功能障碍和压力以及参与障碍 （2）接受治疗后的儿童将表现出 比那些没有接受计划的人有更大的改善; 3） 术后护理的好处将反映在改善父母和家庭 身心健康的功能和利用率降低 服务;和4）后护理计划的影响将是 特别是对于更严重和更难控制的儿童，即， 青年在三个领域的逆境更大。 这项研究提供 一种对提供服务有影响的护理模式 儿童超越行为障碍的具体重点。