Treatment of oppositional defiant and conduct problems in young Norwegian children
Treatment of oppositional defiant and conduct problems in young Norwegian children
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挪威幼儿逆反行为和行为问题的治疗
DOI：
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发表时间：
2008
影响因子：
6.4
通讯作者：
W. Mørch
中科院分区：
文献类型：
--
作者：
B. Larsson;S. Fossum;G. Clifford;M. Drugli;B. Handegård;W. Mørch
在一项随机对照研究中，对127名4-8岁的挪威儿童进行了难以置信的父母培训和儿童治疗计划的有效性进行了检查。被诊断为对立违抗性障碍（ODD）或品行障碍（CD）的儿童被随机分配到父母培训（PT），父母培训联合儿童治疗（PT + CT）或等待列表控制条件（WLC）。在基线、治疗后和一年随访时使用标准化测量和半结构化访谈进行评估。这两个积极的治疗条件减少儿童行为问题治疗后，而不是WLC，而两个治疗条件之间的差异很小，不显着。大约三分之二的接受治疗的儿童在治疗后功能正常，相同比例的儿童在一年随访时不再接受ODD诊断。治疗后，父母使用积极的策略增加，使用严厉和不一致的纪律减少了母亲的压力。这项研究的结果强调了提供家长培训的重要性，以幼儿在家里表现出严重的行为问题。在目前的挪威复制研究中，“不可思议的岁月”项目的发现和有用性进一步支持并扩展了以前主要在盎格鲁-撒克逊国家进行的对照试验的积极结果。
The efficacy of the Incredible Years parent training and child therapy programs was examined in a randomized controlled study including 127 Norwegian children aged 4–8 years. Children diagnosed with oppositional defiant disorder (ODD) or conduct disorder (CD) were randomized to parent training (PT), parent training combined with child therapy (PT + CT), or a waiting-list control condition (WLC). Assessments were carried out at baseline, posttreatment and at a one-year follow-up using standardized measures and a semi-structured interview. Both active treatment conditions reduced child conduct problems posttreatment as opposed to the WLC, while differences between the two treatment conditions were small and nonsignificant. About two thirds of the treated children functioned within normal variation after treatment, and the same proportion no longer received an ODD diagnosis at the one-year follow-up. Parental use of positive strategies increased after treatment, and the use of harsh and inconsistent discipline decreased as did mother experience of stress. The outcome of this study emphasizes the importance of offering parent training to young children with severe conduct problems exhibited at home. The findings and usefulness of the Incredible Years program in the present Norwegian replication study further support and extend positive outcomes of previous controlled trials conducted primarily in Anglo-Saxon countries.
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DOI：
10.1037/0003-066x.60.6.628
发表时间：
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期刊：
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影响因子：
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作者：
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影响因子：
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作者：
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DOI：
10.1097/00004583-199707000-00021
发表时间：
1997-07-01
影响因子：
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