Parent management training for conduct problems in children: Enhancing treatment to improve therapeutic change
Parent management training for conduct problems in children: Enhancing treatment to improve therapeutic change
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DOI：
10.1016/j.ijchp.2017.12.002
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发表时间：
2018-05-01
影响因子：
8.8
通讯作者：
Hamilton, Natasha
中科院分区：
文献类型：
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作者：
Kazdin, Alan E.;Glick, Adam;Hamilton, Natasha
背景/目的：该研究评估了两种不同的父母管理培训（PMT）的儿童提到的对立，攻击性和反社会行为的治疗。目的是评估多重增强的影响，以优化常见因素和安慰剂因素，以增强治疗变化。方法：所有儿童（N=138，39名女孩和99名男孩，6-13岁）的家庭接受PMT。一半的家庭被分配接受一个增强版，增加了多个附加功能，旨在增加父母与治疗师的联系，治疗和设置的专业性，干预的可信度，以及对治疗变化的期望。评估包括儿童（问题行为、精神症状、社会能力和适应功能）和父母（抑郁、压力和家庭关系）的多项治疗结果指标，这些指标在治疗过程中显示出明显的改善，以及几个过程指标（治疗联盟、程序的可信度、对变化的期望）。结果：结果表明，儿童和家长在所有治疗结果的措施显着改善。绝大多数儿童在治疗后的问题和亲社会行为的规范范围内。两种治疗条件对儿童或父母的结果没有差异。结论：PMT导致治疗结果的显著变化。(C)2018西班牙心理学协会出版社：Elsevier Espana，S.L.U.
Background/Objective: The study evaluated two variations of Parent Management Training (PMT) for children referred to treatment for oppositional, aggressive, and antisocial behavior. The goal was to evaluate the impact of multiple enhancements to optimize common and placebo factors to augment therapeutic change. Method: The families of all children (N=138, 39 girls and 99 boys, ages 6-13) received PMT. One half of the families were assigned to receive an enhanced version with multiple additions designed to increase bonding of the parent to the therapist, professionalism of treatment and setting, credibility of the intervention, and expectancies for therapeutic change. Assessment included multiple treatment outcome measures of the child (problem behaviors, psychiatric symptoms, social competence, and adaptive functioning) and parents (depression, stress, and family relations) showed marked improvements over the course of treatment, and several process measures (therapeutic alliance, credibility of the procedures, expectancy for change). Results: The results indicated that children and parents made marked improvement in all the treatment outcome measures. The vast majority of children fell within the normative range at posttreatment on problem and prosocial behaviors. The two treatment conditions were no different in outcomes for children or parents. Conclusion: PMT led to marked changes in treatment outcome. (C) 2018 Asociacion Espanola de Psicologia Conductual. Published by Elsevier Espana, S.L.U.