中国儿童保健杂志 ›› 2017, Vol. 25 ›› Issue (5): 444-447.DOI: 10.11852/zgetbjzz2017-25-05-04

• 科研论著 • 上一篇    下一篇

家庭干预对学龄前儿童攻击性行为影响的试验性研究

贾守梅1, 范娟2, 汪玲3, 施莹娟4, 李萍4   

  1. 1 复旦大学护理学院,上海 200032;
    2 上海交通大学医学院附属精神卫生中心,上海 200030;
    3 复旦大学公共卫生学院,上海 200032;
    4 上海市普陀区精神卫生中心,上海 200065
  • 收稿日期:2016-11-01 出版日期:2017-05-10 发布日期:2017-05-10
  • 通讯作者: 范娟,E-mail:fanjuan@smhc.org.cn
  • 作者简介:贾守梅(1974-),女,安徽人,高级讲师,博士学位,主要研究方向为精神科护理、护理心理。
  • 基金资助:
    复旦大学护理科研项目 (FNF201015)

Influence of family intervention to the preschool children with aggressive behavior-a pilot study

JIA Shou-mei1, FAN Juan2, WANG Ling3, SHI Ying-juan4, LI Ping4   

  1. 1 School of Nursing,Fudan University,Shanghai 200032,China;
    2 Shanghai Mental Health Center,Shanghai Jiaotong University School of Medicine,Shanghai 200030,China;
    3 School of Public Health,Fudan University, Shanghai 200032,China;
    4 Putuo Mental Health Center,Shanghai 200065,China
  • Received:2016-11-01 Online:2017-05-10 Published:2017-05-10
  • Contact: FAN Juan,E-mail:fanjuan@smhc.org.cn

摘要: 目的 探索家庭干预对学龄前儿童攻击性行为的效果和可行性。方法 对上海市杨浦区2所公立幼儿园用儿童行为量表(CBCL)识别出具有攻击性行为的学龄前儿童及其家庭。17个具有攻击性行为的儿童及其家庭作为干预组,进行5个月的家庭干预,18个具有攻击性行为的儿童及其家庭作为对照组,未进行家庭干预。比较干预前后两组儿童的儿童行为量表(CBCL)和攻击行为-教师核查表(TCL)分数的改变。结果 干预组儿童实施家庭干预后 CBCL量表攻击分数(18.06±5.54)、TCL量表反应性攻击分数(2.00±0.60)和主动性攻击分数(1.61±0.82)均明显低于干预前(22.47±4.42;2.86±0.73;1.82±1.15,P<0.05)。对照组儿童在5个月后的CBCL量表攻击分数(21.17±4.12)、TCL反应性攻击(3.04±0.69)和主动性攻击行为分数(1.78±0.65)与干预前(21.72±4.34;3.13±0.74;1.85±0.87)均无显著变化(P>0.05)。干预前两组儿童攻击分数均无差异(P均>0.05),而干预后干预组儿童的CBCL攻击分数和TCL反应性攻击分数显著低于对照组儿童(P<0.01)。结论 家庭干预是学龄前儿童攻击性行为的一种有效可行的重要干预方式。家庭干预对于儿童早期的攻击性行为具有防治作用,可继续完善针对儿童攻击性行为的家庭干预方案和探索干预的长期影响。

关键词: 学龄前儿童, 攻击性行为, 家庭干预

Abstract: Objective To explore the effectiveness and feasibility of family intervention to the preschool children with aggressive behavior. Method sThe preschool children with aggressive behavior were identified using Child Behavior Checklist (CBCL) in 2 kindergartens of Yangpu district,Shanghai.17 children with aggressive behavior and their family in 1 kindergarten were given 5 month family intervention,while 18 children with aggressive behavior in another kindergarten were followed up as control group.The scores of CBCL and Aggressive Behavior-Teacher's Checklist (TCL) were evaluated and compared before and after intervention. Results After family intervention,the scores of CBCL (18.06±5.54),reactive aggression (2.00±0.60) and proactive aggression (1.61±0.82) of intervention group reduced significantly compared with those of baseline (22.47±4.42;2.86±0.73;1.82±1.15,P<0.05).The scores of CBCL (21.17±4.12),reactive aggression (3.04±0.69) and proactive aggression (1.78±0.65) of control group at 5-month didn't change obviously compared with those of baseline (21.72±4.34;3.13±0.74;1.85±0.87,P>0.05).At baseline,there was no difference in the aggressive behavior between two groups.After family intervention,the scores of CBCL and reactive aggression of intervention group were lower than those of control group. Conclusions Family intervention is effective and feasible to intervene children's aggressive behavior.Further researches may revise family intervention strategies for the aggressive children and explore its long-term effectiveness on the aggressive behavior of children.

Key words: preschool children, aggressive behavior, family intervention

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