基于父母行为训练小组的循证疗法缓解儿童外化行为问题症状的随机对照试验

doi:10.11852/zgetbjzz2022-1039

摘要/Abstract

摘要： 目的采用随机对照试验考察基于父母行为训练(BPT)的循证疗法对缓解中国儿童常见外化行为问题症状的效果。方法 2019年11月—2020年4月,选取北京市某小学141名6~12岁儿童及其父母,将其随机分成干预组(n=72)和对照组(n=69)。干预组父母进行10次父母行为训练小组治疗,对照组不给予干预程序。采用Eyberg儿童行为量表(ECBI)在干预前及干预后进行评估。结果 114名儿童完成了干预前后的测量,其中干预组62人,对照组52人。组间比较结果显示,干预后干预组儿童在行为问题总分(F=6.13)、对立违抗行为(F=4.34)、注意缺陷多动冲动障碍行为(F=4.17)以及其他不良行为(F=7.41)后测得分均显著低于对照组,差异有统计学意义(P<0.05),在品行问题维度两组得分差异无统计学意义(P>0.05);组内前后测结果显示,干预组在后测的行为问题总分及4个具体纬度得分均显著低于前测得分,对照组前后测得分差异无统计学意义(P>0.05);两组前后测差值的比较结果显示,除品行问题外,干预组在行为问题总分及其他3个维度差值均高于对照组(t=2.76、2.05、2.44、3.12),差异有统计学意义(P<0.05)。结论 BPT小组疗法可有效缓解中国儿童常见的外化行为问题症状,为我国积极开展循证干预、减少儿童行为问题的发生和发展提供了有益参考。

关键词: 外化行为问题, 注意缺陷多动障碍, 教养技能, 儿童, 父母干预

Abstract: Objective To analyze the effect of the evidence-based therapy based on Behavioral Parent Training (BPT) on alleviating the symptoms of common externalizing behavior problems in Chinese children by a randomized controlled trial. Methods From Nov.2019 to Apr.2020,a total of 141 children aged 6-12 and their parents were randomly divided into intervention group (n=72) and control group (n=69). Parents in the intervention group received BPT for 10 times, while the control group was given no intervention procedure. The Eyberg Child Behavior Inventory (ECBI) was used to assess children's behavior at baseline and after the intervention. Results Finally 114 children finished assessment before and after intervention, of whom 62 children were in the intervention group, and 52 children were in the control group. Post-test scores of ECBI, oppositional defiant behavior (ODB), attention deficit hyperactivity disorder behavior and unnamed factor in the intervention group were significantly lower thanthose of the control group(F=6.13, 4.34, 4.17, 7.41, P＜0.05), but there was no significant difference in the score of conduct problem behavior between the two groups (P＞0.05). After intervention, the scores of ECBI and four specific dimensions of children in the intervention group were significantly lower than those before intervention, but there was no significant difference in the ECBI score between pre-test and post-test for the control group (P＞0.05). Except for conduct problem, the pre-test and post-test difference scores of ECBI and other 3 dimensions in the intervention group were significantly higher than those in the control group (t=2.76, 2.05, 2.44, 3.12, P＜0.05). Conclusion BPT can effectively alleviate common externalized behavior problems of children, which may provide useful reference for taking evidence-based intervention, reducing the occurrence and development of children's externalizing behavior problems.

Key words: externalized behavior problems, attention deficit hyperactivity disorder, parental skills, children, parental intervention

中图分类号:

R749.94

高丽茹, 秦一铭, 屈智勇. 基于父母行为训练小组的循证疗法缓解儿童外化行为问题症状的随机对照试验[J]. 中国儿童保健杂志, 2023, 31(9): 957-962.

GAO Liru, QIN Yiming, QU Zhiyong. Randomized controlled trial of the evidence-based therapy based on behavioral parent training group in alleviating Chinese children with symptoms of externalized behavior problems[J]. Chinese Journal of Child Health Care, 2023, 31(9): 957-962.

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