Effectiveness of emotion-focused skills training (EFST) for parents: A randomized controlled trial investigating remission of mental health diagnosis and symptom reduction in children.

IF 2.6 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2025-05-05 DOI:10.1080/10503307.2025.2491477

Linda Severinsen, Jan Reidar Stiegler, Helene Amundsen Nissen-Lie, Ben Shahar, Thomas Bjerregaard Bertelsen, Rune Zahl-Olsen

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引用次数: 0

Abstract

Objective: Emotion-focused skills training for parents (EFST) is a parental guidance intervention aimed at strengthening emotional bonds between parent and child and improve children's mental health. In this randomized controlled trial (RCT), EFST was compared to treatment as usual (TAU) in a Norwegian public outpatient clinic for child and adolescent mental health. The hypothesis was that EFST would be equal or superior to TAU in effectiveness on remission of diagnoses and symptomatic change for children.

Method: Seventy-two clients were randomly assigned to an EFST intervention or an integrative family-based intervention (TAU). The main outcome measure was the semi-structured diagnostic interview Schedule for Affective Disorders and Schizophrenia (K-SADS-PL), administered at pretreatment and after three months. The secondary outcome was the DSM-IV version of the Strengths and Difficulties Questionnaire (SDQ). Bayesian statistical methods, including clinically informed priors, were used to compare the effectiveness of the two interventions.

Results: Forty-four percent (15 of 34 clients) attained diagnostic remission in the EFST condition compared to 26 percent (10 of 38 clients) in TAU. The proportion of symptomatic decline was equivalent in both conditions.

Conclusion: The results support the hypothesis that EFST was equal or superior to TAU in effectiveness in a public outpatient setting.

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情绪集中技能训练（EFST）对父母的有效性：一项调查儿童心理健康诊断缓解和症状减轻的随机对照试验。

目的：家长情感聚焦技能训练是一种旨在加强亲子情感纽带、改善儿童心理健康的家长指导干预手段。在这项随机对照试验（RCT）中，EFST与挪威儿童和青少年心理健康公共门诊的常规治疗（TAU）进行了比较。假设EFST在儿童的诊断缓解和症状改变方面的有效性等于或优于TAU。方法：72名患者被随机分配到EFST干预或基于家庭的综合干预（TAU）。主要结果测量是半结构化的情感障碍和精神分裂症诊断访谈表（K-SADS-PL），分别在预处理和三个月后进行。次要结果是DSM-IV版的优势和困难问卷（SDQ）。采用贝叶斯统计方法，包括临床知情先验，比较两种干预措施的有效性。结果：44%（34名患者中的15名）在EFST条件下获得诊断缓解，而TAU为26%（38名患者中的10名）。两种情况下症状性下降的比例相等。结论：结果支持EFST在公共门诊的有效性等于或优于TAU的假设。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Psychotherapy Research PSYCHOLOGY, CLINICAL-

CiteScore

7.80

自引率

10.30%

发文量

期刊介绍： Psychotherapy Research seeks to enhance the development, scientific quality, and social relevance of psychotherapy research and to foster the use of research findings in practice, education, and policy formulation. The Journal publishes reports of original research on all aspects of psychotherapy, including its outcomes, its processes, education of practitioners, and delivery of services. It also publishes methodological, theoretical, and review articles of direct relevance to psychotherapy research. The Journal is addressed to an international, interdisciplinary audience and welcomes submissions dealing with diverse theoretical orientations, treatment modalities.