Cornelia Beate Siegmund, Julia Zink, Patricia Theresa Porst, Max Weniger, Susanne Knappe, Maria McDonald, Veit Roessner, Katja Beesdo-Baum
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引用次数: 0
Abstract
Background: Disruptive behavior and emotional problems are common in children and often reduce quality of life. This study aimed to screen for these problems and to examine the effectiveness of child-based indicated prevention.
Methods: N = 3231 children`s disruptive behavior and emotional problems were screened using the Strengths and Difficulties Questionnaire (SDQ) during routine pediatric health check-ups for usually 5- to 10-year old's. We examined the prevalences of disruptive behavior and emotional problems (n = 2825) and its association with quality of life (KINDL; n = 1104). If indicated, children were recommended to participate in the prevention program "Baghira training" (nine 90 min group sessions and one parents' evening) or "Tiger training" (two one-on-one and nine group sessions of 60 min each). To evaluate the training effectiveness of the two indicated prevention programs, SDQ and KINDL scores were followed-up for 6 and 12 months post screening and compared between the Training group (SDQ n = 337; KINDL n = 334; additionally divided into Baghira and Tiger), children not participating despite indication (NoTraining; SDQ n = 595; KINDL n = 146; additionally divided into NoBaghira and NoTiger), healthy children (SDQ n = 1928; KINDL n = 907), and children with clinical symptom levels (SDQ n = 85; KINDL n = 54) using mixed effect models.
Results: 37.0% of the children exhibited disruptive behavior or emotional problems, which were associated with impaired quality of life. The Training group perceived greater symptom reduction in emotional problems than NoTraining, and quality of life increases compared to decreases in NoTraining. The Tiger group showed improvement in symptomatology and quality of life compared to deterioration in NoTiger. The Baghira group also improved, though improvement was similar to NoBaghira apart from symptom reduction in emotional problems in Baghira compared to a symptom increase in NoBaghira. Effects sizes were predominantly small to medium.
Conclusions: Disruptive behavior and emotional problems in children are frequent and impair quality of life. Indicated prevention may improve symptomatology and quality of life. Specifically, the Tiger training is verifiably effective; for the Baghira training, effectiveness is implicated but needs further empirical evaluations.
背景：破坏性行为和情绪问题在儿童中很常见，往往会降低生活质量。本研究旨在筛选这些问题，并检查以儿童为基础的指示预防的有效性。方法：采用优势与困难问卷（SDQ）对5 ~ 10岁儿童常规健康检查中出现的破坏行为和情绪问题进行筛查，共3231例。我们调查了破坏性行为和情绪问题的患病率（n = 2825）及其与生活质量的关系(KINDL；n = 1104)。如果有必要，建议孩子们参加预防项目“巴吉拉训练”（9次90分钟的小组训练和一次家长之夜）或“老虎训练”（2次一对一训练和9次每次60分钟的小组训练）。为了评估两种指定预防方案的培训效果，在筛查后对SDQ和KINDL评分进行了6个月和12个月的随访，并比较了训练组(SDQ n = 337；KINDL n = 334；另外分为Baghira和Tiger)，尽管有指示，孩子们没有参加(没有训练；SDQ n = 595；KINDL n = 146；另外分为NoBaghira和NoTiger)，健康儿童(SDQ n = 1928；KINDL n = 907)，儿童临床症状水平(SDQ n = 85；KINDL n = 54)，采用混合效应模型。结果：37.0%的儿童表现出破坏性行为或情绪问题，与生活质量受损有关。与未训练组相比，训练组在情绪问题上的症状减轻更明显，与未训练组相比，生活质量有所提高。与非Tiger组相比，Tiger组在症状和生活质量方面有所改善。巴吉拉组也有所改善，尽管与诺巴吉拉组相比，巴吉拉组的改善与诺巴吉拉组相似，只是情绪问题的症状减轻了。效应大小主要是小到中等。结论：儿童的破坏性行为和情绪问题是常见的，影响生活质量。有针对性的预防可以改善症状和生活质量。具体来说，老虎训练是有效的；对于巴吉拉训练，有效性是有影响的，但需要进一步的实证评估。
期刊介绍：
Child and Adolescent Psychiatry and Mental Health, the official journal of the International Association for Child and Adolescent Psychiatry and Allied Professions, is an open access, online journal that provides an international platform for rapid and comprehensive scientific communication on child and adolescent mental health across different cultural backgrounds. CAPMH serves as a scientifically rigorous and broadly open forum for both interdisciplinary and cross-cultural exchange of research information, involving psychiatrists, paediatricians, psychologists, neuroscientists, and allied disciplines. The journal focusses on improving the knowledge base for the diagnosis, prognosis and treatment of mental health conditions in children and adolescents, and aims to integrate basic science, clinical research and the practical implementation of research findings. In addition, aspects which are still underrepresented in the traditional journals such as neurobiology and neuropsychology of psychiatric disorders in childhood and adolescence are considered.
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