A randomized controlled trial of regulation-focused psychotherapy for children with externalizing disorders.

IF 3.8 1区心理学 Q2 PSYCHOLOGY, CLINICAL

Psychotherapy Research Pub Date : 2026-09-30 DOI:10.1080/10503307.2026.2738632

Sibel Halfon, Melike Albayrak, Maide Körlü Bulut, Duru Eğrilmez, Edlin Gülzari, Kübra Arikan, Can J Büyükaşik, Leon Hoffman, Tatianna Kufferath-Lin, Tracy A Prout, Timothy Rice

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引用次数: 0

Abstract

Objective: This study evaluated the efficacy of Regulation-Focused Psychotherapy for Children (RFP-C), a manualized time-limited psychodynamic treatment for externalizing disorders targeting implicit emotion regulation.

Method: Eighty Turkish children (M_age = 8.53 years, 71.25% male) with externalizing disorders were randomized to RFP-C or an active control, a parenting and child social skills group (PSSG). Primary outcomes were externalizing and oppositional defiant disorder (ODD) problems. Secondary outcomes were child-reported problems, global functioning, child and parent emotion regulation, and parenting stress. Assessments occurred at baseline, mid-treatment, post-treatment (primary endpoint), and 6-month follow-up.

Results: RFP-C was superior to PSSG in reducing broad externalizing problems at post-treatment with a small-to-moderate effect (d = -.47, 97.5% CI [-.87, -.07]). This effect attenuated (d = -.34, 97.5% CI [-.75, .06]) and was no longer significant at follow-up. No significant treatment effects emerged for ODD symptoms. RFP-C was also superior for child global functioning (d = .57, 95% CI [.30, .84]) and parenting stress (d = -.36, 95% CI [-.70, -.02]) at post-treatment, with the latter no longer significant at follow-up. No other between-group differences were significant.

Conclusion: RFP-C showed superior effects in reducing broad externalizing problems at post-treatment; however, further research should clarify its effects on ODD symptoms and the durability of treatment gains.

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外化障碍儿童规范心理治疗的随机对照试验。

目的：本研究评估儿童调节焦点心理治疗（RFP-C）的疗效，RFP-C是一种针对内隐情绪调节的外化障碍的人工限时心理动力学治疗方法。方法：80名外化障碍的土耳其儿童（年龄8.53岁，男性71.25%）随机分为RFP-C组和积极对照组，即父母教养和儿童社会技能组（PSSG）。主要结局是外化和对立违抗性障碍（ODD）问题。次要结果是儿童报告的问题、整体功能、儿童和父母的情绪调节以及养育压力。评估发生在基线、治疗中、治疗后（主要终点）和6个月的随访。结果：RFP-C在减少治疗后广泛外化问题方面优于PSSG，效果小到中等（d = - 0.47, 97.5% CI[- 0.87, - 0.07]）。该效应逐渐减弱(d = - 0.34, 97.5% CI[- 0.75，。[06])，在随访中不再显著。ODD症状没有明显的治疗效果。RFP-C在儿童整体功能方面也更优越(d =。57, 95% ci[。30.。[84])和父母压力（d = - 0.36, 95% CI[- 0.70, - 0.02]），后者在随访时不再显著。其他组间差异无统计学意义。结论：RFP-C对减少术后广泛外化问题有较好的效果；然而，进一步的研究应阐明其对ODD症状的影响和治疗效果的持久性。

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.