tiga - cub手动精神分析儿童心理治疗与常规治疗对5-11岁患有治疗难治性行为障碍的儿童及其主要照顾者:来自随机对照可行性试验的结果

IF 0.3 Q4 PSYCHOLOGY, CLINICAL
Elizabeth Edginton, Rebecca Walwyn, Maureen Twiddy, Alex Wright-Hughes, Sandy Tubeuf, Sadie Reed, Alix Smith, Laura Stubbs, Jacqueline Birtwistle, Sarah Jane Abraham, Lynda Ellis, Nick Midgley, Tom Hughes, Paul Wallis, David Cottrell
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引用次数: 5

摘要

背景:建议针对5-11岁儿童的行为障碍制定育儿方案,但对25-33%的儿童无效。需要一项可行性试验来确定二线、手动短期精神分析儿童心理治疗(mPCP)与常规治疗(TaU)的验证性试验是否可行。方法:这是一项双臂、实用、平行组、多中心、个体随机对照可行性试验,采用盲法结局评估。从国家卫生服务儿童和青少年心理健康服务和mPCP中招募儿童-初级照顾者,由常规儿童心理治疗师提供。结果:招募了32对(符合条件的50%,95% CI 37 - 63%),每组随机分配16人。11例(69%)完成了≥50%的12周mPCP, 13例(81%)完成了≥50%的mPCP。4个月随访24例(75%),8个月随访14/16例(88%)。教师随访16例(50%)≥1次。手工配合良好。基线候选主要结果在儿童行为检查表/教师报告表外化量表上分别为37.4 (SD 11.4)和18.1 (SD 15.7),总分为102.8 (SD 28.4)和58.8 (SD 38.9)。卫生经济学数据收集是可行的,试验对参与者是可接受的。结论:招聘、教师跟踪、手册等方面有待完善。在儿童心理治疗研究的资助下,验证性试验是可行的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
TIGA-CUB-manualised psychoanalytic child psychotherapy versus treatment as usual for children aged 5-11 with treatment-resistant conduct disorders and their primary carers: results from a randomised controlled feasibility trial.

Background: Parenting programmes are recommended for conduct disorders in 5-11 year olds, but ineffective for 25-33%. A feasibility trial was needed to determine whether a confirmatory trial of second-line, manualised short-term psychoanalytic child psychotherapy (mPCP) versus treatment as usual (TaU) is practicable.

Method: This was a two-arm, pragmatic, parallel-group, multi-centre, individually-randomised controlled feasibility trial with blinded outcome assessment. Child-primary carer dyads were recruited from National Health Service Child and Adolescent Mental Health Services and mPCP delivered by routine child psychotherapists.

Results: Thirty-two dyads (50% of eligible, 95% CI 37 to 63%) were recruited, with 16 randomised to each arm. Eleven (69%) completed ≥50% of 12 week mPCP and 13 (81%) . Follow-up was obtained for 24 (75%) at 4 months and 14/16 (88%) at 8 months. Teacher follow-up was 16 (50%) ≥1 session. Manual adherence was good. Baseline candidate primary outcomes were 37.4 (SD 11.4) and 18.1 (SD 15.7) on the Child Behaviour Checklist/Teacher Report Form externalising scale and 102.8 (SD 28.4) and 58.8 (SD 38.9) on the total score. Health economics data collection was feasible and the trial acceptable to participants.

Conclusion: Recruitment, teacher follow-up and the manual need some refinement. A confirmatory trial is feasible, subject to funding of research child psychotherapists.

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来源期刊
CiteScore
3.60
自引率
0.00%
发文量
2
期刊介绍: The Journal of Child & Adolescent Mental Health publishes papers that contribute to improving the mental health of children and adolescents, especially those in Africa. Papers from all disciplines are welcome. It covers subjects such as epidemiology, mental health prevention and promotion, psychotherapy, pharmacotherapy, policy and risk behaviour. The journal contains review articles, original research (including brief reports), clinical papers in a "Clinical perspectives" section and book reviews. The Journal is published in association with the South African Association for Child and Adolescent Psychiatry and Allied Professions (SAACAPAP).
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