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首页> 外文期刊>Journal of the Canadian Academy of Child and Adolescent Psychiatry >Effectiveness of Day Treatment for Disruptive Behaviour Disorders: What is the Long-term Clinical Outcome for Children?
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Effectiveness of Day Treatment for Disruptive Behaviour Disorders: What is the Long-term Clinical Outcome for Children?

机译：日间治疗行为紊乱的有效性：儿童的长期临床结果是什么？

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Objective: The present study investigates the clinical long-term outcomes (2? to 4 years post-discharge) of children aged 12 and under with a primary diagnosis of a Disruptive Behaviour Disorder (DBD) who attended a short-term day treatment program using best-practice treatment strategies. This study compared children’s admission, discharge, and follow-up test scores on standardized measures of behaviour and functioning, as rated by parents. Method: Measures of clinical symptoms in the children and parent report of stress were used. To test for treatment effects across time, two repeated-measures ANOVAs were calculated. Results: There was significant treatment change across time points on measures of social problems, externalizing symptoms, levels of aggression, intensity of problems, and symptoms of ADHD. Conclusions: Children with DBD who attended a short-term day treatment program using best-practice treatment strategies showed significant improvement in their behaviour at home. These improvements were relatively long lasting. The current study lends support to the effectiveness of day treatment and the idea that severe DBD can be treated using multi-modal, intensive, and evidence-based treatment techniques resulting in long-term change.
机译：目的：本研究调查了12岁及以下儿童的临床长期结局（出院后2至4年），该儿童的主要诊断为干扰行为障碍（DBD），他们参加了短期日间治疗计划，使用最佳实践治疗策略。这项研究比较了父母对孩子的入学，出院和后续测试成绩的标准化行为和功能测验。方法：采用儿童临床症状的测量方法和家长的压力报告。为了测试跨时间的治疗效果，计算了两次重复测量的方差分析。结果：在各个时间点上，社会问题，外在症状，侵略程度，问题强度和ADHD症状的治疗方法都有显着变化。结论：参加了采用最佳实践治疗策略进行短期日间治疗的DBD儿童在家中的行为得到了明显改善。这些改进是相对持久的。当前的研究为日间治疗的有效性提供了支持，并且认为可以使用多模式，强化和循证治疗技术治疗严重的DBD，从而带来长期的改变。

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