目的 探索家庭干预对学龄前儿童攻击性行为的效果和可行性。方法 对上海市杨浦区2所公立幼儿园用儿童行为量表(CBCL)识别出具有攻击性行为的学龄前儿童及其家庭。17个具有攻击性行为的儿童及其家庭作为干预组,进行5个月的家庭干预,18个具有攻击性行为的儿童及其家庭作为对照组,未进行家庭干预。比较干预前后两组儿童的儿童行为量表(CBCL)和攻击行为-教师核查表(TCL)分数的改变。结果 干预组儿童实施家庭干预后 CBCL量表攻击分数(18.06±5.54)、TCL量表反应性攻击分数(2.00±0.60)和主动性攻击分数(1.61±0.82)均明显低于干预前(22.47±4.42;2.86±0.73;1.82±1.15,P<0.05)。对照组儿童在5个月后的CBCL量表攻击分数(21.17±4.12)、TCL反应性攻击(3.04±0.69)和主动性攻击行为分数(1.78±0.65)与干预前(21.72±4.34;3.13±0.74;1.85±0.87)均无显著变化(P>0.05)。干预前两组儿童攻击分数均无差异(P均>0.05),而干预后干预组儿童的CBCL攻击分数和TCL反应性攻击分数显著低于对照组儿童(P<0.01)。结论 家庭干预是学龄前儿童攻击性行为的一种有效可行的重要干预方式。家庭干预对于儿童早期的攻击性行为具有防治作用,可继续完善针对儿童攻击性行为的家庭干预方案和探索干预的长期影响。
Abstract
Objective To explore the effectiveness and feasibility of family intervention to the preschool children with aggressive behavior. Method sThe preschool children with aggressive behavior were identified using Child Behavior Checklist (CBCL) in 2 kindergartens of Yangpu district,Shanghai.17 children with aggressive behavior and their family in 1 kindergarten were given 5 month family intervention,while 18 children with aggressive behavior in another kindergarten were followed up as control group.The scores of CBCL and Aggressive Behavior-Teacher's Checklist (TCL) were evaluated and compared before and after intervention. Results After family intervention,the scores of CBCL (18.06±5.54),reactive aggression (2.00±0.60) and proactive aggression (1.61±0.82) of intervention group reduced significantly compared with those of baseline (22.47±4.42;2.86±0.73;1.82±1.15,P<0.05).The scores of CBCL (21.17±4.12),reactive aggression (3.04±0.69) and proactive aggression (1.78±0.65) of control group at 5-month didn't change obviously compared with those of baseline (21.72±4.34;3.13±0.74;1.85±0.87,P>0.05).At baseline,there was no difference in the aggressive behavior between two groups.After family intervention,the scores of CBCL and reactive aggression of intervention group were lower than those of control group. Conclusions Family intervention is effective and feasible to intervene children's aggressive behavior.Further researches may revise family intervention strategies for the aggressive children and explore its long-term effectiveness on the aggressive behavior of children.
关键词
学龄前儿童 /
攻击性行为 /
家庭干预
Key words
preschool children /
aggressive behavior /
family intervention
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参考文献
[1] Harachi TW,Fleming CB,White HR,et al.Aggressive behavior among girls and boys during middle childhood predictors and sequelae of trajectory group membership[J].Aggressive Behavior,2006,32:279-293.
[2] Huesmann LR,Dubow EF,Boxer P.Continuity of aggression from childhood to early adulthood as a predictor of life outcomes:implications for the adolescent-limited and life-course-persistent models[J].Aggress Behav,2009,35(2):136-149.
[3] Jester JM,Nigg JT,Adams K,et al.Inattention/hyperactivity and aggression from early childhood to adolescence:heterogeneity of trajectories and differential influence of family environment characteristics[J].Dev Psychopathol,2005,17(1):99-125.
[4] Andreas JB,Watson MW.Moderating effects of family environment on the association between children's aggressive beliefs and their aggression trajectories from childhood to adolescence[J].Dev Psychopathol,2009,21(1):189-205.
[5] Benzies K,Keown LA,Magill-Evans J.Immediate and sustained effects of parenting on physical aggression in Canadian children aged 6 years and younger[J].Can J Psychiatry,2009,54(1):55-64.
[6] Mcnamara KA,Selig JP,Hawley PH.A typological approach to the study of parenting associations between maternal parenting patterns and child behaviour and social reception[J].Early Child Development and Care,2010,180(9):1185-1202.
[7] 张晓,陈会昌,张桂芳,等.亲子关系与问题行为的动态相互作用模型:对儿童早期的追踪研究[J].心理学报,2008,40(5):571-582.
[8] 陈更娟,于松梅.以家庭为中心的PBS理论及其在中国的现实性[J].毕节学院学报:综合版,2012,30(10):85-89.
[9] 汪向东,王希林,马弘.心理卫生评定量表手册增订版[M].北京:中国心理卫生杂志社,1999.
[10] 史俊霞,余毅震.儿童青少年攻击行为量表研究进展[J].国外医学·社会医学分册,2003,20(4):151-154.
[11] 贾守梅,汪玲,施莹娟,等.中文版攻击行为-教师核查表在学龄前儿童中的初步应用[J].中华行为医学与脑科学杂志,2011,20(6):845-857.
[12] Granic I,O'Hara A,Pepler D,et al.A dynamic systems analysis of parent-child changes associated with successful "real-world" interventions for aggressive children[J].J Abnorm Child Psychol,2007,35(5):845-857.
[13] 张绍芳,龙隽,龚健华,等.深圳市学龄儿童行为问题调查和系统性家庭干预对其攻击行为的影响[J].临床合理用药杂志,2010,3(24):28-29.
[14] 朱刚,欧开霞,严天容.家庭因素对学龄前儿童行为发育的影响分析[J].遵义医学院学报,2002,25(6):561-562.
[15] Matos M,Bauermeister JJ,Bernal G.Parent-child interaction therapy for Puerto Rican preschool children with ADHD and behavior problems:a pilot efficacy study[J].Fam Process,2009,48(2):232-252.
[16] Smith EP,Gorman-Smith D,Quinn WH,et al.Community-Based multiple family groups to prevent and reduce violent and aggressive behavior:the GREAT families program[J].Am J Prev Med,2004,26(Suppl1):39-47.
[17] Pearl ES.Parent management training for reducing oppositional and aggressive behavior in preschoolers[J].Aggression and Violent Behavior,2009,14(5):295-305.
[18] Reinke WM,Splett JD,Robeson EN,et al.Combining school and family intervention for the prevention and early intervention of disruptive behavior problems in children a public health perpective[J].Psychology in the Schools,2009,46(1):33-43.
基金
复旦大学护理科研项目 (FNF201015)
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