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Gepubliceerd in:
01-12-2020
Een variant van parent-child interaction therapy voor jonge kinderen met harde en gevoelloze karaktertrekken: een open experimentele pilotstudie
Auteurs: Eva R. Kimonis, Georgette Fleming, Nancy Briggs, Lauren Brouwer-French, Paul J. Frick, David J. Hawes, Daniel M. Bagner, Rae Thomas, Mark Dadds
Gepubliceerd in: Gezinstherapie Wereldwijd | Uitgave 4/2020
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DELEN
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Samenvatting
Kinderen die lijden aan een combinatie van normoverschrijdende gedragsproblemen en harde en gevoelloze karaktertrekken (‘callous-unemotional’, verder kortweg CU genoemd, red.) vertonen een patroon van chronisch, antisociaal, agressief gedrag dat al op jonge leeftijd begint en dat niet behandelbaar is met traditionele oudertrainingsinterventies. Het doel van deze studie was om in een open experiment onderzoek te doen naar een nieuwe, aangepaste variant van parent-child interaction therapy (PCIT-CU), een interventie die ontwikkeld is om drie tekorten bij kinderen met CU-trekken aan te pakken. De deelnemers waren 23 Australische gezinnen met een kind in de leeftijd van 3 t/m 6 jaar (M leeftijd = 4,5 jaar, SD = 0,92) bij wie sprake was van klinisch significante, normoverschrijdende gedragsproblemen in de kindertijd, kinderen met CU-trekken. De gezinnen volgden een 21 weken durende interventie in een academisch onderzoeks- en behandelcentrum. Bij vijf metingen werd gekeken naar de normoverschrijdende gedragsproblemen, CU-trekken en empathie van de kinderen. De behandelretentie was hoog (74%) en de ouders rapporteerden een hoge mate van tevredenheid over het programma. De resultaten van lineaire gemengde modellen gaven aan dat de interventie resulteerde in een afname van de gedragsproblemen en CU-trekken van de kinderen, en dat hun empathie was toegenomen. De effecten waren ‘gemiddeld’ tot ‘zeer groot’ (d’s = 0,7–2,0) en hielden stand tot de follow-up na 3 maanden. Tijdens de meting 3 maanden post-behandeling vertoonde 75% van de kinderen die de behandeling hadden afgemaakt geen klinisch significante normoverschrijdende gedragsproblemen meer, afgezet tegen 25% van de kinderen die de interventie niet hadden afgemaakt. Die bevindingen leveren voorzichtige ondersteuning voor het gebruik van deze gerichte PCIT-CU-interventie als behandeling voor jonge kinderen met een combinatie van normoverschrijdende gedragsproblemen en CU-trekken.
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Voetnoten
1
De term CU-‘trekken’ wordt in dit artikel gebruikt om aan te geven hoe dit construct in eerder onderzoek meestal is genoemd en te onderstrepen dat het kind deze kenmerken meestal vertoont in meerdere relaties en situaties, dus dat het niet om geïsoleerd gedrag gaat dat alleen in bepaalde omstandigheden voorkomt. Toch is het van belang te vermelden dat hiermee niet wordt bedoeld dat er sprake is van stabiliteit over langere tijd. Bij kinderen zijn deze trekken, net als andere persoonlijkheidstrekken en gedragingen, meer van voorbijgaande aard en komen ze bijvoorbeeld meer voor in bepaalde leeftijdsfasen.
2
Deze bevindingen moeten nog worden gerepliceerd in een steekproef van kinderen met CP zonder ontwikkelingsachterstand.
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Wootton, J. M., Frick, P. J., Shelton, K. K., & Silverthorn, P. (1997). Ineffective parenting and childhood conduct problems: the moderating role of callous-unemotional traits. Journal of Consulting and Clinical Psychology, 65(2), 301–308. https://doi.org/10.1037/0022-006X.65.2.292.b.CrossRefPubMed
Metagegevens
- Titel
- Een variant van parent-child interaction therapy voor jonge kinderen met harde en gevoelloze karaktertrekken: een open experimentele pilotstudie
- Auteurs
-
Eva R. Kimonis
Georgette Fleming
Nancy Briggs
Lauren Brouwer-French
Paul J. Frick
David J. Hawes
Daniel M. Bagner
Rae Thomas
Mark Dadds
- Publicatiedatum
- 01-12-2020
- Uitgeverij
- Bohn Stafleu van Loghum
- Gepubliceerd in
-
Gezinstherapie Wereldwijd
/ Uitgave 4/2020
Print ISSN: 1566-0206
Elektronisch ISSN: 1876-5874 - DOI
- https://doi.org/10.1007/s12440-020-00134-6
