儿童心理危机干预培训对学龄儿童情绪和行为问题的改善作用  

The improvement of school-age children with emotional and behavioral problems under psychological crisis intervention training for children

作　　者：谭歆[1,2,3] 张劲松[1,2,3] 帅澜[2,3] 王周烨[2,3] 夏卫萍[2,3] 孔艳婷[1,2,3] 

机构地区：[1]上海交通大学医学院附属新华医院儿童与青少年保健科,上海200092 [2]上海交通大学医学院附属新华医院临床心理科,上海200092 [3]环境与儿童健康教育部和上海市重点实验室,上海200092

出　　处：《中国儿童保健杂志》2015年第6期566-569,共4页Chinese Journal of Child Health Care

基　　金：上海市公共卫生体系建设三年行动计划(2011-2013)(GWIII-30)

摘　　要：目的探讨心理危机干预培训对改善学龄儿童情绪、行为和人际交往问题的有效性。方法对383名学龄儿童实施心理危机干预培训,并运用长处和困难问卷（Strengths and Difficulty Questionnaire,SDQ）家长版和教师版分别于基线、干预后3个月和6个月进行评估,比较各因子得分变化。结果 SDQ（家长版和教师版）多动问题因子和SDQ（教师版）困难总分的干预后3个月得分低于基线,且干预后6个月进一步降低（F=28.14~87.53,P〈0.05）;SDQ（家长版）困难总分的干预后3个月和6个月得分均显著低于基线（F=8.11,P〈0.05）;SDQ（教师版）亲社会行为因子的干预后3个月得分显著高于基线,且干预后6个月得分进一步增高（F=27.99,P〈0.05）。结论心理危机干预培训可以改善学龄儿童的情绪、行为和人际交往问题。Objective To explore the effectiveness of the psychological crisis intervention training to improve school- age childreffs emotional,behavioral,and interpersonal problems. Methods The psychological crisis intervention training was implemented on 383 school-age children, whose parent and teacher completed the Strengths and Difficulties Questionnaire （SDQ,parent and teacher version） respectively at baseline,3 months follow-up and 6 months follow-up,and then compared the differences of the scores. Results The scores of Hyperactivity Scale in SDQ（parent and teacher version） and to- tal difficulties in SDQ （teacher version） at 3 months follow-up was lower than that at baseline （P〈0.05） ,and the score at 6 months follow-up was further lower than that at 3 months follow-up （F=28.14-87.53 ,P〈0.05）. The score of total dif- ficulties in SDQ （parent version） at 3 months follow-up and 6 months follow-up were both significantly lower than that at baseline （F= 8.11, P〈0. 05）. The score of Prosocial Scale in SDQ （teacher version） at 3 months follow-up was significantly higher than baseline,and the score at 6 months follow-up was further higher than 3 months follow-up （F= 27. 99, P〈 0.05）. Conclusion The psychological crisis intervention training can improve children＇s emotional,behavioral and interpersonal problems.

关 键 词：学龄儿童 心理危机干预 长处和困难问卷 

分 类 号：R749.94[医药卫生—神经病学与精神病学]