Effectiveness of psychosocial intervention for internalizing behavior problems among children of parents with alcohol dependence:Randomized controlled trial  

作　　者：Dayananda Bittenahalli Omkarappa Sreevani Rentala Prasanthi Nattala 

机构地区：[1]Department of Psychiatric Nursing,Kempegowda College of Nursing,Bangalore 560004,Karnataka,India [2]Department of Psychiatric Nursing,Dharwad Institute of Mental Health and Neurosciences,Dharwad 580008,Karnataka,India [3]Department of Nursing,National Institute of Mental Health and Neuro Sciences,Bangalore 560029,Karnataka,India

出　　处：《World Journal of Clinical Cases》2022年第16期5306-5316,共11页世界临床病例杂志

摘　　要：BACKGROUND Parental drinking has a direct bearing on children.Behavioral problems such as anxiety and depression are common problems among children whose parents drink heavily.Psychosocial interventions have shown promising results for anxiety and depression among children;however,few studies have been conducted in the context of children of parents with alcohol dependence in India.AIM To evaluate the efficacy of psychosocial intervention for internalizing behavioral problems among children of parents with alcohol dependence.METHODS A randomized controlled trial with a 2×4 factorial design was adopted with longitudinal measurement of outcomes for 6 mo.Two-hundred and eleven children who met the eligibility criteria(at least one parent with alcohol dependence)at government high schools in Bangalore,India,were randomized to the experimental(n=97)or control group(n=98).The psychosocial intervention was administered to the experimental group in eight sessions(biweekly)over 4 wk after baseline assessment.The intervention focused on identifying and modifying negative thoughts,replacing thinking errors with realistic alternatives,modification of maladaptive behavior,developing adaptive coping skills and building self-esteem.The data was collected pre-intervention and at 1,3 and 6 mo after the intervention.Data were analyzed using SPSS 28.0 version.RESULTS Mean age of the children was 14.68±0.58 years,60.5%were male,56%were studying in 9th standard,70.75%were from nuclear families,and mean family monthly income was 9588.1±3135.2 INR.Mean duration of parental alcohol dependence was 7.52±2.94 years and the father was the alcohol-consuming parent.The findings showed that there were significant psychosocial intervention effects in terms of decreasing anxiety and depression scores,and increasing selfesteem level among experimental group subjects over the 6-mo interval,when compared with the control group(P<0.001).CONCLUSION The present study demonstrated that the psychosocial intervention was effective in reducing anxiety

关 键 词：ANXIETY Depression SELF-ESTEEM Psycho-social intervention Children of parents with alcohol dependence 

分 类 号：R749.62[医药卫生—神经病学与精神病学]