ABSTRACT
Os transtornos externalizantes constituem uma problemática relevante na clínica com crianças e o treinamento de pais é escolhido como intervenção efetiva para essa população. Propomos nesse estudo identificar as intervenções de treinamento de pais com crianças com diagnóstico de transtornos externalizantes em estudos empíricos, por meio de uma revisão sistemática de artigos publicados entre 2012 e 2016 nas bases Science Direct, PubMed Central, Academic Search Premier, Scopus e Psycinfo. As intervenções foram realizadas com crianças de diferentes idades e transtornos com a participação dos cuidadores. A maior parte das intervenções foi em formato grupal, durante 4 a 14 sessões. Como resultados foram encontrados protocolos de treinamento de pais com crianças com transtornos externalizantes, realizados em diferentes contextos. Diante disso, salienta-se a necessidades de estudos brasileiros com a temática.
Externalizing disorders are a relevant problem in the clinic with children, and parental training is chosen as the effective intervention for this population. To identify the interventions of training of parents with children diagnosed with externalizing disorders in empirical studies. Systematic review of articles published between 2012 and 2016 at the bases Science Direct, PubMed Central, Academic Search Premier, Scopus, and Psycinfo. Interventions were performed with children of different ages and disorders, with the participation of caregivers. Most of the interventions were in group format, for 4 to 14 sessions. Protocols for training parents with externalizing disorders children were found in different contexts. It is highlighted the needs of Brazilian studies with this theme.
Los extermina los trastornos son un problema problemático en las clínicas con niños, y la orientación parenteral es elegido como intervención efectiva para esa población. Para identificar las intervenciones de entrenamiento de los padres con niños diagnosticados con externalización de desórdenes en los estudios empíricos. Revisión sistemática de artículos publicados entre 2012 y 2016 sobre las bases Science Direct, PubMed Central, Academic Search Premier, Scopus, e Psycinfo. Las intervenciones se realizaron con niños de diferentes etapas y desórdenes, con la participación de los cuidadores. La mayor parte de las intervenciones fueron en formato de grupo, para 4 a 14 sesiones. Los protocolos para los padres con niños con problemas de externalización se han encontrado en contextos diferentes. Se resaltan las necesidades de estudios brasileños con este tema.
Subject(s)
Family/psychology , Child Behavior Disorders , Psychology, Child , Parent-Child Relations , Family Relations , Mother-Child RelationsABSTRACT
OBJECTIVE: Externalizing disorders such as attention-deficit/hyperactivity disorder (ADHD), conduct disorder and antisocial personality disorder, as well as depression are common comorbidities in alcohol use disorder (AUD). The current study focused on the temporal relationship between the onsets of these disorders and AUD, and investigated the serial multiple mediator model of externalizing disorders (e.g., ADHD) and depression on AUD. METHODS: We analyzed the mediated effects of the Adult ADHD Self-Report Scale (ASRS), the Barratt Impulsiveness Scale motor (BIS_M) and the Beck Depression Inventory (BDI) on Korean version of the Alcohol Dependence Scale (ADS_K) using the multiple-step multiple mediation procedure regression analysis. In addition, we comparatively analyzed different clinical characteristics in relation to conduct problems. RESULTS: The multiple-step multiple mediation procedure found the serial multiple mediated effects of the BIS_M and the BDI on the relationship between the ASRS and the ADS_K. Also, the group with conduct problem was significantly high in ADHD symptoms, depression, anxiety, impulsivity, legal problems and alcohol-related problems, compared to the group without conduct problems. CONCLUSION: To sum up, the results of this study show that ADHD symptoms in childhood could exert significant effects on the severity of AUD in adulthood, and both disorders might be mediated by the externalizing disorders characterized by the core feature of motor impulsivity, and depression serially. Thus, the treatment of preceding disorders in accordance with developmental stages is an overarching clinical component for preventing the subsequent development of AUD and for its treatment.