Background: Parenting programmes are recommended for conduct disorders in 5–11 year olds, but ineffective for 25–33%. A feasibility trial was needed to determine whether a confirmatory trial of second-line, manualised short-term psychoanalytic child psychotherapy (mPCP) versus treatment as usual (TaU) is practicable. Method: This was a two-arm, pragmatic, parallel-group, multi-centre, individually-randomised controlled feasibility trial with blinded outcome assessment. Child–primary carer dyads were recruited from National Health Service Child and Adolescent Mental Health Services and mPCP delivered by routine child psychotherapists. Results: Thirty-two dyads (50% of eligible, 95% CI 37 to 63%) were recruited, with 16 randomised to each arm. Eleven (69%) completed ≥50% of 12 week mPCP and 13 (81%) ≥1 session. Follow-up was obtained for 24 (75%) at 4 months and 14/16 (88%) at 8 months. Teacher follow-up was 16 (50%). Manual adherence was good. Baseline candidate primary outcomes were 37.4 (SD 11.4) and 18.1 (SD 15.7) on the Child Behaviour Checklist/Teacher Report Form externalising scale and 102.8 (SD 28.4) and 58.8 (SD 38.9) on the total score. Health economics data collection was feasible and the trial acceptable to participants. Conclusion: Recruitment, teacher follow-up and the manual need some refinement. A confirmatory trial is feasible, subject to funding of research child psychotherapists.

中文翻译：

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TIGA-CUB手动心理分析儿童心理治疗与通常治疗的5-11岁患有抗药性行为障碍及其主要护理人员的儿童：一项随机对照可行性试验的结果

背景：建议对5-11岁的行为障碍者实施育儿计划，但对25-33％的人无效。需要进行可行性试验，以确定二线，手动短期心理分析儿童心理治疗（mPCP）与常规治疗（TaU）的验证性试验是否可行。方法：这是一个两臂，务实，平行小组，多中心，独立随机对照的可行性试验，并进行了盲目的结果评估。儿童主要看护人二联体是由国家儿童青少年心理健康服务机构和常规儿童心理治疗师提供的mPCP招募的。结果：招募了32个二元组（50％合格，95％CI 37％至63％），每组随机分配16个。11周（69％）完成了≥50％的12周mPCP，有13（81％）完成了≥1个疗程。在4个月时随访了24（75％），在8个月时随访了14/16（88％）。教师跟进率为16（50％）。手动遵守情况很好。在儿童行为清单/教师报告表外部化量表上，基线候选者的主要结局指标为37.4（SD 11.4）和18.1（SD 15.7），总分数为102.8（SD 28.4）和58.8（SD 38.9）。卫生经济学数据收集是可行的，参与者可以接受该试验。结论：招聘，教师跟进和手册需要一些完善。验证性试验是可行的，但要接受研究儿童心理治疗师的资助。总分分别为8分（标准差28.4分）和58.8分（标准差38.9分）。卫生经济学数据收集是可行的，参与者可以接受该试验。结论：招聘，教师跟进和手册需要一些完善。验证性试验是可行的，但要接受研究儿童心理治疗师的资助。总分分别为8分（标准差28.4分）和58.8分（标准差38.9分）。卫生经济学数据收集是可行的，参与者可以接受该试验。结论：招聘，教师跟进和手册需要一些完善。验证性试验是可行的，但要接受研究儿童心理治疗师的资助。