Background

Systematic reviews have shown attachment-based parenting programs to lead to improvements in parenting sensitivity and infant attachment, but none have focused specifically on the impact of attachment-based parenting programs on externalizing symptoms in young children.

Objective

The objective of this study was to review published randomized controlled trial evidence regarding the impact of attachment-based early parenting interventions on externalizing behaviors in children aged 1–5 years.

Methods

A systematic search of published literature available through to May 2020 was conducted. Seven published papers reporting results from trials testing six attachment-based parenting interventions were identified.

Results

Three of the seven programs were shown to be associated with statistically significant improvements in child externalizing behavior (Helping Encourage Affect Regulation, Child-Parent Psychotherapy, Parent–Child Interaction Therapy—Toddlers). For one program (Child-Parent Psychotherapy), there was also evidence in one study that improvements in child externalizing behaviors were sustained at 6-month follow-up. A number of methodological limitations were present among the studies identified, most commonly reliance on parent-report measures of externalizing behavior.

Conclusions

Taken together, results indicate that parenting interventions designed to promote secure parent–child attachment relationships may be effective in reducing externalizing behaviors in children aged 1–5 years of age. Further research is required to test programs in different populations and with longer follow-up times.

中文翻译：

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基于依恋的育儿干预对幼儿和学龄前儿童外化行为的影响：系统叙事评论

背景

系统评价表明，基于依恋的育儿计划可以改善育儿敏感性和婴儿依恋，但没有一项专门关注基于依恋的育儿计划对幼儿外化症状的影响。

客观的

本研究的目的是回顾已发表的关于基于依恋的早期育儿干预对 1-5 岁儿童外化行为影响的随机对照试验证据。

方法

对截至 2020 年 5 月的已发表文献进行了系统搜索。确定了七篇发表的论文，报告了测试六种基于依恋的育儿干预的试验结果。

结果

七个项目中的三个被证明与儿童外化行为的统计学显着改善有关（帮助鼓励影响调节、亲子心理治疗、亲子互动治疗——幼儿）。对于一项计划（儿童-家长心理治疗），一项研究也有证据表明，儿童外化行为的改善在 6 个月的随访中得以持续。在确定的研究中存在许多方法学上的局限性，最常见的是依赖父母报告的外化行为测量。

结论

总之，结果表明旨在促进安全亲子依恋关系的育儿干预可能有效减少 1-5 岁儿童的外化行为。需要进一步研究以在不同人群中测试程序并延长随访时间。