ABSTRACT

Objective

Emotion-Focused Skills Training (EFST) is a 12-week parental program based on Emotion-Focused Therapy, developed to improve children and adolescents’ mental health problems.

Methods

In a randomized clinical dismantling study, including parents of 236 children and adolescents (ages 6–13, M_age 8.9, 60.6% boys, 95.8% Caucasian) with externalizing and/or internalizing problems within clinical range, we examined the efficacy of two versions of EFST: one experiential condition (n = 120) involving emotionally evocative techniques and two-chair interventions, and one psychoeducational only condition (n = 116) involving didactic teaching of emotion skills. Both groups received a 2-day group training and 6 hours of individual supervision. Outcomes were parent- and teacher-reported symptoms at baseline, posttreatment, and 4-, 8-, and 12-month follow-up. Analyses were conducted using multilevel growth curve modeling and Bayesian post hoc analysis.

Results

EFST showed efficacy in reducing parent-reported externalizing (b = −1.72, p < .001, d = 1.0) and internalizing (b = −1.71, p < .001, d = 0.9) symptoms, and teacher-reported externalizing (b = −.96, p < .001, d = 0.4), but not internalizing (b = −.13, p > .05, d = 0.2) symptoms. Multilevel analyses showed nonsignificant differences between conditions (all p’s > .05), although a Bayesian longitudinal sensitivity analysis indicated a better outcome for the experiential condition.

Conclusion

EFST showed efficacy in symptom reduction for children and adolescents with internalizing and externalizing symptoms. Outcomes were maintained over 12 months for both conditions, supporting EFST as a transdiagnostic parental approach for early intervention.

中文翻译：

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以情绪为中心的育儿计划对儿童内化和外化症状的疗效：一项随机临床研究

摘要

客观的

情绪聚焦技能训练 (EFST) 是一项基于情绪聚焦疗法的为期 12 周的家长计划，旨在改善儿童和青少年的心理健康问题。

方法

在一项随机临床拆除研究中，包括 236 名儿童和青少年（6-13_岁， 8.9 岁，60.6% 男孩，95.8% 白人）的父母，他们的外化和/或内化问题在临床范围内，我们检查了两种版本的疗效EFST：一种体验条件 (n = 120) 涉及情绪唤起技术和双椅干预，以及一种仅心理教育条件 (n = 116) 涉及情绪技能的教学。两组均接受了为期 2 天的小组培训和 6 小时的个人监督。结果是父母和老师在基线、治疗后以及 4、8 和 12 个月的随访中报告的症状。使用多级增长曲线建模和贝叶斯事后分析进行分析。

结果

EFST 在减少家长报告的外化 ( b = −1.72, p < .001, d = 1.0) 和内化 ( b = −1.71, p < .001, d = 0.9) 症状以及教师报告的外化 ( b = −.96，p < .001，d = 0.4)，但没有内化（b = −.13，p > .05，d = 0.2）症状。多级分析显示条件之间存在非显着差异（所有p > .05），尽管贝叶斯纵向敏感性分析表明经验条件的结果更好。

结论

EFST 显示出对具有内化和外化症状的儿童和青少年症状减轻的功效。两种情况的结果都维持了 12 个月以上，支持 EFST 作为早期干预的跨诊断父母方法。