Abstract:

Objective　To explore the effect of group training of parents’ behavioral management skills in the treatment of preschoolers’ externalizing problem behaviors. Methods　The two kindergartens in Shenzhen were screened with Child Behavior Scale Chinese scale（CBSC）， each kindergarten was selected as externalizing problem behaviors intervention group（15 person） and the control group（10 person）. The parent of the intervention group had 8  sessions of group training sessions about behavioral management skills， and no intervention was given to the control group. Compare the CBSC scores in two groups before and after the intervention， and the satisfaction of parents was investigated. Results　There were 23 effective data in intervention group and 18 in control group. After the parents received the group training， their children’s attention scores（12.30±5.30），restlessness scores（10.96±4.76），and the externalizing problem scores（24.13±8.65）were significantly lower than before［（16.13±5.35），（13.35±4.16），（30.78±5.81），P＜0.05］. The aggression score was significantly lower than before［（0.87±0.87） vs. （2.67±2.95），P＜0.05］. The satisfaction survey showed that 100% of the parents were satisfied with the training，with 73.91% of the parents who thought the training helped a lot. Conclusion　Parent behavioral management skills group training is an effective and feasible way to treat the externalizing problem behaviors in preschool children. Further improvement and exploration of standardized parental training methods can help to meet the needs of children’s psychological clinical and health care development，and the demand for health service of children.

Key words: preschooler, externalizing problem behaviors, behavioral management, parent training group

摘要：

目的　探索家长行为管理技能小组训练治疗学龄前儿童外化性行为问题的疗效。方法　2016年10月南方医科大学附属深圳市妇幼保健院在深圳市两所幼儿园用学龄前儿童行为量表（CBSC）进行筛查， 每所幼儿园分别选取外化性行为问题干预组（15名）和对照组（10名）。干预组家长进行8次行为管理技能小组培训， 对照组未做干预。比较干预前后两组儿童的学龄前儿童行为量表分数改变， 并调查家长对此次课程的满意度。结果　共收集有效数据干预组23份， 对照组18份。干预组儿童家长接受培训后其孩子学前行为量表注意分数（12.30±5.30）分、多动分数（10.96±4.76）分、 外化性问题分数（24.13±8.65）分均明显低于干预前（16.13±5.35）分、（13.35±4.16）分、 （30.78±5.81）分（P＜0.05）； 攻击行为（0.87±0.87）分明显低于对照组（2.67±2.95）分（P＜0.05）。满意度调查显示， 对此次培训效果表示满意的家长达到100%， 其中认为本次培训帮助很大的家长占到73.91%。结论　家长行为管理技能小组培训是改善学龄前儿童外化性行为问题的有效可行的干预方式。进一步的完善和探索标准化的家长培训方法有助于满足儿童心理临床与保健业务发展的需要， 满足广大儿童的健康服务需求。

关键词: 学龄前儿童, 外化性行为问题, 行为管理, 家长训练小组