| Objective:This paper explores the efficacy of the parent-child NCT on improving ODD children’s the clinical symptoms, Self-awareness, parenting, family environment, and provides the new interventions theoretical basis for ODD clinical treatment.Methods:From July2010to August2012, in Child and Adolescent Psychology Department of Tianjin Anding Hospital,87oppositional defiant disorder patients who met the inclusion criteria and exclusion criteria as research subjects were randomly divided into two groups:The study group (n=44) for the parent-child joint participation in Naikan cognitive therapy, the control group (n=43) ODD patients received Naikan cognitive therapy, before and after intervention by the researchers to evaluate symptoms distribution; The Achenlach Children’s Behavior Questionnaires (CBCL) and Parenting Locus of Control Scale(PLOC) were filled by parents or carers; Symptom self-Checklist (SCL-90), Piers-Harris Children’s Self-Concept Scale (PHCSS), Egma Minnen av Bardndosnauppforstran (EMBU), Family Environment scale-Chinese Version (FES-CV) were finished by children themselves.Results:74patients completed the study.37cases in Study group and37cases in Control group continued into result analysis. No significant difference in general and evaluation items was found in former two intervened groups.①After intervention, occurrence frequency of ODD symptoms entries in two group was significantly reduced (P<0.01), compared with two groups, no significant difference was found in improvement of clinical symptoms of ODD patients; a month follow-up after intervention, occurrence frequency of5entries in study group is lower or significantly lower than those in control group (P<0.05,P<0.01).②Before intervention, the two groups of SCL-90in human relationships, hostility, paranoid factor scores were greater than2, indicating that the ODD patients with poor interpersonal relationships, hostility and paranoid; After intervention, the two groups of SCL-90total score, interpersonal relationships, hostility, paranoid ideation scores were significantly lower (P<0.01), there is no significant difference in between two groups; follow-up one month after intervention, the study group SCL-90total score and interpersonal relationships, hostility, paranoid factor scores were lower or significantly lower than control group.(3)After intervention, except somatic complaints, thought problems, attention problems factor in CBCL of two groups, the rest factor score was significantly lower (P<0.01), social competence significantly increased (P<0.01), there was no significant difference between in two groups; one month follow-up after intervention, except somatic complaints, thought problems, attention problems factor in CBCL of two groups, the rest factor scores were lower or significantly lower (P<0.05, P<0.01) than the control group; social skills, school capacity rating and social competence scores were significantly higher than control group (P<0.01).④After intervention, except intellectual and school factors, physical appearance factor in two groups PHCSS, the rest factor scores reduced or significantly reduced (P<0.05,P<0.01) than those before intervention, Compared in-between the two groups, the study group the PHCSS total score and anxiety factor scores were higher (P<0.05) than study group; Except intellectual and school factors, physical appearance factor in study group PHCSS, the rest factor scores reduced or significantly reduced (P<0.05,P<0.01) than those before intervention,⑤Study group after intervention PLOC factor scores were significantly higher than before intervention (P<0.01), The control group only after intervention of educational effectiveness factor scores higher than before intervention (P<0.05); Between the two groups, research group, PLOC, all factor scores significantly higher than control group (P<0.01). One month follow-up after intervention study group PLOC factor scores significantly higher than those in the control group (P<0.01).⑥After intervention, EMBU except parents’preference factor, the other factor in study group improved or significantly improved (P<0.05, P<0.01) than before intervention, The control group was found no change; EMBU father refused factor, father warmth, punish the father, mother emotional warmth, to punish the mother, the mother refused to factor score in study group improved or significantly improved (P<0.05, P<0.01) than the control group;One month after intervention follow-up study group EMBU except the father preference over-protective father, mother preference factor, factor score than the control group improved or significantly improved (P<0.05,.P<0.01).⑦After intervention, FES-CV intimacy, contradictions, success, organization and control of factor in study group improved or significantly improved (P<0.05, P<0.01) than before intervention, The control group was found no change; FES-CV intimacy, contradictions, success, organization and control of factor scores in study group improved or significantly improved (P<0.05, P<0.01) than the control group;One month after intervention follow-up FES-CV intimacy, contradictions, success, organization and control of factor score than the control group improved or significantly improved (P<0.05, P<0.01).Conclusion:①The parent-child NCT can effectively improve the clinical symptoms of ODD patients;②The parent-child NCT can effectively improve the ODD patients with core symptoms such as hostility, paranoia, and poor interpersonal relationship,③The parent-child NCT can not only effectively reduce behavioral problems, but also increase the social competence, school capacity of ODD patients;④The parent-child NCT can fully effectively improve self-awareness of ODD patients, and then reduce the behavioral disinhibition and expression of ODD persistent defiance, hostility, antagonism, provocation and vandalism, in order to achieve prevention and treatment.⑤The parent-child NCT can change the parents’ past child locus of control beliefs, and to recognize that as a parent, they should have shoulder responsibility for educating their childrenl;⑥The Parent-child NCT can effectively improve the ODD Parents Parenting, reduce parental punishment, rejection parenting, increased parental emotional warmth;⑦The Parent-child NCT can effectively improve the families of children with ODD members of intimacy, contradiction, organization and controllability;⑧After one month follow-up, whatever in terms of symptom control, self improvement, positive changes and parenting locus of control, parental rearing styles and family environment, the Parent-child NCT for the treatment of ODD children are more stable and long-term effect than control group (only ODD participating in Naikan cognitive therapy)⑨As a new psychological therapy, NCT has good application prospect for the prognosis of patients with ODD. |
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