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Übersicht

Wirksamkeit elternzentrierter Interventionen bei Kindern im Alter von zwei bis zwölf Jahren

Ein systematisches Review

Published Online:December 16, 2014https://doi.org/10.1026/0942-5403/a000154

Abstract

Mittels eines systematischen Reviews von 68 Meta-Analysen und Übersichtsartikeln wird überprüft, welche elternzentrierten Interventionen für Kinder im Alter von zwei bis zwölf Jahren wirksam sind und welche psychischen Störungen effektiv behandelt werden können. Insgesamt zeigte sich, dass ein enger Einbezug der Eltern in die Behandlung der Kinder mit internalisierenden Störungen (v. a. bei jüngeren Kindern) sinnvoll ist. Hierbei scheinen vor allem kognitiv-behaviorale Ansätze mit Elterneinbezug wirksam zu sein. Hinsichtlich externalisierender Verhaltensprobleme erreichen behaviorale Elterntrainings neben einer Reduktion der Verhaltensprobleme auch positive Effekte auf Erziehungsverhalten und das elterliche psychische Wohlbefinden. Besonders behaviorale elternzentrierte Interventionen, deren Wirksamkeit nachgewiesen ist, sollten künftig häufiger angewendet werden und eine Möglichkeit zur Abrechnung über die Krankenkassen geschaffen werden.


A Systematic Review of the Effectiveness of Parent-Based Interventions for Children Aged Two to Twelve Years

Sixty-eight meta-analyses and survey articles were systematically reviewed with regard to efficacy of parent-centered interventions for children aged two to twelve years and to their effectiveness in the treatment of different psychiatric disorders. All in all, it turned out that the close involvement of the parents in the treatment of children (especially of younger children) with internalized disorders is useful. A cognitive-behavioral approach involving the parents seems to be particularly effective. In externalized behavior problems behavioral parent training shows positive results not only with regard to a reduction of these problems, but also with regard to parenting behavior and parental wellbeing. It is highly recommendable that especially behavioral parent-centered interventions of proven efficacy should be applied more often in the future and payment by the health insurance should be made possible.

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