CN112466433A - Four-stage CHEN intervention technology for children tic disorder - Google Patents
Four-stage CHEN intervention technology for children tic disorder Download PDFInfo
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- CN112466433A CN112466433A CN201910766154.4A CN201910766154A CN112466433A CN 112466433 A CN112466433 A CN 112466433A CN 201910766154 A CN201910766154 A CN 201910766154A CN 112466433 A CN112466433 A CN 112466433A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H20/00—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance
- G16H20/70—ICT specially adapted for therapies or health-improving plans, e.g. for handling prescriptions, for steering therapy or for monitoring patient compliance relating to mental therapies, e.g. psychological therapy or autogenous training
Abstract
The intervention technology is a group behavior intervention mode which is designed and created based on clinical practice and aims at children suffering from tic disorder, namely the CHEN intervention technology with four stages: first-stage correct cognitive (C): applying cognitive-cognitive therapy (CBT) and Relaxation Therapy (RT) technologies; second stage hierarchical behavioral analysis (H): self-perception (SM) technology is applied; third-stage enhanced training (E): applying a Habit Reversal Technique (HRT); the fourth phase of natural training (N), designed according to function or context based management methods (FCMP) and System Desensitization Therapy (SDT) techniques.
Description
Technical Field
Medical psychology.
Background
At present, the treatment of tic disorder in China is mainly based on medicines, and in the investigation [1] in the early period, a plurality of TD children and parents have cognitive deviation on diseases, for example, the influence of the diseases on intelligence and learning is worried about, so that psychological behavior problems such as somatization symptoms, obsessive-compulsive symptoms, interpersonal relation sensitivity, depression, anxiety, horror, hostility and the like are generated, and the psychological behavior intervention is gradually applied to clinic along with the conversion of the understanding on the diseases from a biomedical mode to a biological-psychological-social medical mode.
Disclosure of Invention
The four-stage CHEN behavior intervention technology is a group behavior intervention mode aiming at TD children patients, which is designed and created based on clinical practice based on Habit reversal treatment according to documents [2-5], namely four-stage CHEN (Correct cognitive, cognitive biology, Enhance the training, Habit reverse training) intervention technology. Our previous study [6] found that the four-stage CHEN behavioral intervention method was effective in reducing the score of YGTSS in tic disorder, and the combined intervention group YGTSS reduction ratio > behavioral intervention group > drug treatment group had statistical differences (P =0.011; P <0.001; P = 0.014), while there were no significant differences in safety and compliance (P all > 0.05) among three groups of children. Based on limited clinical medical resources, our study [7] adopted corporate behavioral intervention. Research finds that compared with one-to-one treatment, group behavior intervention can help more patients, and medical resources are effectively saved. Meanwhile, the sick children and parents can communicate and encourage each other in the group treatment, positive feedback and support can be obtained more easily, self-confidence is obviously improved, and research shows that the functional damage of the sick children subjected to intervention in self-respect, social interaction, learning and working and the like is obviously improved.
The four-stage CHEN behavior intervention method can effectively alleviate symptoms of tic disorder, has good safety, no obvious adverse reaction, simple operation steps and is beneficial to clinical popularization, and the cooperation between a child patient and parents can be better obtained.
The method aims at the behavior characteristics of tic disorder, integrates various psychological behavior intervention methods, adopts a group short-term treatment method, and is pioneered at home and abroad.
Detailed Description
First stage correct cognitive (C): the psychological problems are changed by changing the thinking and attitudes of the patients on the people or things by applying cognitive-cognitive therapy (CBT) and Relaxation Therapy (RT) technologies. The relaxation therapy is to relax muscles through consciousness control and indirectly relax tension, so that the state of relaxing mind is achieved, and physical and mental health is facilitated.
Second stage hierarchical behavioral analysis (H): by applying self-monitoring (SM) technology, TD patients experience twitch symptoms of all parts of their bodies, record twitch behavior frequency and learn self-monitoring of twitch symptoms.
Third-stage enhanced training (E): by using a habit inversion technique (HRT), a premonitory signal and feeling before twitching are perceived in the self-perception training process, competitive confrontation is given in time, and the twitching frequency is reduced. The core technology of HRT includes perception training in which a psychotherapist trains a child patient to recognize a pre-cursor signal of an impending twitch symptom, including an impulse of a desired twitch or an early symptom of a twitch that occurs prior to the twitch, and then prevents the twitch from occurring by implementing confrontation;
the fourth phase of natural training (N), designed according to the techniques of function or context based management (FCMP) and System Desensitization Therapy (SDT), establishes a systematic management approach that minimizes the occurrence of twitch symptoms.
TABLE 1 antagonistic response training of HRT
Reference to the literature
[1] Chenglumna nodosa, Chenyanhui, Gilles de la Tourette infant and parent psychological State survey, Chinese journal of women and infants' 2014,5(6):11-14
[2]Shana A,Franklin BA,Michael R,et al.Behavioral interventions for tic disorders[J]
.Psychiatr Clin N Am,2010,33(3):641-655.
[3] Interpretation of (mei) mierteng bergi, shilin, et al, behavior correction-principle and method (fifth edition) 2015:1-493.
[4] Cognitive therapy: basic and application (second edition).. 2013:1-434.
[5] Pompe, fan summons behavior treatment 2012:1-178.
[6] Chenying Ping, Chenyanhui, curative effect of systematic behavior intervention on twitch disorder children [ J ]. China journal of Children health care, 2017,25(5):448-451.
[7] Azolla (graduate), chenyanhui (instructor), clinical control study directed to sexual group behavioral intervention in the treatment of child tic disorder [ D ]. fuzhou: fujian medical university, 2016.
Claims (3)
1. The intervention technology is a group behavior intervention mode aiming at children suffering from tic disorder, which is created based on clinical practice design according to literature, namely a four-stage CHEN (Correct cognitive, cognitive hearing analysis, Enhance the training, Habit regenerative training) intervention technology: first stage correct cognitive (C): applying cognitive-cognitive therapy (CBT) and Relaxation Therapy (RT) technologies; second stage hierarchical behavioral analysis (H): self-perception (SM) technology is applied; third-stage enhanced training (E): applying a Habit Reversal Technique (HRT); the fourth stage of natural training (N).
2. The 4-phase intervention method of claim 1.
3. The community behavioral intervention mode of claim 1.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910766154.4A CN112466433A (en) | 2019-08-19 | 2019-08-19 | Four-stage CHEN intervention technology for children tic disorder |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201910766154.4A CN112466433A (en) | 2019-08-19 | 2019-08-19 | Four-stage CHEN intervention technology for children tic disorder |
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| CN112466433A true CN112466433A (en) | 2021-03-09 |
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| CN201910766154.4A Pending CN112466433A (en) | 2019-08-19 | 2019-08-19 | Four-stage CHEN intervention technology for children tic disorder |
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Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20050112534A1 (en) * | 2003-09-23 | 2005-05-26 | Mccarton Cecelia | Methods for the treatment of autistic spectrum disorders |
| US20150086948A1 (en) * | 2013-09-25 | 2015-03-26 | Georgianna Donadio | Behavioral change model with evidence-based, clinically proven communication skills and methods for providing the online education of the same |
| CN109599162A (en) * | 2018-11-15 | 2019-04-09 | 东南大学 | A kind of autism-spectrum disorder with children ability to cooperate interfering system and method |
-
2019
- 2019-08-19 CN CN201910766154.4A patent/CN112466433A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20050112534A1 (en) * | 2003-09-23 | 2005-05-26 | Mccarton Cecelia | Methods for the treatment of autistic spectrum disorders |
| US20150086948A1 (en) * | 2013-09-25 | 2015-03-26 | Georgianna Donadio | Behavioral change model with evidence-based, clinically proven communication skills and methods for providing the online education of the same |
| CN109599162A (en) * | 2018-11-15 | 2019-04-09 | 东南大学 | A kind of autism-spectrum disorder with children ability to cooperate interfering system and method |
Non-Patent Citations (1)
| Title |
|---|
| 陈颖萍: ""针对性团体行为干预治疗儿童抽动障碍的临床对照研究"", 《中国优秀硕士论文全文数据库医药卫生科技辑》 * |
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Application publication date: 20210309 |
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