Journal of Clinical Child & Adolescent Psychology最新文献_第4页

Genetic and Environmental Influences on the Development of Irritability from Ages 3 to 5 Years. 遗传和环境因素对3 ~ 5岁儿童易怒发展的影响。

Journal of Clinical Child & Adolescent Psychology Pub Date : 2025-04-22 DOI: 10.1080/15374416.2025.2484799

I-Tzu Hung,Argyris Stringaris,Chang Liu,Jody M Ganiban,Kimberly J Saudino

{"title":"Genetic and Environmental Influences on the Development of Irritability from Ages 3 to 5 Years.","authors":"I-Tzu Hung,Argyris Stringaris,Chang Liu,Jody M Ganiban,Kimberly J Saudino","doi":"10.1080/15374416.2025.2484799","DOIUrl":"https://doi.org/10.1080/15374416.2025.2484799","url":null,"abstract":"OBJECTIVEIrritability is genetically influenced and is associated with internalizing and externalizing psychopathology. However, little is known about the etiology of the development of irritability in the preschool period. The present study examined this from rank-order stability and developmental trajectories perspectives.METHODThe irritability of 310 same-sex twin pairs (monozygotic = 123; dizygotic = 187; 51% female) was longitudinally assessed at ages 3, 4 and 5 years via parent-reports on the Child Behavior Checklist. Biometric Cholesky models and latent growth curve models were used to examine genetic and environmental influences on both the rank-order stability and instability, and within individual changes in levels of irritability across age (i.e. developmental trajectories), respectively.RESULTSThe heritability of irritability ranged from 53% to 60%, with the remaining variances explained by nonshared environmental influences. Age-to-age stability was largely due to genetic influences. Novel genetic and nonshared environmental effects emerged at ages 4 and 5, indicating genetic and environmental contributions to instability. Approximately 42% and 22% of genetic influences at ages 4 and 5, respectively, were independent of prior ages, and over 85% of nonshared environmental influences were age-specific. Individual differences in developmental trajectories of irritability were entirely due to nonshared environmental influences.CONCLUSIONSThe rank-order stability of irritability and within-individual change in levels of irritability across age are governed by different etiological processes, emphasizing the importance of examining development from multiple perspectives. Both perspectives highlight the role of nonshared environmental factors in early irritability development. Interventions could benefit from leveraging these factors to redirect early irritability development.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"91 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866277","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Alignment Between Clinician Treatment Choices and Client Data as a Predictor of Youth Clinical Outcomes. 临床医生治疗选择和客户数据之间的一致性作为青年临床结果的预测因子。

Journal of Clinical Child & Adolescent Psychology Pub Date : 2025-04-22 DOI: 10.1080/15374416.2025.2484802

Olivia M Fitzpatrick,Thomas Rusch,Maggie Chiffer,John R Weisz

{"title":"Alignment Between Clinician Treatment Choices and Client Data as a Predictor of Youth Clinical Outcomes.","authors":"Olivia M Fitzpatrick,Thomas Rusch,Maggie Chiffer,John R Weisz","doi":"10.1080/15374416.2025.2484802","DOIUrl":"https://doi.org/10.1080/15374416.2025.2484802","url":null,"abstract":"OBJECTIVEExperts have called for tools to enhance the effectiveness and acceptability of youth psychotherapy, such as methods designed to increase clinician-client alignment. Transdiagnostic youth psychotherapies, such as Modular Approach to Therapy for Children (MATCH), may be particularly strong candidates for these methods, as they involve complex decision-making processes that influence treatment plans and outcomes. In this study, we explored clinician-client alignment in the selection of an initial MATCH treatment protocol (anxiety, depression, trauma, or conduct problems).METHODWe used data from 196 youths (7-15 years old; 54% male; 32.5% White, 28% Black, 24% Latinx/Hispanic, 1% Asian, 13.5% multi-racial) receiving MATCH. We tested whether alignment - i.e. the extent to which the clinician-selected protocol aligned with the \"best-fit\" protocol for a given youth, based on youth and caregiver pre-treatment data - might predict trajectories of change in youth- and caregiver-reported severity of youth symptoms (Brief Problem Monitor) and idiographic top problems (Top Problems Assessment) across treatment.RESULTSOverall, outcomes tended to improve more when the clinician-selected protocol aligned with the best-fit protocol of at least one of the clients (i.e. caregiver client and/or youth client) than when the clinician-selected protocol did not align with the best-fit protocol of either client.CONCLUSIONSTo our knowledge, this is the first study to demonstrate that clinician-client alignment may be associated with improved outcomes in youth psychotherapy. These findings highlight the potential clinical value of using pre-treatment client data to inform the clinician's critical decision of which treatment focus to pursue.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"33 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143866278","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Sleep Profiles Among Ethnically-Racially Minoritized Adolescents: Associations with Sociocultural Experiences and Developmental Outcomes. 少数民族青少年的睡眠概况：与社会文化经验和发展结果的关系。

Journal of Clinical Child & Adolescent Psychology Pub Date : 2025-04-15 DOI: 10.1080/15374416.2025.2475495

Jinjin Yan,Mingjun Xie,Zhenqiang Zhao,Heining Cham,Mona El-Sheikh,Tiffany Yip

{"title":"Sleep Profiles Among Ethnically-Racially Minoritized Adolescents: Associations with Sociocultural Experiences and Developmental Outcomes.","authors":"Jinjin Yan,Mingjun Xie,Zhenqiang Zhao,Heining Cham,Mona El-Sheikh,Tiffany Yip","doi":"10.1080/15374416.2025.2475495","DOIUrl":"https://doi.org/10.1080/15374416.2025.2475495","url":null,"abstract":"OBJECTIVEThis study used latent profile analyses to (1) identify heterogeneous patterns of sleep profiles; (2) examine how discrimination was related to sleep profiles; and (3) investigate how developmental outcomes varied across sleep profiles among ethnically-racially minoritized adolescents.METHODParticipants were 350 ethnically-racially minoritized adolescents (69% female; 22% Black-African American, 41% Asian American, and 37% Latinx; Mage = 14.27 years old, SD = 0.61) completed self-reported presurvey measures of everyday discrimination, ethnic-racial discrimination, and self-reported post-survey measures of depressive symptoms, somatic symptoms, self-esteem, and rumination. Objectively and subjectively measured sleep were assessed utilizing a short-term longitudinal (i.e., two-week) design, where adolescents wore a wrist actigraph and completed daily diaries for 14 consecutive days.RESULTSDrawing on multiple objectively and subjectively measured sleep indicators, three profiles were identified: Nighttime Sleeper (76.57%), Disrupted Sleeper (14.29%), and Daytime Sleeper (9.14%). Adolescents experiencing higher levels of ethnic-racial discrimination were more likely to be characterized in the Disrupted Sleeper, relative to the Nighttime Sleeper profile. Compared with Asian and Latinx Americans, Black adolescents were more likely to be in the Daytime Sleeper, relative to the Nighttime Sleeper profile. Those in the Disrupted Sleeper profile exhibited the worst developmental outcomes.CONCLUSIONSThe findings inform clinical interventions focusing on sleep experiences, especially as they relate to protective processes for coping with discrimination. Clinical efforts (e.g., sleep education or therapy to develop routines for adaptive napping) may be beneficial to facilitating healthy sleep behaviors and mitigating sleep disturbances, which in turn, improve developmental well-being among ethnically-racially minoritized adolescents.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"37 1","pages":"1-14"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836583","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Body Dysmorphic Disorder in Adolescents: Family History, Parental Distress, Rearing, and Accommodation. 青少年身体畸形障碍：家族史、父母困扰、养育和适应。

Journal of Clinical Child & Adolescent Psychology Pub Date : 2025-04-15 DOI: 10.1080/15374416.2025.2476189

Cassie H Lavell,Ella L Oar,Ronald M Rapee

{"title":"Body Dysmorphic Disorder in Adolescents: Family History, Parental Distress, Rearing, and Accommodation.","authors":"Cassie H Lavell,Ella L Oar,Ronald M Rapee","doi":"10.1080/15374416.2025.2476189","DOIUrl":"https://doi.org/10.1080/15374416.2025.2476189","url":null,"abstract":"OBJECTIVEThe family environment of adolescents with body dysmorphic disorder (BDD) is under researched. The current study aimed to investigate family psychiatric history, as well as parental distress, rearing practices, accommodation of appearance concerns, and appearance messages in a clinical sample of adolescents with BDD.METHODTwenty-six adolescents (12-17 years) with BDD were compared to 27 adolescents with anxiety disorders and 25 adolescents without mental disorders. Adolescents and their primary caregivers completed self-report measures and participated in a discussion task that was independently coded for parental rearing styles.RESULTSParents of adolescents with BDD reported experiencing significantly more emotional distress than parents in the non-clinical group (p = .003, d = 1.02). The majority (92%) of parents in the BDD group reported accommodating their child's appearance concerns and reported performing significantly more frequent appearance accommodations than parents of anxious adolescents (p < .001, d = 1.40) and the non-clinical group (p < .001, d = 1.83). An independent observer rated parents of adolescents with BDD (p = .002, d = 1.19) and anxiety disorders (p = .008, d = 0.87) as more critical than parents in the non-clinical group during a body-image related discussion, but parents of adolescents with BDD were not rated as more critical in other discussion scenarios. There were no significant differences in parental warmth, overprotection, or appearance messages between parents in the BDD group and comparison groups.CONCLUSIONSResults of the study can inform cognitive-behavioral models of adolescent BDD as well as family-based treatment approaches.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"6 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836582","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers and Facilitators in Discussing Race and Racism with Youth: Overcoming Passivity and Building Confidence. 与青年讨论种族和种族主义的障碍和促进因素：克服被动和建立信心。

Journal of Clinical Child & Adolescent Psychology Pub Date : 2025-04-15 DOI: 10.1080/15374416.2025.2475494

Yachi Tseng,Yasmin Garfias,Alayna Daniels,Devin Kennedy,Shannon Dorsey,Jasmine Blanks Jones,Noah S Triplett

{"title":"Barriers and Facilitators in Discussing Race and Racism with Youth: Overcoming Passivity and Building Confidence.","authors":"Yachi Tseng,Yasmin Garfias,Alayna Daniels,Devin Kennedy,Shannon Dorsey,Jasmine Blanks Jones,Noah S Triplett","doi":"10.1080/15374416.2025.2475494","DOIUrl":"https://doi.org/10.1080/15374416.2025.2475494","url":null,"abstract":"OBJECTIVEThis study examined youth-serving community mental health clinicians' multicultural counseling knowledge and awareness and their perceived barriers and facilitators in discussing race and racism with clients. Additionally, the study explored how clinicians' knowledge and awareness were related to their reports of barriers and facilitators in addressing race and racism.METHODSThe current study is a mixed-method study of 119 youth-serving community mental health clinicians across Washington State. We explore qualitative themes in clinicians' reports of perceived barriers and facilitators in broaching topics of race and racism. We also examine if reported barriers and facilitators correlate with the Multicultural Counseling Knowledge and Awareness Scale.RESULTSQualitative themes emerged at the client-, clinician-, organizational-, and societal-levels. Barriers included clinicians not engaging in racism-related discussions unless clients initiated them, clinicians' discomfort or lack of confidence, and clinicians' perceptions of harm or limitations because of their racial identification. Clinicians were more willing to broach topics of race or racism with older clients, with stronger perceptions of rapport, and when topics were broached earlier in therapy. There was no statistically significant correlation between the count of perceived barriers or facilitators' and clinicians' multicultural counseling knowledge and awareness.CONCLUSIONQualitative and quantitative data highlight considerations for assessing and supporting clinicians' cultural humility. Enhancing multicultural competency and humility can help clinicians recognize their strengths and limitations, fostering a deeper understanding of clients' cultural backgrounds. Encouraging clinicians to facilitate open discussions about race and racism is a key step in this process.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"113 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"2025-04-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143836584","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Linking Adherence to Effectiveness in Family-Based Adolescent ADHD Academic Training and Medication Decision-Making Protocols. 以家庭为基础的青少年ADHD学术培训和药物决策协议的依从性与有效性的联系。

Journal of Clinical Child & Adolescent Psychology Pub Date : 2025-01-30 DOI: 10.1080/15374416.2025.2454640

Samuel Meisel,Nicole Porter,Molly Bobek,Craig E Henderson,Aaron Hogue

{"title":"Linking Adherence to Effectiveness in Family-Based Adolescent ADHD Academic Training and Medication Decision-Making Protocols.","authors":"Samuel Meisel,Nicole Porter,Molly Bobek,Craig E Henderson,Aaron Hogue","doi":"10.1080/15374416.2025.2454640","DOIUrl":"https://doi.org/10.1080/15374416.2025.2454640","url":null,"abstract":"OBJECTIVEChanging Academic Support in the Home for Adolescents with ADHD (CASH-AA) and Medication Integration Protocol (MIP) are two family-based behavioral protocols designed to promote family solutions to academic problems and medication decision-making. Building on a randomized control trial examining these protocols, the current study examined how protocol dose, an indicator of treatment adherence, was associated with treatment outcomes.METHODThe sample consisted of 145 adolescent clients (M age = 14.8, 72% male, 42% White, 37% Hispanic, 15% Black) and 49 community and hospital-based therapists (82% female, 63% White, 29% Hispanic). Latent growth curve models examined how therapist reports of minutes adolescents and their caregivers received CASH-AA and MIP predicted levels and change in inattentive and hyperactive symptoms (MINI-International Neuropsychiatric Interview); co-occurring symptoms (Youth Self Report/Child Behavior Checklist); homework problems (Homework Problems Checklist); and medication compliance at baseline, 3, 6, and 12-month follow-ups.RESULTSMIP minutes were prospectively associated with lower caregiver-reported inattentive and hyperactive symptoms, adolescent- and caregiver-reported externalizing symptoms and caregiver-reported homework problems at the 12-month follow-up (ẞ range = -.16 to -.39, p < .05), as well as faster decline in caregiver-reported inattentive symptoms (ẞ = -.29, p < .001). CASH-AA minutes were associated with greater caregiver-reported inattentive symptoms (ẞ = .11, p = .049) at 12-month follow-up and slower declines in homework problems (ẞ = -.39, p < .001). Neither MIP nor CASH-AA minutes were associated with internalizing symptoms or medication use.CONCLUSIONSFindings further support MIP as an effective behavioral protocol for adolescent ADHD and indicate the need for increasing MIP implementation efforts in community settings.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"27 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143062023","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Prospective Relations Between Inferential Styles and Depressive Symptoms Among Children of Mothers with Major Depression. 重度抑郁症母亲子女的推断风格与抑郁症状之间的前瞻性关系。

Journal of Clinical Child & Adolescent Psychology Pub Date : 2024-10-18 DOI: 10.1080/15374416.2024.2414437

Pooja Shankar,Brandon E Gibb

{"title":"Prospective Relations Between Inferential Styles and Depressive Symptoms Among Children of Mothers with Major Depression.","authors":"Pooja Shankar,Brandon E Gibb","doi":"10.1080/15374416.2024.2414437","DOIUrl":"https://doi.org/10.1080/15374416.2024.2414437","url":null,"abstract":"OBJECTIVECurrent models of depression risk in children include both family history and cognitive models of risk; however, these models are rarely integrated. This study aimed to address this gap by examining how cognitive vulnerabilities featured in the hopelessness theory of depression - negative inferential styles for the causes, consequences, and self-characteristic implications of negative events - may increase risk for the intergenerational transmission of depression. Specifically, we examined whether children of mothers with a history of major depressive disorder (MDD), compared to children of never-depressed mothers, exhibit more negative inferential styles and whether maternal history of MDD moderates prospective relations between children's inferential styles and depressive symptoms.METHODParticipants were 251 children (ages 8-14 at baseline; 51% girls; 81% Non-Hispanic White) of mothers with (n = 129) or without (n = 122) a history of MDD. Children's inferential styles and depressive symptoms were assessed at baseline and then every 6 months for 2 years.RESULTSUsing random intercept cross-lagged panel models (RI-CLPMs), we found that children of mothers with a history of MDD, compared to children of never-depressed mothers, had more negative inferential styles for the causes and consequences of negative events, but not for self-characteristics, and higher depressive symptom levels, across the follow-up. In addition, there were reciprocal, transactional relations between children's inferential styles for causes and their depressive symptoms across the follow-up, with no evidence for moderation by maternal MDD.CONCLUSIONSChildren's inferential styles for the causes of negative events may be a useful marker of risk for the intergenerational transmission of depression, which could be targeted to reduce risk for depression.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"77 1","pages":"1-10"},"PeriodicalIF":0.0,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142449385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

An Examination of Episodic Future Thinking and Episodic Memory Among Suicidal and Nonsuicidal Adolescents 对有自杀倾向和无自杀倾向青少年的外显未来思维和外显记忆的研究

Journal of Clinical Child & Adolescent Psychology Pub Date : 2024-10-16 DOI: 10.1080/15374416.2024.2384038

Christine B. Cha, Rachel J. Nam, Kerri-Anne Bell, Pauline Goger, Neha Parvez, Olivia H. Pollak, Donald J. Robinaugh, Drishti Sanghvi, Daniel L. Schacter

引用次数: 0

Evidence-Based Psychosocial Treatments for Disruptive Behaviors in Children: Update. 针对儿童破坏性行为的循证社会心理疗法：更新。

Journal of Clinical Child & Adolescent Psychology Pub Date : 2024-10-15 DOI: 10.1080/15374416.2024.2405988

Jennifer W Kaminski,Angelika H Claussen,Rebekah S Sims,Sivapriya Bhupalam

{"title":"Evidence-Based Psychosocial Treatments for Disruptive Behaviors in Children: Update.","authors":"Jennifer W Kaminski,Angelika H Claussen,Rebekah S Sims,Sivapriya Bhupalam","doi":"10.1080/15374416.2024.2405988","DOIUrl":"https://doi.org/10.1080/15374416.2024.2405988","url":null,"abstract":"We reviewed the available evidence on psychosocial treatments for disruptive behaviors in children, as an update to Kaminski and Claussen (2017), focusing on children up to age 12 years. Search strategies, study inclusion, and treatment classification followed the procedures developed by Southam-Gerow and Prinstein (2014). Of the 44 included studies from 2016 to 2021, only 9 impacted previous results, either by increasing the level of evidence (for two treatment families) or documenting evidence for a new treatment family (four new treatment families). All three treatment families classified as Level 1: Well Established are parent-focused and now include Group parent behavior therapy + group child behavior therapy (previously classified as Probably Efficacious), in addition to Group parent behavior therapy and Individual parent behavior therapy with child participation (already classified as Well Established). Fifteen treatment families were classified as Level 2: Probably Efficacious, eight were classified as Level 3: Possibly Efficacious. Given the variability of programs in each treatment family, the evidence is for the overall treatment approach and may not apply to each program with those characteristics. Data were insufficient to examine outcomes in relation to participant characteristics. The information can be used to improve dissemination, implementation, and uptake of effective treatment, and inform research on improving access barriers.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"95 1","pages":"1-30"},"PeriodicalIF":0.0,"publicationDate":"2024-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142439227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Trajectories of Change in Parent-Child Interaction Therapy Outcomes in Latinx Families: Implications for Cultural Adaptation. 拉美裔家庭亲子互动疗法结果的变化轨迹：文化适应的意义。

Journal of Clinical Child & Adolescent Psychology Pub Date : 2024-09-17 DOI: 10.1080/15374416.2024.2395272

Giovanni Ramos,Michael Woller,Lauren Quetsch,Emma Girard,Miya Barnett,Amanda Montoya,Kenny Le,Yazleen Reyes,Denise Chavira,Miguel Villodas,Anna Lau

{"title":"Trajectories of Change in Parent-Child Interaction Therapy Outcomes in Latinx Families: Implications for Cultural Adaptation.","authors":"Giovanni Ramos,Michael Woller,Lauren Quetsch,Emma Girard,Miya Barnett,Amanda Montoya,Kenny Le,Yazleen Reyes,Denise Chavira,Miguel Villodas,Anna Lau","doi":"10.1080/15374416.2024.2395272","DOIUrl":"https://doi.org/10.1080/15374416.2024.2395272","url":null,"abstract":"OBJECTIVEParent-Child Interaction Therapy (PCIT) is a parenting program in which caregivers must achieve \"skill criteria\" in using Do Skills and avoiding Don't Skills to complete treatment. Despite PCIT's emphasis on these skills, little is known about how Latinx caregivers acquire these Western-based parenting practices and whether cultural mismatches lead to inequities in outcomes. This study compared the trajectories of change in PCIT skills and treatment outcomes of Latinx and non-Latinx White families.METHODWe analyzed weekly treatment data from 64 families (20.3% Spanish-speaking Latinx, 51.6% English-speaking Latinx, 28.1% non-Latinx White) served in community clinics. Caregivers were mostly females (95.3%), on average 35.13 years old, and lived in poverty (77.6%). PCIT skills were coded using the Dyadic Parent-Child Interaction Coding System, and child behavior problems were reported using the Eyberg Child Behavior Inventory.RESULTSLatinx and non-Latinx White caregivers acquired Do Skills similarly during treatment. In contrast, some Latinx caregivers began treatment using significantly more Don't Skills and needed more sessions to achieve some aspects of PCIT skill criteria compared with non-Latinx White caregivers. Latinx families also experienced similar or even more pronounced reductions in child behavior problems than non-Latinx White families. There were no significant differences in the percentage of caregivers who achieved PCIT skill criteria or left treatment prematurely.CONCLUSIONSThis study provides evidence that strictly defined PCIT skill criteria may lead to inequities in treatment length for some Latinx families. Informed by these findings, we propose data-driven adaptations to improve the cultural fit of PCIT for Latinx groups.","PeriodicalId":501764,"journal":{"name":"Journal of Clinical Child & Adolescent Psychology","volume":"331 1","pages":"1-15"},"PeriodicalIF":0.0,"publicationDate":"2024-09-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142245595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0