网络父母训练对学龄前行为问题儿童的影响:冷酷无情的特质是否对训练效果和参与有调节作用?

IF 3.6
Georgette E Fleming, Eva R Kimonis, Jami M Furr, Jonathan S Comer
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引用次数: 3

摘要

最近,人们努力通过在线授课来提高基于证据的家长培训项目的可及性,但却在很大程度上忽视了这样一个发现:有冷酷无情(CU)型行为问题的幼儿从家长培训中获得的益处要少于单纯有行为问题的儿童。目前的研究旨在检验儿童CU特征对互联网亲子互动治疗(iPCIT)与标准的基于临床的PCIT相关的疗效和参与结果的调节作用。40个家庭(57.6%为非西班牙裔白人),3-5岁(M = 3.95岁,SD = 0.9;83.5%的男孩)破坏性行为障碍儿童被随机分配到iPCIT或基于临床的PCIT。家庭参与了四次评估;测量了儿童行为问题、整体功能和治疗应答者状态以及家长评价的治疗满意度。分析显示,CU性状对功能增益的负面影响在不同的处理形式中并不一致。具体来说,在接受iPCIT治疗的儿童中,CU特征对功能增益的不利影响比临床PCIT更为明显。CU特征也预测了不同分娩形式的父母治疗满意度较低,但这种影响在iPCIT父母中更为明显。相比之下,CU特征并没有缓和iPCIT和基于临床的PCIT对行为问题严重程度或治疗反应状态的差异影响。研究结果表明,iPCIT是早期行为问题的一种有希望的治疗选择,特别是在获得护理障碍存在的情况下,但需要进一步的研究来确定对在线项目的战略适应是否能更优化地满足具有临床显著CU特征的儿童的独特需求。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Internet-Delivered Parent Training for Preschoolers with Conduct Problems: Do Callous-Unemotional Traits Moderate Efficacy and Engagement?

Recent efforts to improve access to evidence-based parent training programs using online delivery have largely neglected findings that young children with callous-unemotional (CU)-type conduct problems receive less benefit from parent training than children with conduct problems alone. The current study aimed to examine the moderating effect of child CU traits on efficacy and engagement outcomes associated with Internet-delivered Parent-Child Interaction Therapy (iPCIT) versus standard, clinic-based PCIT. Forty families (57.6% non-Hispanic Caucasian) with a 3-5 year-old (M = 3.95 years, SD = 0.9; 83.5% boys) child with a disruptive behavior disorder were randomized to either iPCIT or clinic-based PCIT. Families participated in four assessments across time; child conduct problems, global functioning and treatment responder status, and parent-rated treatment satisfaction were measured. Analyses revealed that the negative influence of CU traits on functional gains was not uniform across treatment formats. Specifically, the detrimental effect of CU traits on functional gains was significantly more pronounced among children treated with iPCIT than clinic-based PCIT. CU traits also predicted lower parental treatment satisfaction across delivery formats, but this effect was more pronounced among iPCIT parents. In contrast, CU traits did not moderate differential effects across iPCIT and clinic-based PCIT for conduct problem severity or treatment response status. Findings suggest that iPCIT is a promising treatment option for early conduct problems, particularly when access-to-care barriers exist, but that further research is needed to determine whether strategic adaptations to online programs can more optimally address the distinct needs of children with clinically significant CU traits.

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来源期刊
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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