Engagement of families in treatment for childhood conduct problems
Engagement of families in treatment for childhood conduct problems
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DOI：
10.1016/s0005-7894(03)80033-3
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发表时间：
2003-09-01
期刊：
影响因子：
3.7
通讯作者：
Prinz, RI
中科院分区：
文献类型：
--
作者：
Miller, GE;Prinz, RI
这项研究检查了与家庭参与和保留旨在减少严重儿童攻击行为的心理健康服务相关的关键预处理变量。一百二十四个符合品行障碍诊断标准、有 5 至 9 岁男孩的家庭被随机分配接受纯父母治疗、纯儿童治疗或亲子联合治疗。在只有父母的情况下，过早终止的情况最为严重。外化导向的治疗前归因动机与提前终止有明显的关联。此外，分配到与父母的传入动机不匹配的治疗条件预示着提前终止。总体而言，这些发现对于进一步研究针对儿童行为问题进行心理健康治疗的障碍和促进因素具有重要意义，特别是在治疗前的动机认知和参与问题方面。
This study examined critical pretreatment variables related to the engagement and retention of families in mental health services designed to reduce serious childhood aggression. One hundred and twenty-four families of 5- to 9-year-old boys who met diagnostic criteria for conduct disorder were randomly assigned to receive either parent-only, child-only, or combined parent-child treatments. Premature termination was greatest in the parent-only condition. Pretreatment attributional motivations that were externalizing-oriented showed a clear association with premature termination. Moreover, assignment to a treatment condition that did not match parents' incoming motivations was predictive of premature termination. Overall, the findings have implications for the further study of barriers and facilitators for the delivery of mental health treatment for childhood conduct problems, especially with regard to pretreatment motivational cognitions and engagement issues.