The association between parental attributions of misbehavior and parenting practices in caregivers raising children with prenatal alcohol exposure: A mixed-methods study

The association between parental attributions of misbehavior and parenting practices in caregivers raising children with prenatal alcohol exposure: A mixed-methods study
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DOI:
10.1016/j.ridd.2016.09.005
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发表时间:
2016-12-01
影响因子:
3.1
通讯作者:
Roddenbery, Rachael
Roddenbery, Rachael
中科院分区:
医学2区
文献类型:
--
作者:
Petrenko, Christie L. M.;Pandolfino, Mary E.;Roddenbery, Rachael

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背景和目标:有限的研究集中在养育患有胎儿酒精谱系障碍(FASD)的儿童的照顾者所使用的养育方法上。目前的研究假设,儿童的不良行为的父母归因将涉及到育儿策略的照顾者利用与FASD儿童。本研究的目的还在于开发一个编码方案,使这些治疗相关的结构在未来的干预trials.Methods量化:31照顾FASD(4-8岁)的儿童进行了采访与父母的做法访谈(PPI),研究开发的定性访谈。定量措施的FASD知识,父母的能力和压力感,和儿童行为问题。混合方法分析评估父母归因的不良行为和养育practices.Results之间的关系:照顾者谁归因于他们的孩子的不良行为,潜在的神经发育障碍更有可能使用先行策略,并感到更有信心在管理他们的孩子的行为。父母谁归因于他们的孩子的不良行为,故意不服从更有可能依赖于后果的策略,感觉更efficient.Conclusions:结果是一致的FASD父母培训干预的理论模型。需要对干预试验中的理论化变化机制进行评估; PPI和定量编码系统的发展将促进这类研究。(C)2016爱思唯尔有限公司版权所有
Background and aims: Limited research has focused on parenting practices used by caregivers raising children with fetal alcohol spectrum disorders (FASD). The current study hypothesized that parental attributions of children's misbehavior would relate to the parenting strategies caregivers utilize with children with FASD. This study also aimed to develop a coding scheme to allow quantification of these treatment-relevant constructs in future intervention trials.Methods: Thirty-one caregivers of children with FASD (age 4-8) were interviewed with the Parenting Practices Interview (PPI), a study-developed qualitative interview. Quantitative measures of FASD knowledge, parenting sense of competence and stress, and child behavior problems were included. Mixed-method analyses assessed the relationship between parental attributions of misbehavior and parenting practices.Results: Caregivers who attributed their child's misbehavior to underlying neurodevelopmental disabilities were more likely to use antecedent strategies and feel more confident in managing their child's behavior. Parents who attributed their child's misbehavior to willful disobedience were more likely to rely on consequence strategies and feel more ineffective.Conclusions: Results are consistent with theoretical models for FASD parent training interventions. Assessment of theorized mechanisms of change in intervention trials is needed; the development of the PPI and quantitative coding system will facilitate this type of research. (C) 2016 Elsevier Ltd. All rights reserved.