Behavioral and Nondirective Guided Self-Help for Parents of Children with Externalizing Behavior: Mediating Mechanisms in a Head-To-Head Comparison
Behavioral and Nondirective Guided Self-Help for Parents of Children with Externalizing Behavior: Mediating Mechanisms in a Head-To-Head Comparison
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DOI：
10.1007/s10802-016-0195-z
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发表时间：
2017-05-01
影响因子：
3.6
通讯作者：
Doepfner, Manfred
中科院分区：
文献类型：
--
作者：
Katzmann, Josepha;Hautmann, Christopher;Doepfner, Manfred
家长培训（PT）作为一种指导性的自助干预措施，可能是一种成本和时间效益的干预措施，在治疗儿童外化障碍。在面对面的PT中，养育策略一再被认为是减少儿童问题行为的中介机制。很少有研究探讨可能的中介作用，在引导自助干预的父母。本研究的目的是调查可能的中介变量的行为导向的指导下的自助计划的父母与外化的问题相比，在一个临床样本的非指导性干预。110名有外化障碍的儿童（80%为男孩）的父母被随机分为行为导向型和非指导性自助计划。四个假定的中介变量进行了检查，同时在多个中介模型，使用结构方程模型。结果是ADHD和ODD的儿童症状以及儿童外化问题，在治疗后进行评估。分析表明，一个显着的间接影响功能失调的父母的归因，有利于接受行为程序组，和显着影响的行为程序的积极和消极的父母和父母的自我效能感，相比，非指导性干预。我们的研究结果表明，减少功能失调的父母归因导致减少儿童外化的问题时，父母参加行为导向的自助计划。然而，没有一个假定的中介变量可以解释减少儿童外化行为问题的非指令组。功能失调的父母归因的变化应被视为PT背景下可能的调解人。
Parent training (PT) delivered as a guided self-help intervention may be a cost- and time-effective intervention in the treatment of children with externalizing disorders. In face-to-face PT, parenting strategies have repeatedly been identified as mediating mechanisms for the decrease of children's problem behavior. Few studies have examined possible mediating effects in guided self-help interventions for parents. The present study aimed to investigate possible mediating variables of a behaviorally oriented guided self-help program for parents of children with externalizing problems compared to a nondirective intervention in a clinical sample. A sample of 110 parents of children with externalizing disorders (80 % boys) were randomized to either a behaviorally oriented or a nondirective guided self-help program. Four putative mediating variables were examined simultaneously in a multiple mediation model using structural equation modelling. The outcomes were child symptoms of ADHD and ODD as well as child externalizing problems, assessed at posttreatment. Analyses showed a significant indirect effect for dysfunctional parental attributions in favor of the group receiving the behavioral program, and significant effects of the behavioral program on positive and negative parenting and parental self-efficacy, compared to the nondirective intervention. Our results indicate that a decrease of dysfunctional parental attributions leads to a decrease of child externalizing problems when parents take part in a behaviorally oriented guided self-help program. However, none of the putative mediating variables could explain the decrease in child externalizing behavior problems in the nondirective group. A change in dysfunctional parental attributions should be considered as a possible mediator in the context of PT.