Parent training for children born premature: a pilot study examining the moderating role of emotion regulation.

Parent training for children born premature: a pilot study examining the moderating role of emotion regulation.
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父母培训出生的早产:一项试点研究,研究情绪调节的调节作用。

DOI:
10.1007/s10578-013-0385-7
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发表时间:
2014
影响因子:
2.9
通讯作者:
Graziano, Paulo A.
Graziano, Paulo A.
中科院分区:
医学4区
文献类型:
--
作者:
Rodriguez, Gabriela M.;Bagner, Daniel M.;Graziano, Paulo A.

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本研究旨在检验情绪调节对早产儿父母培训干预(亲子互动疗法,PCIT)治疗效果的调节作用。 在这项初步随机对照试验中,28名早产(即孕周<37周)且外化行为问题水平较高的幼儿被随机分配到立即治疗组或等待名单对照组。对治疗情况不知情的观察者在初始基线评估时,对一段10分钟的亲子互动视频中情绪调节指标(即整体调节)进行编码。使用家长报告的儿童破坏性行为问卷评估治疗效果。 结果表明,在预测儿童破坏性行为的变化时,整体调节与治疗条件存在显著交互作用。具体而言,基线时较高的痛苦水平与干预后儿童破坏性行为的更大改善相关。 这些发现将在差异易感性假说的背景下进行讨论,并强调在对早产儿进行心理社会治疗过程中考虑儿童情绪调节技能的重要性。
The aim of the current study was to examine the moderating effect of emotion regulation on treatment efficacy following a parent-training intervention, Parent-Child Interaction Therapy (PCIT), for young children born preterm. In this pilot randomized controlled trial, 28 young children who were born preterm (i.e., < 37 weeks gestation) and presented with elevated levels of externalizing behavior problems were randomly assigned to an immediate treatment or waitlist control group. Observers masked to treatment condition coded an index of emotion regulation (i.e., global regulation) during a videotaped 10-min parent-child interaction at the initial baseline assessment. Treatment efficacy was assessed using a parent-report questionnaire of child disruptive behavior. Results demonstrated that global regulation significantly interacted with treatment condition in predicting change in child disruptive behavior. Specifically, higher levels of distress at baseline were associated with greater improvements in child disruptive behavior following the intervention. These findings are discussed in the context of the differential susceptibility hypothesis and highlight the importance of considering children’s emotion regulation skills in the course of psychosocial treatment for young children born premature.
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