Defensive profile of parents of children with externalizing problems receiving Regulation-Focused Psychotherapy for Children (RFP-C): A pilot study
Defensive profile of parents of children with externalizing problems receiving Regulation-Focused Psychotherapy for Children (RFP-C): A pilot study
复制标题
DOI：
10.6092/2282-1619/mjcp-2515
复制
发表时间：
2020-01-01
影响因子：
2.6
通讯作者：
Kui, Thomas
中科院分区：
文献类型：
--
作者：
Di Giuseppe, Mariagraia;Prout, Tracy A.;Kui, Thomas
背景：内隐情绪调节作为一种心理防御机制，在父母教养方式中发挥着重要作用，尤其是对有外显行为问题儿童的父母而言。研究强调了以规则为中心的儿童心理疗法(RFP-C)在减少对立违抗障碍儿童心理困扰方面的有效性(Prout等人，2019年；Prout，2020年)。目前的混合方法研究分析了接受RFP-C治疗的孩子的父母的特征防御功能。方法：我们分析了从RFP-C随机对照试验中随机选择的14个视频家长会议，以检验一种新的人性化心理治疗对有外化行为的儿童的疗效。采用Q-Sort版防御机制评定量表(DMRS-Q；Di Giuseppe et al.，2014)对临床样本和社区对照的父母的防御功能进行了定量和定性的分析。结果：适应性、强迫症和神经质防御最为普遍，有10到30种防御机制占防御功能总分的5%以上。与社区控制组相比，对立违抗性障碍儿童的父母更多地使用从属关系、幽默感、压抑和贬低他人形象。讨论：研究父母的防御机制有助于更好地理解父母的童年苦恼经历，以及父母的防御方式如何影响儿童的外化行为。在临床环境中解决防御功能可以增强对立违抗性障碍儿童的心理适应，并改善治疗结果。
Background: Implicit emotion regulation, operationalized as psychological defense mechanisms, plays an important role in parenting, especially for parents of children with externalizing behavior problems. Research has highlighted the efficacy of the Regulation Focused Psychotherapy for Children (RFP-C) in reducing psychological distress in children with oppositional defiant disorder (Prout et al., 2019; Prout, 2020). The current, mixed-methods study analyzed the characteristic defensive functioning of parents whose children were treated with RFP-C.Methods: We analyzed 14 video-recorded parent sessions randomly selected from the RFP-C randomized controlled trial examining the efficacy of a novel manualized psychotherapy for children with externalizing behaviors. Defensive functioning was quantitatively and qualitatively analyzed using the Q-sort version of the Defense Mechanisms Rating Scales (DMRS-Q; Di Giuseppe et al., 2014) for parents in the clinical sample and community controls.Results: Adaptive, obsessional, and neurotic defenses were most prevalent, with 10 to 30 defense mechanisms accounting for more than 5% of the overall defensive functioning score. Significantly higher use of affiliation, humor, suppression, and devaluation of other's image were found among parents of children with oppositional defiant disorder as compared to community controls. Defensive Profile Narratives added a qualitative understanding of the strength and limitations of the caregivers' emotion regulation.Discussion: Studying parents' defense mechanisms may provide a better understanding of the parental experience of childhood distress and how parental defensive style may impact children's externalizing behaviors. Addressing defensive functioning in a clinical setting could enhance psychological adjustment among children with oppositional defiant disorder and improve therapeutic outcomes.