Predictors of barriers to treatment and therapeutic change in outpatient therapy for antisocial children and their families.
Predictors of barriers to treatment and therapeutic change in outpatient therapy for antisocial children and their families.
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DOI：
10.1023/a:1010191807861
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发表时间：
2000-03-01
期刊：
影响因子：
--
通讯作者：
Wassell, G
中科院分区：
文献类型：
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作者：
Kazdin, A E;Wassell, G
本研究探讨了父母精神病理学和生活质量在预测临床转诊儿童参与门诊治疗和治疗改变的障碍方面的作用。儿童 (N = 169) 因反对、攻击和反社会行为而被举报，他们的家人也参与其中。主要发现是（1）较高水平的父母精神病理学和较低水平的生活质量预示着随后出现的父母治疗感知障碍和儿童治疗变化，（2）这些影响不能用社会经济劣势或儿童功能障碍的严重程度来解释，（3）感知障碍和治疗变化是相关的，并且其他家庭和儿童预测因素无法解释这种关系，（4） 随着家庭中感知障碍程度的增加，治疗改变的数量和做出显着改变的儿童比例下降，(5) 家长对治疗的相关性和要求的看法是影响感知障碍和治疗改变之间关系的显着维度。讨论了治疗障碍和治疗改变的概念和应用意义。
This study examined the role of parent psychopathology and quality of life in predicting barriers to participation in outpatient treatment and therapeutic change among clinically referred children. Children (N = 169) referred for oppositional, aggressive, and antisocial behavior and their families participated. The major findings were that (1) higher levels of parent psychopathology and lower levels of quality of life predicted the subsequent emergence of perceived barriers to treatment in the parents and therapeutic changes among the children, (2) these effects were not explained by socioeconomic disadvantage or severity of child dysfunction, (3) perceived barriers and therapeutic changes were related and this relation was not explained by other family and child predictors, (4) as the level of perceived barriers increased among families, the amount of therapeutic change and the proportion of children who made a marked change decreased, and (5) parent perception of the relevance and demandingness of treatment were salient dimensions contributing to the relation between perceived barriers and therapeutic change. The conceptual and applied implications of relating barriers to treatment and therapeutic change are discussed.