Young Children with Behavior Disorders in Low-Income Families: The Role of Clinic Observations in the Assessment of Parenting.
Young Children with Behavior Disorders in Low-Income Families: The Role of Clinic Observations in the Assessment of Parenting.
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低收入家庭中有行为障碍的幼儿：临床观察在育儿评估中的作用。
DOI：
10.1080/23794925.2017.1393638
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发表时间：
2017
期刊：
影响因子：
--
通讯作者：
Forehand,Rex
中科院分区：
文献类型：
--
作者：
Peisch,Virginia;Breslend,NicoleLafko;Jones,DeborahJ;MacFarlane,Mary;Forehand,Rex
来自低收入家庭的儿童达到行为障碍诊断标准的风险更高。尽管基于掌握的行为父母培训(BPT)计划在减少幼儿破坏性行为方面有坚实的证据基础，但社会经济上处于不利地位的家庭更有可能退出治疗，进而不太可能受益。因此，可能需要有效的评估和治疗。然而，较少的研究探讨了耗时的行为观察相对于照顾者的价值-问题行为报告在评估这一高危和服务不足的群体中的价值。在本研究中，观察了43名低收入父母和他们的临床转诊的孩子在基线的基于掌握能力的BPT互动任务(儿童游戏)中的情况。结果显示，观察到父母表现出极高的适应不良行为，目标是通过后续治疗(指导和问题)减少，而不是治疗旨在增加的行为(出席人数和奖励)。相比之下，父母报告说，他们分别采用了相对较高和较低的积极和消极育儿方式。行为观察的父母养育方式与照顾者报告的父母养育方式没有相关性。这些发现表明，对基于掌握的BPT干预措施中的目标行为进行基线观察，是评估有年幼破坏性子女的低收入家庭育儿计划的重要组成部分。
Children from low-income families are at elevated risk of meeting diagnostic criteria for behavior disorders. Although mastery-based behavioral parent training (BPT) programs have a robust evidence base for reducing disruptive behaviors of young children, socioeconomically disadvantaged families are more likely to drop out of treatment and, in turn, are less likely to benefit. Therefore, efficient assessment and treatment may be needed. Less research, however, has addressed the value of time-consuming behavioral observations relative to caregiver-report of problem behaviors in the assessment of this at-risk and underserved group. In the current study, 43 low-income parents and their clinic-referred child were observed during a standard mastery-based BPT interaction task (Child’s Game) at baseline. Findings revealed that parents were observed to display an extremely high proportion of maladaptive behaviors targeted for reduction by subsequent treatment (Instructions plus Questions) relative to behaviors that the treatment was designed to increase (Attends plus Rewards). In contrast, parents reported they utilized relatively high and low rates of positive and negative parenting, respectively. Behaviorally observed parenting was not correlated with caregiver-reported parenting. The findings suggest that baseline observations of behaviors targeted in mastery-based BPT interventions are an important part of assessment in parenting programs for low-income families with young disruptive children.
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