Living with conduct problem youth: family functioning and parental perceptions of their child.

Living with conduct problem youth: family functioning and parental perceptions of their child.
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DOI:
10.1007/s00787-017-1088-6
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发表时间:
2018-05
影响因子:
6.4
通讯作者:
Viding E
Viding E
中科院分区:
医学2区
文献类型:
--
作者:
Roberts R;McCrory E;Joffe H;De Lima N;Viding E

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养育有品行问题的儿童是具有挑战性的,但人们对儿童的行为对家庭功能的影响或患有品行问题的儿童的父母如何看待他们的孩子知之甚少。这项研究的目的是检验患有CP和高水平与低水平冷酷无情特征(HCU与LCU)的儿童的家庭在家庭功能和父母认知方面是否存在差异。101名11-16岁男孩的父母/照顾者[通常发育中(TD)n=31;CP/Hcu n=35;CP/LCU n=35]完成了麦克马斯特家庭评估工具,测量了家庭功能的多个领域。父母/照顾者还完成了一份书面声明,描述了他们的孩子,用于定性分析。有Cp/Hcu儿童的家庭比TD(p=0.00;d−=1.17)和Cp/Lcu(p=0.03;d−=0.62)家庭的情感投入更差。与有TD儿童的家庭相比,有CP/HCU儿童的家庭的一般家庭功能明显较差(p=0.04;d=−=0.63),家庭角色也更模糊(p=0.005;d=−(0.82))。定性分析表明,CP/HCU儿童的父母/照顾者将他们的特征描述为具有两面性和表面上的魅力。CP/LCU的孩子被认为是厚颜无耻和可爱的,父母报告说他们很融洽。患有CP/HCU儿童的家庭在情感参与方面表现出具体的困难,父母描述的挑战与儿童缺乏同理心和浅薄情感的具体表现相一致。这些发现可以用来帮助临床医生确定家庭干预的目标。本文的在线版本(10.1007/s00787-0171088-6)包含向授权用户提供的补充材料。
Parenting children with conduct problems (CP) is challenging, yet very little is known about the impact of the child’s behaviour on family functioning or how parents of children with CP perceive their child. The aim of this research was to examine whether families with children with CP and high vs. low levels of callous–unemotional traits (HCU vs. LCU) experience differences in family functioning and parental perceptions. One hundred and one parents/caregivers of boys aged 11–16 [Typically developing (TD) n = 31; CP/HCU n = 35; CP/LCU n = 35] completed the McMaster Family Assessment Device, measuring multiple domains of family functioning. Parents/caregivers also completed a written statement describing their child, used for qualitative analysis. Families with CP/HCU children had poorer affective involvement than TD (p = 0.00; d = − 1.17) and CP/LCU (p = 0.03; d = − 0.62) families. Families with CP/HCU children showed significantly poorer general family functioning (p = 0.04; d = − 0.63) and more poorly defined family roles (p = 0.005; d = − 0.82) than families with TD children. Qualitative analyses indicated that parents/caregivers of CP/HCU children characterised them as having a dichotomous personality and being superficially charming. CP/LCU children were characterised as cheeky and endearing, with parents reporting good rapport. Families with CP/HCU children presented with specific difficulties in affective involvement and parents described challenges which were in line with the child’s specific presentation of lack of empathy and shallow affect. These findings may be used to help clinicians identify targets for family interventions. The online version of this article (10.1007/s00787-017-1088-6) contains supplementary material, which is available to authorized users.
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影响因子: 2.1
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