Parenting Skills and Parent Readiness for Treatment Are Associated With Child Disruptive Behavior and Parent Participation in Treatment
Parenting Skills and Parent Readiness for Treatment Are Associated With Child Disruptive Behavior and Parent Participation in Treatment
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DOI：
10.1016/j.beth.2015.01.004
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发表时间：
2015-05-01
期刊：
影响因子：
3.7
通讯作者：
Naber, Alex R.
中科院分区：
文献类型：
--
作者：
Andrade, Brendan F.;Browne, Dillon T.;Naber, Alex R.
针对有破坏性行为的儿童的父母的家长管理培训计划是有效的治疗方法；然而，为了最大限度地提高效率，有必要制定方法来了解哪些父母最有可能参与治疗。因此，本研究使用了以人为中心的方法来确定临床上相关的育儿概况，以捕捉父母愿意参与育儿治疗的广度，以及他们自我报告的育儿技能。此外，研究人员还比较了儿童行为问题的严重程度，并将其用于预测家长管理培训的参与度。143名家长在一家城市儿童心理健康诊所完成了评估。家长们被给予了评估个人是否准备好参与育儿治疗、育儿技能和孩子行为的措施。这些父母中的一部分参加了父母管理培训。出现了三种不同的概况，父母的治疗准备和技能水平不同。41%的父母被归类为“准备好了”。他们表现出相对较高的管教不一致的比率，但也表现出较高的积极育儿水平。39%的父母被归类为“不那么需要帮助”。这些父母报告说，相对较少的不一致的纪律和糟糕的监督技能，更积极的父母。最后，大约20%的父母被归类为“几乎准备好了”。他们表现出高度不一致的纪律和糟糕的监督技能，以及低水平的积极育儿方式。几乎准备好的父母报告的孩子的行为问题最多。此外，被归类为较不需要的父母参加的治疗会议最少。除了考虑症状的严重程度外，考虑父母的准备和技能可能会为临床决策和筛查程序提供信息。
Parent management training programs for parents of children with disruptive behaviors are efficacious treatments; however, in order to maximize efficiency it is necessary to develop approaches to understand which parents are most likely to participate in treatment. Accordingly, the present study used a person-centered methodology to determine clinically relevant parenting profiles that capture the breadth of parents' readiness to engage in parenting treatment, and their self-reported parenting skills. Further, identified profiles were compared on the severity of children's behavior problems and used to predict participation in parent management training. One hundred and forty-three parents completed assessments at an urban children's mental health clinic. Parents were given measures to assess personal readiness to participate in parenting treatment, parenting skills, and child behavior. A subset of these parents participated in parent management training.Three profiles emerged that differed in parents' treatment readiness and level of skills. Forty-one percent of parents were classified as "ready." They showed relatively higher rates of inconsistent discipline, but also somewhat higher levels of positive parenting. Thirty-nine percent of parents were classified as "less in need." These parents reported relatively less inconsistent discipline and poor supervision skills and greater positive parenting. Finally, approximately 20% of parents were classified as "almost ready." They showed high levels of inconsistent discipline and poor supervision skills, and low levels of positive parenting. Almost ready and ready parents reported the most problems with their children's behavior. Further, parents classified as less in need participated in the fewest treatment sessions. Consideration of parent readiness and skills, in addition to symptom severity, may inform clinical decision making and screening procedures.