Mediators, moderators, and predictors of 1-year outcomes among children treated for early-onset conduct problems: A latent growth curve analysis
Mediators, moderators, and predictors of 1-year outcomes among children treated for early-onset conduct problems: A latent growth curve analysis
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DOI：
10.1037/0022-006x.73.3.371
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发表时间：
2005-06-01
影响因子：
5.9
通讯作者：
Reid, MJ
中科院分区：
文献类型：
--
作者：
Beauchaine, TP;Webster-Stratton, C;Reid, MJ
有几种儿童行为问题干预措施被归类为有效的或行之有效的。然而，关于治疗反应的预测因素和行为改变的机制仍有许多需要了解。在这项研究中，作者结合了6项随机临床试验和514名年龄在3.0-8.5岁的儿童的数据，以评估结果的调节因素、中介因素和预测因素。在其他发现中，母亲报告的潜在成长曲线模型和儿童外化行为的观察测量表明，婚姻适应、母亲抑郁、父亲滥用药物和儿童共患焦虑/抑郁各自缓和了治疗反应。此外，批评、严厉和无效的父母教育既可以预测结果，也可以调节结果，当父母在接受治疗时每个结构的得分相对较低，但在治疗过程中有所改善时，可以观察到最有利的反应。对治疗无效者的影响也进行了讨论。
Several child conduct problem interventions have been classified as either efficacious or well established. Nevertheless, much remains to be learned about predictors of treatment response and mechanisms of behavioral change. In this study, the authors combine data from 6 randomized clinical trials and 514 children, ages 3.0 - 8.5 years, to evaluate moderators, mediators, and predictors of outcome. Among other findings, latent growth curve models of mother-report and observational measures of child externalizing behaviors suggested that marital adjustment, maternal depression, paternal substance abuse, and child comorbid anxiety/depression each moderated treatment response. Moreover, critical, harsh, and ineffective parenting both predicted and mediated outcome, with the most favorable responses observed when parents scored relatively low on each construct at intake yet improved during treatment. Implications for treatment nonresponders are discussed.