Treatment Response among Preschoolers with Disruptive Behavior Disorders: The Role of Temperament and Parenting.
Treatment Response among Preschoolers with Disruptive Behavior Disorders: The Role of Temperament and Parenting.
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DOI：
10.1080/15374416.2020.1846540
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发表时间：
2021-11
期刊：
影响因子：
--
通讯作者：
Graziano PA
中科院分区：
文献类型：
--
作者：
Hare MM;Graziano PA
本研究探讨了气质（负面影响，努力控制，和surgency）和注意力缺陷多动障碍（ADHD）和对立违抗性障碍（ODD）的症状之间的关联在一个不同的学龄前样本。气质和父母教养之间的相互作用在预测ADHD/ODD症状之前和之后的8周早期干预计划（即，夏季治疗计划的pre-pretners（STP-PreK）也进行了检查。样本包括215名儿童（法师= 5.0，80.9%男性，84.7%拉丁裔）与ADHD和/或ODD的诊断谁完成了STP-PreK。气质通过家长报告进行测量，而ADHD/ODD症状通过家长和教师报告相结合进行评估。通过评定量表和标准化的亲子互动观察来评估积极和消极的养育方式。较高的兴奋与ADHD/ODD治疗前和治疗后的症状严重程度相关。更高的负性情绪与更大的症状严重程度的ODD治疗前和治疗后，而更高的努力控制只与较低的症状严重程度的注意力不集中治疗前。积极的父母教养方式可以降低ADHD/ODD治疗后的症状严重程度。适度分析表明，低水平的负面养育的好处只发生在配对时，与低气质风险的症状多动和ODD。此外，只有结合高surgency和高观察到的消极养育导致更大的症状严重程度的ODD。最后，减少不一致的纪律预测减少所有症状域治疗后。我们的研究结果通过强调气质对治疗反应的独特预测以及与周围环境的重要相互作用，增加了ADHD/ODD的基于气质的模型。
This study examined associations between temperament (negative affect, effortful control, and surgency) and symptoms of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) within a diverse preschool sample. Interactions between temperament and parenting in the prediction of ADHD/ODD symptoms before and after an 8-week early intervention program (i.e., Summer Treatment Program for Pre-kindergartners; STP-PreK) were also examined. The sample included 215 children (Mage = 5.0, 80.9% male, 84.7% Latinx) with a diagnosis of ADHD and/or ODD who completed the STP-PreK. Temperament was measured via parent report while ADHD/ODD symptoms were assessed via combination of parent and teacher report. Positive and negative parenting were assessed via rating scales and a standardized parent-child interaction observation. Higher surgency was associated with greater symptom severity of ADHD/ODD pre- and post-treatment. Higher negative affect was associated with greater symptom severity of ODD pre- and post-treatment, while higher effortful control was only associated with lower symptom severity of inattention pre-treatment. Positive parenting predicted lower symptom severity of ADHD/ODD post-treatment. Moderation analyses indicated that the benefits of low levels of negative parenting only occurred when paired with low temperament risk for symptoms of hyperactivity and ODD. Additionally, only the combination of high surgency and high observed negative parenting resulted in greater symptom severity of ODD. Finally, decreases in inconsistent discipline predicted decreases across all symptom domains post-treatment. Our findings add to the temperament-based model of ADHD/ODD by highlighting temperament’s unique prediction of treatment response as well as important interactions with the caregiving environment.
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DOI：
10.1080/15374416.2017.1417860
发表时间：
2018-03
期刊：
Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
影响因子：
--
作者：
Danielson ML;Bitsko RH;Ghandour RM;Holbrook JR;Kogan MD;Blumberg SJ
通讯作者：
Blumberg SJ
影响因子：
4
作者：
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通讯作者：
Yirmiya, N
影响因子：
3.5
作者：
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通讯作者：
Kaminer, Yifrah
DOI：
10.1007/s10862-014-9418-1
发表时间：
2014-12-01
影响因子：
1.6
作者：
Graziano, Paulo A.;Slavec, Janine;Pelham, William E., Jr.
通讯作者：
Pelham, William E., Jr.
影响因子：
3.6
作者：
Greven, Corina U.;Rijsdijk, Fruehling V.;Plomin, Robert
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Plomin, Robert