Bidirectional Associations between Parental Distress and Behavior Problems in Children with Developmental Delay

项目摘要 此应用程序将启动PI海夫林的独立研究生涯，专注于评估和评价：（1） 影响儿童行为问题的家庭因素以及父母精神病理学和 儿童结局;（2）新型治疗形式在将护理扩展到服务不足和高风险人群中的作用 （3）理解文化过程，如文化适应压力，因为它适用于和影响 家庭结果。拟议的研究项目旨在利用一个更大的，持续的赠款（R 01 HD 084497）， 收集数据：（a）随着时间的推移，父母的痛苦和行为问题之间的双向联系， 发展迟缓和来自少数文化背景的幼儿;（B）以下方面的影响 文化适应和文化适应对这些双向关联的影响;以及（c）双向关联是否 父母的痛苦和儿童问题行为之间的关联在行为的背景下的变化 父母干预我们将进行交叉滞后结构方程建模，以检查双向 在68周的四个时间点上，父母的痛苦与儿童行为问题之间的关联 (Aim 1）。此外，我们将使用一个 调节结构方程模型框架（Aim 2a）和互联网传递的调节作用 使用多组结构方程模型进行治疗（目标2b）。该提案旨在填补先前的空白， 文献通过评估父母的痛苦作为一个广泛的结构（包括抑郁，焦虑， 和压力），并评估儿童行为整合观察编码和家长报告的措施。 研究结果有望促进对父母生育学和 发展迟缓儿童的行为问题，以及压力源对文化少数群体的影响 家庭这些信息将告知PI海夫林未来的研究生涯， 我们可以最好的干预措施，以促进积极的儿童结果的背景下，父母 精神病理学此外，研究结果将为未来研究文化适应压力奠定基础 以及其他文化因素，因为它们与幼儿期的治疗结果有关。

PROJECT SUMMARY This application will launch PI Heflin’s independent research career focused on assessing and evaluating: (1) familial factors that impact child behavior problems and the interplay between parental psychopathology and child outcomes; (2) the role of novel treatment formats in extending care to underserved and high-risk populations; and (3) understanding cultural processes such as acculturative stress as it applies to and impacts familial outcomes. The proposed research project aims to leverage a larger, on-going grant (R01HD084497) to gather data on: (a) the bidirectional associations between parental distress and behavior problems over time in young children with developmental delay and from cultural minority backgrounds; (b) the impact of acculturation and enculturation on these bidirectional associations; and (c) whether the bidirectional associations between parental distress and child problem behaviors changes in the context of a behavioral parenting intervention. We will conduct cross-lagged structural equation modeling to examine the bidirectional associations between parental distress and child behavior problems over four time points across 68 weeks (Aim 1). Additionally, we will examine the moderating effect of acculturation and enculturation using a moderated structural equation modeling framework (Aim 2a) and the moderating effect of Internet-delivered treatment using multiple group structural equation modeling (Aim 2b). This proposal aims to fill gaps in prior literature through the assessment of parental distress as a broad construct (consisting of depression, anxiety and stress), and assessment of child behavior integrating observational coding and parent-report measures. Findings are expected to advance understanding of the associations between parent symptomatology and behavior problems in children with developmental delay, as well as the impact of stressors for cultural minority families. This information will inform PI Heflin’s future research career examining where in parent-child interventions we can best intervene in order to promote positive child outcomes in the context of parental psychopathology. Additionally, findings will set the foundation for future work examining acculturative stress and other cultural considerations as they pertain to treatment outcomes in early childhood.