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

项目总结 此应用程序将启动Pi Heflin专注于评估和评估的独立研究生涯：(1) 影响儿童行为问题的家庭因素以及父母精神病与儿童行为问题的相互作用 儿童结局；(2)新的治疗模式在将护理扩展到服务不足和高危人群方面的作用 以及(3)了解文化过程，如文化适应压力对其的应用和影响 家族结局。拟议的研究项目旨在利用更大的持续拨款(R01HD084497)来 收集关于以下方面的数据：(A)父母痛苦和行为问题之间的双向联系 来自文化少数群体背景的发育迟缓儿童；(B) 对这些双向交往的文化适应和文化适应；以及(C)双向的 父母痛苦与儿童问题行为之间的关系在行为背景下的变化 育儿干预。我们将进行交叉滞后结构方程建模，以检验双向 在68周的四个时间点上，父母痛苦和儿童行为问题之间的关系 (目标1)。此外，我们还将使用一种 调节结构方程模型框架(AIM 2a)与网络传递的调节效应 使用多组结构方程模型进行治疗(目标2b)。这项提议旨在填补以前 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)，以及结合观察性编码和父母报告措施的儿童行为评估。 这一发现有望促进对父母症状与疾病关系的理解 发育迟缓儿童的行为问题以及应激源对文化少数群体的影响 家人。这些信息将为Pi Heflin未来的研究生涯提供信息，检查亲子关系中的哪些方面 我们可以最好地进行干预，以便在父母的背景下促进积极的儿童结果 精神变态学。此外，研究结果将为今后研究文化适应压力奠定基础。 以及与儿童早期治疗结果有关的其他文化考虑。

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.