EARLY PRIMARY PREVENTION OF CONDUCT PROBLEMS

总体目标是评估一项初级预防计划 幼儿有很高的行为问题和 后来的反社会行为。这项调查是由1) 儿童品行问题性质严重；2)他们可怜的长期-- 长期预后；3)对治疗的抵抗；4)缺乏 针对高危幼儿的预防性干预研究； 5)缺乏为市中心量身定做的干预计划 家人。预防实验的时机是理想的，因为 他们的设计现在可以基于从我们的 关于行为问题风险因素的最新知识 反社会行为。阿司匹林的随机对照临床试验 对高危家庭进行多系统、强化干预 学龄前儿童是建议的。96名市中心的学龄前儿童 有年长的兄弟姐妹有法庭记录的反社会历史 行为将被随机分配给以一年为基础的家庭 干预组或非接触对照组。干预措施 将包括诊所和家庭育儿技能培训。 接受治疗的儿童的近期和长期(1年)结果 我们将对干预和控制进行比较。结果变量， 包括育儿实践、儿童行为问题和儿童 社交能力，将在#年通过盲目观察进行评估 多个设置，以及家长和教师评级，以及 有组织的诊断性访谈。这项研究的独特之处在于：1) 预防性干预是真正的首要目标-它的目标 学龄前儿童行为问题的高危人群 以及后来的反社会行为，但他们还没有表现出这些 行为；2)它评估一个密集的家庭-- 以预防为基础的干预措施，以减少以下疾病的关键风险因素 行为问题--育儿实践不足；3) 干预措施针对市中心的家庭；4)招聘， 评估和干预程序已经过测试 可行性；5)预防方案已人性化。

The overall goal is to evaluate a program of primary prevention in young children at high risk for developing conduct problems and later antisocial behavior. This investigation is prompted by 1) the serious nature of childhood conduct problems; 2) their poor long- term prognosis; 3) their resistance to treatment; 4) the absence of preventive interventions studies for very young high-risk children; and 5) the paucity of intervention programs tailored to inner-city families. The timing for prevention experiments is ideal, since their design can now rest on rational bases derived from our current knowledge about risk factors for conduct problems and antisocial behavior. A randomized controlled clinical trial of a multisystemic, intensive intervention for families of high-risk preschoolers is proposed. Ninety-six inner-city preschoolers who have older siblings with court-documented histories of antisocial behavior will be randomly assigned to a year-long family-based intervention or to a no contact control group. The intervention will consist o clinic and home-based parenting skills training. Immediate and long-term (1 year) outcome of children receiving intervention and controls will be compared. Outcome variables, including parenting practices, child conduct problems and child social competence, will be assessed with blind observations in multiple settings, as well as by parent and teacher ratings, and structured diagnostic interviews. This study is unique in that 1) the preventive intervention is truly primary-it targets preschoolers who are at high risk for developing conduct problems and later antisocial behaviors but who do not yet display these behaviors; 2) it assesses the efficacy of an intensive, family- based preventive intervention for reducing a key risk factor for conduct problems-inadequate parenting practices; 3) the intervention is tailored to inner-city families; 4) recruitment, assessment and intervention procedures have been tested for feasibility; and 5) the prevention program has been manualized.