TREATMENT FOLLOW-UP FOR CONDUCT PROBLEM CHILDREN

一项密集和系统的三年期后续评价将 以严重品行问题儿童为样本， 他们的家人正在参与一项正在进行的治疗研究， 比较了即时治疗效果， 持久性效应，以及一组治疗过程变量， 家长培训（n = 50）与社区治疗（n = 20）。 本研究将评估 两种治疗方法，以减少这些脆弱性 高风险的年轻人随后的行为障碍模式， 犯罪，精神问题，物质（ab）使用，学术 失败和社会适应不良。 此外，四个领域， 父母家庭管理技能（纪律、监督、积极 父母的自信心和解决问题的能力 作为长期治疗结果。 最后，四个父母风险变量（精神病，犯罪， 药物、滥用和压力）及其与家庭关系 将对管理和儿童风险变量进行研究。 除了两个治疗组外， 比较（n = 26）和未增加风险比较（n = 26） 将包括在内，以便与高风险青少年进行比较， 与接受治疗的参与者相似，但缺乏系统性 治疗，和低风险的青少年谁不希望被 特别脆弱或适应不良的人。 关于养育技能、父母风险变量和儿童风险以及 调整变量将从所有四个组中收集， 这是一个4x3的设计。 多变量方差分析将是 长期疗效评价的统计学分析 假设 多元回归分析将用于评估 育儿技能和父母风险变量的功效， 儿童结局变量中唯一方差的预测因子。 最后，结构方程模型将用于测试 几种理论模型的适用性。

An intensive and systematic three-year follow-up evaluation will be conducted on a sample of severe conduct problem children and their families participating in a treatment study now in progress, that compares the immediate treatment effects, short term persistence effects, and a set of therapeutic process variables for parent training (n = 50) versus community treatments (n = 20). The present study will assess the long term effectiveness of the two treatment approaches in reducing the vulnerability of these high risk youngsters to subsequent patterns of conduct disorders, delinquency, psychiatric problems, substance (ab)use, academic failure, and poor social adjustment. In addition, four areas to parent family management skills (discipline, supervision, positive parenting, and problem solving) and parent self-confidence will be examined as long term treatment outcomes. Finally, four parent risk variables (psychiatric, criminal, substance, abuse, and stress) and their relation both to family management and to child risk variables will be studied. In addition to the two treated groups, an increased risk comparison (n = 26) and a none increased risk comparison (n = 26) will be included so that comparisons with high risk youngsters similar to the treated participants, but lacking systematic treatment, and low risk youngsters who are not expected to be particularly vulnerable or poorly adjusted, can be made. Data on parenting skills, parent risk variables, and child risk and adjustment variables will be collected from all four groups in each of the three follow-up years, thus producing a 4 x 3 design. Multivariate analysis of variance will be the primary form of statistical analysis in evaluating the long term outcome hypotheses. Multiple regression analysis will be used to evaluate the efficacy of the parenting skills and parent risk variables as predictors of unique variance in the child outcome variables. Finally, structural equation modeling will be used to test the adequacy of several theoretical models.