PSYCHIATRIC ASSESSMENT OF TODDLERS BASED ON MOTHER-CHILD INTERACTION

基于母子互动的幼儿精神病评估

• 批准号: 4696495
• 负责人: D H MCKNEW
• 金额: --
• 依托单位: NATIONAL INSTITUTE OF MENTAL HEALTH
• 依托单位国家: 美国
• 资助国家: 美国
• 起止时间: 至
• 项目状态: 未结题
• 来源: https://reporter.nih.gov/project-details/4696495
• 关键词: behavior disorders; behavior test; child behavior disorders; child psychology; disease /disorder proneness /risk; dyadic interaction; mental disorder diagnosis; mother child interaction; pleasure; preschool child (1-5); psychological adaptation; psychological stressor; relaxation; stress

This project brings together the strengths of clinical psychiatry and developmental psychology in developing two means of assessing adaptation and maladptation in toddlers. The child and his/her mother are observed in interaction in six situations which include variations in stress, relaxation, and pleasure. To date, 90 child-mother dyads have been scored. The clinical judgment of the child's risk for the later development of psychopathology and the behavioral rating of the child's risk correlate at the level of .79, p. less than .00l. What is indicated by this finding is: We now have a reasonable model of the clinician's functioning as he synthesizes his observation of the child's behavior; 64% of the variance in the clinician's judgment is accounted for via the summarization of the behavioral observation. The behavioral observation system is more conservative in giving high or moderate risk scores to the child in that it requires an overall pattern of poor functioning (12% of the children received risk scores of moderate or severe). In addition to these children, the clinician's judgment also gives high or moderate risk status to children who may show infrequent, but severe patterns of problematic behavior (21% of the children). Follow-up research will indicate which of these patterns of vulnerability is most predictive of later psychiatric problems.

该项目汇集了临床精神病学的优势， 发展心理学在发展两种评估适应性的方法 和蹒跚学步儿童的适应不良。 孩子和他/她的母亲被观察到， 六种情况下的相互作用，包括压力的变化， 放松和愉悦 到目前为止，已经有90对儿童-母亲二人组 得分了 儿童晚期妊娠风险的临床判断 精神病理学的发展和儿童的行为评级 风险相关系数为0.79，p <0.00l。 指示的内容 这一发现是：我们现在有一个合理的模型，临床医生的 在综合他对孩子行为的观察时发挥作用; 64% 在临床医生的判断方差占通过 行为观察的总结。 行为观察 系统在给予高或中等风险评分时更为保守， 儿童，因为它需要整体功能不良的模式（12% 这些儿童的风险评分为中度或重度）。 除了 对于这些儿童，临床医生的判断也给出了高或中等风险 状态的儿童谁可能表现出罕见的，但严重的模式， 有问题的行为（21%的儿童）。 后续研究将 指出这些脆弱性模式中哪一种最能预测 后来的精神问题。