ANGER AND PARENT-TO-CHILD AGGRESSION

愤怒和父母对孩子的攻击行为

• 批准号: 6391408
• 负责人: OOMMEN K MAMMEN
• 金额: $ 13.55万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2000
• 资助国家: 美国
• 起止时间: 2000-07-01 至 2005-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6391408
• 关键词: African American; aggression; angers; anxiety; arousal; behavior test; behavioral /social science research tag; caucasian American; child abuse; child behavior; clinical chemistry; clinical research; clinical trials; depression; fluoxetine; human ecology; human subject; human therapy evaluation; interview; outcomes research; parent offspring interaction; psychological stressor; psychopharmacology; psychotherapy; social support network; spouse abuse

This is a revised Mentored Clinical Scientist Development Award application that describes a program of training and research on the correlates and treatment of parent-to-child aggression in parents who have physically abused their child. The candidate's goal is to acquire the training needed to conduct controlled trials of integrated psychotherapeutic and psychopharmacologic interventions designed to reduce parent-to-child aggression. This goal is to be achieved through the proposed research and through the educational plan consisting of independent study, courses in statistics and research design, and clinical work with abusive families. Because child physical abuse (CPA) involves parent-to-child aggression, the wealth of literature on aggression in other settings can be used to better understand CPA. The proposed study is informed by the following findings: anger contributes to aggressive behavior, persons with high compared to low levels of anger show more aggressive behavior, and serotonergic antidepressants such as fluoxetine reduce anger and aggression. This randomized double-blind placebo controlled study will examine whether fluoxetine adds to standard treatment for physically abusive parents in the community, by examining the effectiveness of fluoxetine in reducing aggression among abusive parents assigned to Fluoxetine plus Treatment-as-Usual (TAU) or Placebo plus TAU. A causal model of parental aggression will also be examined. Specifically, the role of anger will be examined as a mediator of the effects of the following variables implicated in CPA: psychopathology (depression and anxiety), social cognition, physiologic arousability, impulsivity and selected ecological factors. Eighty abusive parents will be studied. In contrast to cognitive-behavior therapy, fluoxetine may reduce aggression through reducing the intensity of angry emotion and its attendant arousal and aggressive action tendencies. Thus, if fluoxetine reduces parental aggression, it may prove to be a useful adjunct to psychotherapeutic interventions currently used to treat CPA. Prior studies of abusive parents have not examined these variables within a single sample and there are no trials of antidepressants in this group. This application, which combines training and experience in causal and treatment research, may contribute to the understanding and treatment of child physical abuse.

这是修订后的指导临床科学家发展奖 描述相关培训和研究计划的应用程序 以及对有身体问题的父母的亲子攻击行为的治疗 虐待他们的孩子。候选人的目标是获得所需的培训 进行综合心理治疗的对照试验 旨在减少父母对孩子的心理药物干预 侵略。这一目标将通过拟议的研究和 通过由独立学习、课程组成的教育计划 统计和研究设计，以及与虐待家庭的临床工作。 由于儿童身体虐待 (CPA) 涉及父母对孩子的攻击行为，因此 关于其他环境中的攻击行为的大量文献可以用来更好地 了解注册会计师。拟议的研究基于以下发现： 愤怒 与低水平相比，高水平的人会导致攻击性行为 愤怒表现出更具攻击性的行为，而血清素能抗抑郁药，例如 氟西汀可以减少愤怒和攻击性。这个随机双盲安慰剂 对照研究将检查氟西汀是否可以作为标准治疗的补充 通过检查社区中身体虐待的父母的有效性 氟西汀可减少使用氟西汀的虐待父母的攻击性 加常规治疗 (TAU) 或安慰剂加 TAU。父母的因果模型 攻击行为也将受到审查。具体来说，愤怒的作用是 作为涉及以下变量影响的中介进行检查 CPA：精神病理学（抑郁和焦虑）、社会认知、生理学 觉醒性、冲动性和选定的生态因素。八十辱骂 家长会被研究。与认知行为疗法相比，氟西汀 可以通过减少愤怒情绪的强度及其影响来减少攻击性 随之而来的唤醒和攻击行为倾向。因此，如果氟西汀减少 父母的攻击行为，它可能被证明是心理治疗的一个有用的辅助手段 目前用于治疗 CPA 的干预措施。先前对虐待父母的研究 尚未在单个样本中检查这些变量，并且没有 在该组中进行抗抑郁药试验。该应用程序结合了 因果和治疗研究方面的培训和经验，可能有助于 对儿童身体虐待的理解和治疗。