Developing Effective Treatments for Child Physical Abuse

开发针对儿童身体虐待的有效治疗方法

• 批准号: 6786604
• 负责人: MELISSA K RUNYON
• 金额: $ 17.49万
• 依托单位: UNIV OF MED/DENT NJ-SCH OSTEOPATHIC MED
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-01 至 2006-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6786604
• 关键词: angers; behavioral /social science research tag; child abuse; child behavior; child psychology; child rearing; clinical research; cognitive behavior therapy; depression; family therapy; human subject; human therapy evaluation; middle childhood (6-11); parent offspring interaction; patient oriented research; perception; posttraumatic stress disorder

DESCRIPTION (provided by applicant): Child physical abuse (CPA) has been associated with a wide range of debilitating psychosocial sequelae, such as Post-traumatic Stress Disorder (PTSD), depression, aggressive behavior, poor social problem-solving skills and communication skills, as well as lower levels of empathy and sensitivity towards others. Without treatment, these behaviors may also escalate into violent, criminal behavior in adolescence and adulthood, as well as abusive or coercive behaviors in dating relationships. The behavior may persist throughout CPA victims' lives in adult relationships and parent-child interactions. Although it is critical to include the parent and stop the ongoing abuse, it is necessary to help the child heal to prevent long-term emotional difficulties and to break an eventual cycle of violence. The present study is aimed at developing and examining the relative efficacy of a group cognitive-behavioral treatment model that involves the child and parent in families at risk for repeated CPA. It is hypothesized that the Combined Parent-Child Group CBT intervention will be superior to the Parent-Only Group CBT intervention for reducing children's PTSD and depressive symptoms, abuse-specific attributions, and behavioral difficulties, as well as overall parenting skills, parental attributions about children's behavior, and anger arousal. Parental attributions about failure associated with child rearing situations, and children's abuse-related attributions will be examined for their moderating influences on an exploratory basis. Participants will be children (ages 8 to 13) and their offending family members. Standardized evaluations will be conducted to assess parents' anger arousal, beliefs about children's behavior, parenting practices, parent reports of children's behavior patterns and PTSD symptoms, children's self-reports of PTSD, depression, anger, and perception of parenting style, as well as the use of violent disciplining strategies. After the initial assessment, children and/or their parents will receive a randomly determined group treatment type (Combined Parent-Child Cognitive-Behavioral Therapy (CBT) vs. Parent-Only CBT). Assessments will be conducted at pre- and post-treatment, and 3-month follow-up.

描述（由申请人提供）：儿童身体虐待（CPA）与一系列使人衰弱的社会心理后遗症有关，如创伤后应激障碍（PTSD）、抑郁、攻击行为、不良的社会问题解决能力和沟通技巧，以及较低的同理心和对他人的敏感性。如果不进行治疗，这些行为还可能在青春期和成年期升级为暴力、犯罪行为，以及在约会关系中升级为虐待或强迫行为。这种行为可能在CPA受害者的成人关系和亲子互动中持续存在。虽然包括父母和停止持续的虐待是至关重要的，但有必要帮助孩子治愈，以防止长期的情感困难，并打破最终的暴力循环。