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: 6678599
• 负责人: MELISSA K RUNYON
• 金额: $ 17.44万
• 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/6678599
• 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）与各种使人衰弱的心理社会后遗症有关，如创伤后应激障碍（PTSD），抑郁症，攻击性行为，社交问题解决能力和沟通能力差，以及对他人的同情心和敏感度较低。如果不治疗，这些行为也可能升级为暴力，青少年和成年期的犯罪行为，以及约会关系中的虐待或胁迫行为。这种行为可能会持续整个CPA受害者的生活在成人关系和亲子互动。虽然让父母参与并停止持续的虐待至关重要，但有必要帮助儿童康复，以防止长期的情感困难，并打破最终的暴力循环。 本研究的目的是开发和检查的相对有效性的一组认知行为治疗模式，涉及儿童和家长的家庭在重复CPA的风险。据推测，组合亲子组CBT干预将上级的父母只有组CBT干预减少儿童的创伤后应激障碍和抑郁症状，虐待特定的归因，行为困难，以及整体的育儿技巧，父母归因于儿童的行为，和愤怒的觉醒。父母对失败的归因与儿童养育的情况，和儿童的虐待相关的归因将被检查其调节作用的探索性基础上。参与者将是儿童（8至13岁）及其犯罪家庭成员。将进行标准化的评估，以评估父母的愤怒觉醒，对儿童行为的信念，父母的做法，父母对儿童行为模式和创伤后应激障碍症状的报告，儿童对创伤后应激障碍的自我报告，抑郁，愤怒，对父母教养方式的看法，以及使用暴力管教策略。在初步评估后，儿童和/或其父母将接受随机确定的小组治疗类型（亲子认知行为治疗（CBT）与仅父母CBT）。将在治疗前和治疗后以及3个月随访时进行评估。