Fostering Mothers' Emotionally-Responsive Parenting

培养母亲的情绪反应养育方式

• 批准号: 7103375
• 负责人: NANCY E SUCHMAN
• 金额: $ 21.63万
• 依托单位: YALE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2004
• 资助国家: 美国
• 起止时间: 2004-08-20 至 2008-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7103375
• 关键词: alcoholic beverage consumption; behavior test; behavior therapy; behavioral /social science research tag; child psychology; child rearing; clinical research; drug abuse; drug abuse therapy; drug detection; emotions; empathy; functional ability; human therapy evaluation; interview; maternal behavior; mental health epidemiology; mother child interaction; parents; patient oriented research; preschool child (1-5); psychological adaptation; social psychology; substance abuse related behavior

DESCRIPTION (provided by applicant): Clinical trials of parent training programs for substance abusing mothers have shown limited success in improving parent-child relationships or children's psychosocial adjustment. One reason parent training programs have not succeeded may be their lack of attention to emotional aspects of the parent-child relationship, especially mothers' capacity to recognize children's emotional needs within a developmental context and respond to them in an emotionally available way. Attachment research has shown that the emotional quality of the parent-child relationship is a strong predictor of child adjustment and mothers can improve bonding by learning to recognize children's emotional cues and their own emotional responses in the parenting role. Recently we piloted an intervention - Emotionally-Responsive Parenting (ERP) -for mothers in drug treatment. In a pre-pilot study with 43 primarily cocaine-dependent mothers, mothers enrolled in ERP showed (1) significant improvement in their capacity to recognize emotional states (their own and their children's, and (2) better attendance, retention, and compliance than mothers enrolled in TAU. In this study we will (1) complete a near-final therapist manual, (2) develop a therapist training program and adherence competence rating scales, (3) conduct a randomized pilot study of the ERP manual with 60 mothers of children ages 2-4 to evaluate the efficacy, feasibility, and acceptability of ERP vs. Parent Training (control), and (4) examine the impact of process and moderator variables on outcome in preparation for a larger, Stage II efficacy trial. Directly targeted outcomes will be mothers': (1) recognition of children's emotional needs and capacities, (2) capacity to monitor children's thoughts and feelings and their influence on behavior, and (3) maternal thoughts and feelings about the parenting relationship. Indirectly targeted outcomes will be mothers' (1) sensitivity and emotional availability during parenting interactions, (2) psychiatric symptoms, (3) daily functioning, (4) drug and alcohol use, and (5) children's psychosocial adjustment.

描述(申请人提供)：针对滥用药物母亲的父母培训计划的临床试验表明，在改善亲子关系或儿童的心理社会适应方面成效有限。家长培训计划没有成功的一个原因可能是他们缺乏对亲子关系中情感方面的关注，特别是母亲在发展背景下认识到孩子的情感需求并以情感上可用的方式回应这些需求的能力。依恋研究表明，亲子关系的情绪质量是孩子适应的有力预测因素，母亲可以通过学习识别孩子的情绪线索和自己在育儿角色中的情绪反应来提高亲和力。最近，我们试行了一项干预措施--情绪反应养育(ERP)--对接受药物治疗的母亲进行干预。在一项对43名主要依赖可卡因的母亲进行的试点前研究中，参加ERP的母亲显示：(1)她们识别情绪状态(自己和孩子的情绪状态)的能力显著提高；(2)与参加TAU的母亲相比，她们的出勤率、保持能力和遵从性更好。 在这项研究中，我们将(1)完成一份接近最终的治疗师手册，(2)制定治疗师培训计划和依从性能力评定表，(3)对60名2-4岁儿童的母亲进行一项关于ERP手册的随机试点研究，以评估ERP与父母培训(对照)的有效性、可行性和可接受性，以及(4)检查过程和调节变量对结果的影响，为更大的II阶段疗效试验做准备。直接针对母亲的结果将是：(1)对儿童情感需求和能力的认识，(2)监测儿童思想和情感及其对行为的影响的能力，以及(3)母亲对育儿关系的想法和感受。间接目标结果将是母亲(1)在育儿互动中的敏感度和情绪可获得性，(2)精神症状，(3)日常功能，(4)药物和酒精使用，以及(5)儿童的心理社会适应。