Parent Training, Dual Diagnosis, and Children with MR

家长培训、双重诊断和 MR 儿童

• 批准号: 7093728
• 负责人: LAURA LEE MCINTYRE
• 金额: $ 7.38万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-01 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7093728
• 关键词: behavioral /social science research tag; child behavior disorders; child mental disorders; child psychology; child rearing; child with disability; clinical research; clinical trials; comorbidity; developmental disease /disorder; developmental psychology; educational resource design /development; family structure /dynamics; group counseling; health services research tag; human subject; human therapy evaluation; mental disorder prevention; mental retardation; parent offspring interaction; patient oriented research; preschool child (1-5); psychological stressor; training

DESCRIPTION (provided by applicant): Individuals with mental retardation/developmental disabilities (MR/DD) are 3-4 times more likely to develop a behavior problem or mental health disorder (BP/MH) than typically developing individuals, placing them at risk for a number of negative outcomes (e.g., social isolation, vocational difficulties). Some evidence suggests that these behavior problems begin in early childhood and negatively impact parents. Left untreated, children are at risk for developing a behavior disorder or mental illness, which places significant burden on caregivers and increases the likelihood of out-of-home placement or costly treatment. The proposed study will utilize parent training as an early intervention (secondary prevention) technique with forty parents with young children (2-4 years) with mild/moderate developmental delay. A randomized, treatment / control design is proposed. The Incredible Years Basic Parent Training Early Childhood series (IYBPT; Webster-Stratton, 1984, 1994) will be used as the intervention. This intensive 12- week intervention utilizes group discussion (8-12 parents per group) and videotape vignettes to target four curricular areas: child play, praise, rewards, and effective limit setting. The IYBPT series has been demonstrated to be efficacious in decreasing behavior problems in typically developing children. Furthermore, the Principal Investigator has successfully pilot tested this intervention approach with parents who have young children with developmental delay. Preliminary evidence from pilot data (N=13) suggest initial feasibility, acceptability, and efficacy in terms of reducing negative parent-child interactions and decreasing parent-reported stress. This proposed study will build on the initial pilot work and use a pre-, post treatment/ control design to: (1) utilize the IYBPT - Early Childhood series with caregivers who have young children (2-4 years) with developmental delay, (2) test the efficacy of the IYBPT in reducing child behavior problems and decreasing inappropriate/negative parent-child interactions, (3) explore the potential for parent training to reduce parent stress, daily hassles, and caregiver depression, often implicated in the development of psychopathology in children, and (4) decrease the risk of future behavior problems in this group by focusing on increasing parenting competence.

描述（由申请人提供）：精神发育迟滞/发育障碍 (MR/DD) 个体出现行为问题或精神健康障碍 (BP/MH) 的可能性是正常发育个体的 3-4 倍，使他们面临许多负面结果的风险（例如，社会孤立、职业困难）。一些证据表明，这些行为问题始于儿童早期，并对父母产生负面影响。如果不及时治疗，儿童面临出现行为障碍或精神疾病的风险，这给护理人员带来沉重负担，并增加了外出安置或昂贵治疗的可能性。拟议的研究将利用家长培训作为早期干预（二级预防）技术，对 40 位有轻度/中度发育迟缓幼儿（2-4 岁）的家长进行研究。提出了随机治疗/对照设计。 Incredible Years 幼儿期基础家长培训系列（IYBPT；Webster-Stratton，1984，1994）将用作干预措施。这项为期 12 周的强化干预利用小组讨论（每组 8-12 名家长）和录像片段来针对四个课程领域：儿童游戏、表扬、奖励和有效限制设置。 IYBPT 系列已被证明可以有效减少典型发育儿童的行为问题。此外，首席研究员已成功对有发育迟缓幼儿的父母进行了这种干预方法的试点测试。试点数据（N=13）的初步证据表明，在减少负面亲子互动和减少家长报告的压力方面具有初步的可行性、可接受性和有效性。这项拟议的研究将建立在初步试点工作的基础上，并使用治疗前、治疗后/对照设计来：(1) 对有发育迟缓幼儿（2-4 岁）的看护者利用 IYBPT - 幼儿系列，(2) 测试 IYBPT 在减少儿童行为问题和减少不适当/消极亲子互动方面的功效，(3) 探索家长培训减少家长压力、日常麻烦的潜力， 和照顾者抑郁症，通常与儿童精神病理学的发展有关，以及（4）通过注重提高养育能力来降低该群体未来出现行为问题的风险。