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）：患有精神发育迟滞/发育障碍（MR/DD）的个体发展行为问题或精神健康障碍（BP/MH）的可能性是典型发育个体的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，这些行为问题开始在幼儿期和负面影响的父母。如果不进行治疗，儿童有可能患上行为障碍或精神疾病，这给照顾者带来了沉重的负担，并增加了家庭外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名有轻度/中度发育迟缓幼儿（2-4岁）的家长进行培训。提出了一种随机、治疗/对照设计。不可思议的岁月基本父母培训幼儿系列（IYBPT;韦伯斯特-斯特拉顿，1984年，1994年）将被用作干预措施。这种为期12周的密集干预利用小组讨论（每组8-12名家长）和录像带小插曲，以针对四个课程领域：儿童游戏，表扬，奖励和有效的限制设置。IYBPT系列已被证明在减少典型发育儿童的行为问题方面有效。此外，首席研究员已经成功地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。来自试点数据（N=13）的初步证据表明，在减少负面的亲子互动和减少父母报告的压力方面，初步的可行性，可接受性和有效性。本拟议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，以：（1）利用IYBPT -与有幼儿的照料者一起开展的幼儿系列活动（2-4岁）发育迟缓，（2）测试IYBPT在减少儿童行为问题和减少不适当/消极的亲子互动方面的功效，（3）探索父母培训的潜力，以减少父母的压力，日常麻烦，和照顾者抑郁症，往往牵连到儿童的精神病理学的发展，和（4）减少未来的行为问题的风险，在这组集中在提高养育能力。