Fostering Mothers' Emotionally-Responsive Parenting

培养母亲的情绪反应养育方式

• 批准号: 7242509
• 负责人: NANCY E SUCHMAN
• 金额: $ 23.26万
• 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 2010-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7242509
• 关键词: Adherence; Adolescent; Age; Age-Years; Alcohol consumption; Alcohols; Attention; Behavior; Behavioral; Caring; Characteristics; Child; Clinical Trials; Cocaine; Cognitive; Competence; Consult; Cues; Daily; Development; Diagnosis; Educational Curriculum; Effect Modifiers (Epidemiology); Emotional; Enrollment; Feeling; Fostering; Illicit Drugs; Individual; Infant; Instruction; Intervention; Learning; Life; Manuals; Mediating; Monitor; Mother-Child Relations; Mothers; Object Attachment; Outcome; Outpatients; Parent-Child Relations; Parenting behavior; Parents; Pharmaceutical Preparations; Pharmacotherapy; Phase; Pilot Projects; Preparation; Process; Psychiatric therapeutic procedure; Psychological adjustment; Randomized; Range; Rate; Research; Risk; School-Age Population; Services; Staging; Symptoms; Techniques; Testing; Therapeutic; Thinking; Training; Training Programs; Week; Woman; daily functioning; efficacy trial; improved; parental role; programs; psychologic; psychosocial; response; success; tau Proteins; therapy development

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（由申请人提供）：针对虐待母亲的父母培训计划的临床试验显示，在改善亲子关系或儿童的社会心理调整方面的成功有限。父母培训计划未成功的原因之一可能是他们缺乏对亲子关系情感方面的关注，尤其是母亲在发育环境中识别孩子的情感需求并以情感上的方式对待他们的能力。依恋研究表明，亲子关系的情感质量是对儿童调整的有力预测指标，而母亲可以通过学习认识孩子的情感线索及其在育儿角色中的情感反应来改善联系。最近，我们为母亲在药物治疗中试行了一种干预措施 - 情绪响应的育儿（ERP）。在一项主要依赖可卡因的母亲的小型研究前研究中，参加ERP的母亲表明（1）比在TAU中招募的母亲的母亲的能力显着提高了其识别情绪状态的能力（他们自己和子女的能力（他们自己和孩子的）。 在这项研究中，我们将（1）完成一份近期治疗师手册，（2）制定治疗师培训计划和依从能力评级量表，（3）对ERP手册进行随机试验研究，并与60名2-4岁儿童的母亲对ERP培训的功效，对父母培训的可行性和（4）的可行性（4）的可行性（4）进行了（4）的可接受性（4），以及（4）的影响（4）。较大的II期功效试验。直接针对的结果将是母亲的：（1）对儿童的情感需求和能力的认识，（2）监测儿童的思想和感受及其对行为的影响的能力，以及（3）母亲对育儿关系的思想和感受。间接针对性的结果将是母亲的（1）育儿相互作用期间的灵敏度和情绪可用性，（2）精神症状，（3）每日功能，（4）药物和酒精使用，以及（5）儿童的心理社会调整。