A dynamic systems analysis of parent-child changes associated with successful "Real-world" interventions for aggressive children
A dynamic systems analysis of parent-child changes associated with successful "Real-world" interventions for aggressive children
复制标题
DOI：
10.1007/s10802-007-9133-4
复制
发表时间：
2007-10-01
影响因子：
3.6
通讯作者：
Lewis, Marc D.
中科院分区：
文献类型：
--
作者：
Granic, Isabela;O'Hara, Arland;Lewis, Marc D.
研究表明，改善的父母教养方式在攻击性儿童的治疗结果中起到了中介作用，但我们缺乏关于亲子互动如何随着治疗而变化的细微描述。目前的研究通过应用新的动态系统方法来研究亲子情绪行为模式来解决这一差距。这些方法利用会话内和会话间交互过程中的瞬间变化，并量化与治疗成功相关的以前未测量的变化过程。攻击性儿童和他们的父母是从“真实世界”临床环境中的父母管理培训和认知-行为项目中招募的。行为结果通过父母和临床医生的报告进行评估。在治疗前和治疗后，家访被录制下来，父母和孩子连续讨论：一个积极的话题，一个共同解决的问题，以及另一个积极的话题。结果表明，在解决问题的讨论中，儿童外化行为的显著改善与亲子情绪灵活性的提高有关。此外，改善的双胞胎仍然表现出负面情绪，但他们获得了修复冲突的技能，从负面互动转变为相互积极的模式。
Studies have shown that improved parenting mediates treatment outcomes for aggressive children, but we lack fine-grained descriptions of how parent-child interactions change with treatment. The current study addresses this gap by applying new dynamic systems methods to study parent-child emotional behavior patterns. These methods tap moment-to-moment changes in interaction processes within and across sessions and quantify previously unmeasured processes of change related to treatment success. Aggressive children and their parents were recruited from combined Parent Management Training and Cognitive-behavioral programs in "real world" clinical settings. Behavioral outcomes were assessed by reports from parents and clinicians. At pre- and post-treatment, home visits were videotaped while parents and children discussed consecutively: a positive topic, a mutually unresolved problem, and another positive topic. Results showed that significant improvements in children's externalizing behavior were associated with increases in parent-child emotional flexibility during the problem-solving discussion. Also, dyads who improved still expressed negative emotions, but they acquired the skills to repair conflicts, shifting out of their negative interactions to mutually positive patterns.