TREATMENT FOLLOW-UP FOR CONDUCT PROBLEM CHILDREN

将进行一次密集和系统的三年后续评估 对严重行为问题儿童进行抽样调查， 他们的家人正在参与一项正在进行的治疗研究， 这与短期内的即时治疗效果相比较 持续性效应，以及一组治疗过程变量 父母培训(n=50)与社区治疗(n=20)。 本研究将评估该计划的长期成效。 减少这些疾病易感性的两种治疗方法 高危青少年随后的行为障碍模式， 青少年犯罪，精神问题，滥用药物，学术 失败，以及糟糕的社会适应。此外，还有四个领域要 家长家庭管理技能(管教、监督、积极 养育子女和解决问题)和父母自信 作为长期治疗结果进行检查。 最后，四个父母风险变量(精神疾病、犯罪、 物质、虐待和压力)及其与家庭的关系 将对管理和儿童风险变量进行研究。 除了两个治疗组外，风险增加 比较(n=26)和未增加风险的比较(n=26) 将包括在内，以便与高危青少年进行比较 与接受治疗的参与者相似，但缺乏系统性 治疗，以及预计不会出现的低风险青少年 特别脆弱或调整不佳，都可能造成。 关于育儿技能、父母风险变量和儿童风险的数据以及 调整变量将从每组的所有四个组中收集 三年的跟踪调查，从而产生了一个4x3的设计。 多变量方差分析将是主要形式 远期疗效评价中的统计分析 假设。将使用多元回归分析来评估 父母教养技能和父母风险变量的有效性 子代结果变量中唯一方差的预测因子。 最后，将使用结构方程建模来检验 几个理论模型的充分性。

An intensive and systematic three-year follow-up evaluation will be conducted on a sample of severe conduct problem children and their families participating in a treatment study now in progress, that compares the immediate treatment effects, short term persistence effects, and a set of therapeutic process variables for parent training (n = 50) versus community treatments (n = 20). The present study will assess the long term effectiveness of the two treatment approaches in reducing the vulnerability of these high risk youngsters to subsequent patterns of conduct disorders, delinquency, psychiatric problems, substance (ab)use, academic failure, and poor social adjustment. In addition, four areas to parent family management skills (discipline, supervision, positive parenting, and problem solving) and parent self-confidence will be examined as long term treatment outcomes. Finally, four parent risk variables (psychiatric, criminal, substance, abuse, and stress) and their relation both to family management and to child risk variables will be studied. In addition to the two treated groups, an increased risk comparison (n = 26) and a none increased risk comparison (n = 26) will be included so that comparisons with high risk youngsters similar to the treated participants, but lacking systematic treatment, and low risk youngsters who are not expected to be particularly vulnerable or poorly adjusted, can be made. Data on parenting skills, parent risk variables, and child risk and adjustment variables will be collected from all four groups in each of the three follow-up years, thus producing a 4 x 3 design. Multivariate analysis of variance will be the primary form of statistical analysis in evaluating the long term outcome hypotheses. Multiple regression analysis will be used to evaluate the efficacy of the parenting skills and parent risk variables as predictors of unique variance in the child outcome variables. Finally, structural equation modeling will be used to test the adequacy of several theoretical models.