EARLY INTERVENTION FOR ANTISOCIAL BEHAVIOR IN CHILDREN

该项目的主要目标是扩大正在进行的研究， 扩大和改善旨在改善 攻击性和反社会行为的年轻男孩谁是在风险 随后的适应不良。 两种可行但不同的办法，即 以家庭为基础的干预和以儿童为基础的认知行为干预 干预，将单独评估和联合治疗 一项结果研究，120名年龄在5 - 10岁之间的具有明显攻击性和对立性的男孩 9年 以家庭为基础的治疗，控制积极接触 工作人员和儿童之间的关系也包括在规则的设计中， 儿童参与治疗的非特异性影响。 结果 治疗前、治疗后和9个月随访时评估的指标 包括教师和家长攻击性措施、一般社会 适应，以及相关的行为问题，认知和 解决问题的行为，观察亲子互动，以及 评估父母的改善。 实验设计包括 分层随机分配至治疗条件，条件 在六位治疗师之间进行平衡，并评估治疗保真度 验证独立变量。 研究的第二个目标是描述儿童 父母参与家庭治疗。 的 以家庭为基础的治疗强调社会学习原则， 积极的父母干预，以促进积极的儿童 行为，以及一种增强预期的治疗方案， 治疗讨论包括儿童行为以外的话题。 的 父母参与的主要措施包括系统治疗- 会话观察代码（治疗过程代码），以评估父母 抵抗和治疗师行为，消费者的父母措施 满意度和参与变量， 治疗分配，预约保持，和准时出席。 实现研究的两个目标将提供额外的 对治疗效果的理解以及克服 参与障碍。

The primary goal of this project is to extend ongoing efforts to study, expand and improve early intervention strategies aimed at ameliorating aggressive and antisocial behavior in young boys who are at risk for subsequent maladjustment. Two viable but divergent approaches, namely family-based intervention and child-based cognitive-behavioral intervention, will be evaluated separately and jointly in a treatment outcome study with 120 markedly aggressive and oppositional boys ages 5 to 9 years. A family-based treatment that controls for positive contact between a staff member and the child is also included in the design to rule out nonspecific effects of child involvement in treatment. Outcome measures assessed at pre-treatment, post-treatment, and nine-month followup include teacher and parental measures of aggression, general social adjustment, and related behavior problems, measures of cognitive and problem-solving behaviors, observation of parent-child interaction, and assessment of parental improvement. The experimental design includes stratified random assignment to treatment conditions, conditions counterbalanced across six therapists, and assessment of treatment fidelity to verify the independent variable. A second goal of the study is to characterize the effect of child involvement on parental engagement in the family-based treatment. The family-based treatment emphasizes social learning principles and applications, active parental intervention to promote positive child behaviors, and an expectation-enhancing treatment regimen that expands therapy discussions to include topics outside of child behavior. The primary measures of parental engagement include a systematic therapy- session observation code (Therapy Process Code) to assess parental resistance and therapist behaviors, parental measures of consumer satisfaction, and participation variables pertaining to completion of therapy assignments, appointments kept, and punctuality of attendance. Achievement of the two goals of the study will provide additional understanding of treatment effectiveness as well as clues about overcoming engagement obstacles.