Domestic Violence: An Emotion Coaching Parenting Intervention

描述（由申请人提供）：众所周知，家庭暴力对儿童的心理健康有不利影响。然而，很少有干预措施是基于经验推导的机制开发的，这些机制已被证明可以降低家庭暴力暴露儿童的风险并提高其适应能力。我们最近发现，“情感辅导”可以缓冲孩子对家庭暴力的负面影响（Katz & Windecker-Nelson，出版）。当遭受家庭暴力的孩子有父母进行情感辅导时，他们表现出较少的行为问题。拟议应用的目标是将这些关于风险和弹性的基本行为发现转化为对受虐妇女的养育干预。这与美国国立卫生研究院PA-04-075“暴力和创伤的心理健康后果”的目标是一致的，该目标寻求研究者发起的研究，涉及“将科学产生的信息转化和测试到临床应用、干预和服务……与暴力和创伤有关。”建议应用的具体目的是：(1)发展基于经验的情绪辅导育儿干预，以帮助受虐妇女提高育儿技能；(2)制定治疗保真度措施；参与者满意度、对治疗技巧的理解和掌握；还有治疗师的技能；(3)将这一新的干预措施及相关程序和措施手工化；(4)在6-12岁有家暴经历的母亲中对该干预措施进行试点测试；(5)通过检查观察到的结果分布和获得干预效应大小的初步指示，评估后续临床试验的可行性。我们期望面对家庭暴力的情绪辅导能够改善亲子互动的质量，提高儿童的情绪调节能力（包括减少生理唤醒的能力），减少儿童的行为问题。有希望的发现将成为一项临床结果研究的研究提案的基础，该研究将情绪指导与其他针对家庭暴力家庭的育儿治疗方法进行比较。家庭暴力对儿童的心理健康有不利影响。然而，很少有干预措施是基于经验推导的机制来开发的，这些机制已知可以降低家庭暴力暴露儿童的风险并提高其适应能力。该应用程序将把关于风险和恢复力的基本行为发现转化为受虐妇女的情感指导父母干预。

DESCRIPTION (provided by applicant): It has been well-established that domestic violence (DV) has detrimental effects on children's mental health. However, few interventions have been developed based on empirically-derived mechanisms that have been shown to reduce risk and increase resilience in children exposed to DV. We have recently discovered that "emotion coaching" buffers children from the negative effects of DV (Katz & Windecker-Nelson, in press). When children exposed to DV have parents who engage in emotion coaching, they show fewer behavior problems. The goal of the proposed application is to translate these basic behavioral findings on risk and resiliency into a parenting intervention for battered women. This is consistent with the goals of NIH PA-04-075, Mental Health Consequences of Violence and Trauma, that seeks investigator-initiated research related to the "translation and testing of scientifically generated information into clinical application, interventions and services...related to violence and trauma." Specific aims of the proposed application are to: (1) develop an empirically-based emotion coaching parenting intervention to help battered women improve their parenting skills; (2) develop measures of treatment fidelity; participant satisfaction, understanding and mastery of treatment skills; and therapist skill; (3) manualize this new intervention and associated procedures and measures;(4) pilot test this intervention with mothers of 6-12 year olds who have been exposed to DV, and (5) assess the feasibility of a later clinical trial by examining the distributions of outcomes observed and obtaining a preliminary indication of intervention effect size. We expect emotion coaching in face of DV to result in improvements in the quality of parent-child interaction, increase children's emotion regulation abilities (including their ability to reduce physiological arousal), and reduce child behavior problems. Promising findings would form the basis of a research proposal for a clinical outcome study comparing emotion coaching to other parenting treatments for families exposed to DV. Domestic violence has detrimental effects on children's mental health. However, few interventions have been developed based on empirically-derived mechanisms that are known to reduce risk and increase resilience in children exposed to DV. This application will translate basic behavioral findings on risk and resiliency into an emotion coaching parenting intervention for battered women.