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Examining Influences on Problem Recognition and Help-Seeking for Child Externalizing Behaviors Among African American
Kasia S Plessy1, Adrienne Anderson1, Mary Lou Kelley1
1Louisiana State University.
Many African American mothers struggle to recognize childhood behavior problems, impacting their enrollment in crucial parent training programs. Cultural factors significantly influence maternal help-seeking behaviors for child oppositional behavior.
Area of Science:
- Child Psychology
- Developmental Psychology
- Clinical Psychology
Background:
- Childhood behavior problems are common clinical referrals with potentially detrimental developmental consequences if untreated.
- Behavior parent training is a first-line treatment for oppositional behavior, yet enrollment is low among racial minority families.
- Understanding barriers to treatment utilization among African American families is critical for effective intervention.
Purpose of the Study:
- To examine maternal help-seeking for children's oppositional behavior among African American families.
- To identify variables influencing parent training enrollment in this population.
- To investigate the role of problem recognition, attributions, cultural values, and mental health stigma.
Main Methods:
- 112 African American mothers participated in the study.
- Participants completed measures assessing problem recognition, parental attributions, child rearing values, mental health stigmatization, racial identity, and treatment utilization.
- Child behavior vignettes were used to assess recognition of clinically significant externalizing behaviors.
Main Results:
- Slightly over half of mothers recognized clinically significant externalizing child behaviors.
- Problem recognition was positively associated with increased likelihood of engaging in behavioral parent training.
- Maternal attributions, cultural values, and mental health stigmatization significantly influenced help-seeking behaviors.
Conclusions:
- Cultural variables play a significant role in problem recognition and treatment utilization for childhood behavior problems among African American families.
- Interventions should consider cultural context to improve engagement with behavior parent training.
- Addressing mental health stigma and understanding cultural values are key to enhancing help-seeking for child behavior issues.
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