母亲的执行功能和压力和儿童的行为问题治疗结果
Anne W Riley1, Helen F Yu-Lefler2, AliceAnn Crandall3
1Department of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health.
概括
具有执行功能 (EF) 挑战的母亲更有可能退出家长培训. 解决母亲EF缺陷和育儿压力可以改善治疗坚持和儿童行为结果.
科学领域:
- 儿童心理学 儿童心理学
- 发展心理学 发展心理学
- 临床心理学 临床心理学
背景情况:
- 家长管理培训 (PMT) 对于解决孩子的行为问题至关重要.
- 像执行功能 (EF) 和育儿压力这样的母性因素可能会影响治疗结果.
- 了解这些母性因素是提高PMT有效性的关键.
研究的目的:
- 调查母亲的执行功能 (EF) 能力和育儿压力与PMT早期学,预约出席和治疗结果之间的关联.
- 确定母体EF缺陷和高育儿压力是否预测儿童的行为治疗效果较差,并导致儿童的行为治疗.
主要方法:
- 对288名接受2至12岁儿童临床PMT的母亲进行前性观察性研究.
- 评估母亲EF和家长压力,使用行为评级库成年执行功能和家长压力指数.
- 回归模型分析了母体EF缺陷和育儿压力对学,出席和行为结果的影响.
主要成果:
- 患有临床显著EF缺陷的母亲 (11%) 早期退学的可能性是3倍.
- 近三分之一的母亲报告了临床上显著的育儿压力.
- 患有高育儿压力的母亲的孩子获得积极行为结果的可能性是其一半;压力没有显著影响出席率.
结论:
- 母亲执行功能 (EF) 的挑战与父母管理培训 (PMT) 的早期消耗有关.
- 高的家长压力与PMT儿童的较差行为结果有关.
- 临床评估母亲的EF和管理育儿压力对于提高PMT的坚持和有效性至关重要.
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