Bidirectional Associations between Parental Distress and Behavior Problems in Children with Developmental Delay

父母的痛苦与发育迟缓儿童的行为问题之间的双向关联

• 批准号: 10311986
• 负责人: Brynna Hope Heflin
• 金额: $ 2.63万
• 依托单位: FLORIDA INTERNATIONAL UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2020
• 资助国家: 美国
• 起止时间: 2020-12-03 至 2022-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/10311986
• 关键词: 5 year old; Acculturation; Address; Adoption; Aggressive behavior; Aging; Anxiety; Behavioral; Caregivers; Child; Child Behavior; Child Rearing; Clinical; Code; Control Groups; Data; Data Analyses; Development; Developmental Delay Disorders; Disabled Persons; Distress; Early Intervention; Education; Equation; Family; Fostering; Foundations; Funding; Future; Grant; Individual; Internet; Intervention; Literature; Long-Term Care; Measures; Mental Depression; Methods; Minority; Modeling; National Research Service Awards; Not Hispanic or Latino; Outcome; Parents; Problem behavior; Process; Psychopathology; Randomized Controlled Trials; Reporting; Research; Research Project Grants; Research Training; Role; Scientist; Stress; Sum; Time; Training; Treatment outcome; United States National Institutes of Health; Wood material; Work; behavior change; behavior observation; career; depressive symptoms; early childhood; experience; high risk; high risk population; innovation; novel; peer; research study; standard care; stressor; symptomatology

PROJECT SUMMARY This application will launch PI Heflin’s independent research career focused on assessing and evaluating: (1) familial factors that impact child behavior problems and the interplay between parental psychopathology and child outcomes; (2) the role of novel treatment formats in extending care to underserved and high-risk populations; and (3) understanding cultural processes such as acculturative stress as it applies to and impacts familial outcomes. The proposed research project aims to leverage a larger, on-going grant (R01HD084497) to gather data on: (a) the bidirectional associations between parental distress and behavior problems over time in young children with developmental delay and from cultural minority backgrounds; (b) the impact of acculturation and enculturation on these bidirectional associations; and (c) whether the bidirectional associations between parental distress and child problem behaviors changes in the context of a behavioral parenting intervention. We will conduct cross-lagged structural equation modeling to examine the bidirectional associations between parental distress and child behavior problems over four time points across 68 weeks (Aim 1). Additionally, we will examine the moderating effect of acculturation and enculturation using a moderated structural equation modeling framework (Aim 2a) and the moderating effect of Internet-delivered treatment using multiple group structural equation modeling (Aim 2b). This proposal aims to fill gaps in prior literature through the assessment of parental distress as a broad construct (consisting of depression, anxiety and stress), and assessment of child behavior integrating observational coding and parent-report measures. Findings are expected to advance understanding of the associations between parent symptomatology and behavior problems in children with developmental delay, as well as the impact of stressors for cultural minority families. This information will inform PI Heflin’s future research career examining where in parent-child interventions we can best intervene in order to promote positive child outcomes in the context of parental psychopathology. Additionally, findings will set the foundation for future work examining acculturative stress and other cultural considerations as they pertain to treatment outcomes in early childhood.

项目摘要 该应用程序将启动Pi Heflin的独立研究生涯，重点是评估和评估：（1） 影响儿童行为问题以及父母心理病理学与相互作用的家庭因素与 儿童成果； （2）新型治疗形式在扩展护理到服务不足和高风险中的作用 人口； （3）理解适用和影响的文化过程，例如它适用和影响 家族结果。拟议的研究项目旨在利用更大的，持续的赠款（R01HD084497） 收集数据：（a）随着时间的推移，父母遇险与行为问题之间的双向关联 发育迟缓和文化少数背景的幼儿； （b） 这些双向关联的培养和培养； （c）双向 父母困扰与儿童问题行为之间的关联在行为的背景下变化 育儿干预。我们将进行跨滞后的结构方程建模以检查双向 在68周内，父母遇难与儿童行为问题之间的关联 （目标1）。此外，我们将使用A进行培养和培养的调节作用 主持的结构方程建模框架（AIM 2A）和互联网传递的调节作用 使用多个组结构方程建模（AIM 2B）进行处理。该建议旨在填补先验的空白 通过评估父母苦难作为一种广泛的结构（包括抑郁症，焦虑症组成）的文献 和压力），以及对整合观察编码和父母报告措施的儿童行为的评估。 期望发现将提高对父母症状与父母症状之间的关联的理解 发育迟缓的儿童的行为问题以及压力源对文化少数群体的影响 家庭。这些信息将告知Pi Heflin的未来研究职业，以研究亲子在哪里 干预措施我们可以最好地干预，以在父母的背景下促进积极的儿童成果 心理病理学。此外，调查结果将为未来的工作奠定基础，以检查适应性压力 以及其他文化考虑因素与幼儿相关的治疗结果。