Development of a Tailored Treatment for Angry Mothers

为愤怒的母亲开发量身定制的治疗方法

• 批准号: 6664307
• 负责人: SUSAN G O'LEARY
• 金额: $ 16.93万
• 依托单位: STATE UNIVERSITY NEW YORK STONY BROOK
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-05 至 2006-05-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6664307
• 关键词: angers; behavioral /social science research tag; child behavior disorders; child rearing; clinical research; family therapy; human subject; human therapy evaluation; interview; mother child interaction; motivation; patient oriented research; preschool child (1-5); stress management

DESCRIPTION (provided by applicant): Young children's externalizing behavior problems, including oppositional and defiant behavior, noncompliance, tantrums, whining, aggression, and destruction of property, are early and stable predictors of later academic failure and social deviance. Interventions that are based on behavioral/social learning theories and that teach parents effective ways to manage such child behavior are the recommended and empirically supported treatments of choice. As successful as these programs are, some maternal risk factors have been identified that predict the degree to which mothers and/or children experience treatment benefits. When a standard parenting intervention is augmented with components designed to address issues related to one of these risk factors, outcome is improved. The current application describes the development of an augmented intervention specifically for angry mothers of 2-3 year old oppositional children. The augmented intervention is based on, and will be compared to, Webster-Stratton's BASIC (1993) treatment. Two intervention components will be added to BASIC: anger management as in Deffenbacher & McKay (2000) and a motivational interviewing feedback session as in Miller & Rollnick (2002). The ultimate goals of the augmented intervention are to decrease maternal anger and to improve the initial and long-term effectiveness of treatment for these mothers and their children. The more immediate goals of this treatment development application are to a) develop a motivational interviewing feedback session and modify an anger management program to serve the needs of these families, b) merge these two components with a standard parenting intervention to form a 12-session augmented parenting intervention, c) compare the effects of the augmented intervention to the effects of the standard 12-session parenting intervention with respect to mothers' anger expression and use of dysfunctional discipline strategies; and with respect to their children's externalizing behavior problems in a sample of 30-36 mothers of 2-3 yr old oppositional toddlers, and d) modify the treatment protocol in preparation for a more comprehensive evaluation of the augmented treatment.

描述（由申请人提供）：幼儿的外在行为问题，包括对立和反抗行为，不遵守，发脾气，抱怨，侵略和财产破坏，是后来的学术失败和社会偏差的早期和稳定的预测指标。基于行为/社会学习理论并教父母有效管理这种孩子行为的干预措施是建议的和经验支持的选择。尽管这些计划成功，但已经确定了一些产妇风险因素，这些因素可以预测母亲和/或儿童经历治疗益处的程度。当标准的育儿干预措施增加了旨在解决与这些危险因素之一有关的问题的组件增强时，结果将得到改善。当前的申请描述了专门针对2-3岁反对儿童的愤怒母亲的增强干预措施的发展。增强干预措施是基于韦伯斯特·斯特拉顿（Webster-Stratton）的基本治疗方法的，并将进行比较。如Deffenbacher＆McKay（2000）和Miller＆Rollnick（2002）中的激励性采访反馈会议，将添加两个干预组件：愤怒管理和愤怒管理。增强干预措施的最终目标是减少孕产妇的愤怒，并提高这些母亲及其子女治疗的初始和长期有效性。该治疗开发应用的更直接的目标是a）制定动机访谈反馈会议，并修改愤怒管理计划，以满足这些家庭的需求，b）将这两个组件与标准的育儿干预合并，以形成12份增强的育儿干预措施，c）比较增强干预的效果与标准的育儿态度的效果相比，将婚姻的效果与象征的效果相比，将其与象征的效果相比，将其与MOTHERSS的效果相比，并将其与MOTHERSS的效果相比，并将其效果关于孩子的外在行为问题，在30-36个母亲的样本中，有2 - 3年的对立幼儿，d）修改治疗方案，以准备对增强治疗的更全面评估。