Parent Training, Dual Diagnosis, and Children with MR

家长培训、双重诊断和 MR 儿童

• 批准号: 7093728
• 负责人: LAURA LEE MCINTYRE
• 金额: $ 7.38万
• 依托单位: SYRACUSE UNIVERSITY
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-04-01 至 2008-03-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7093728
• 关键词: behavioral /social science research tag; child behavior disorders; child mental disorders; child psychology; child rearing; child with disability; clinical research; clinical trials; comorbidity; developmental disease /disorder; developmental psychology; educational resource design /development; family structure /dynamics; group counseling; health services research tag; human subject; human therapy evaluation; mental disorder prevention; mental retardation; parent offspring interaction; patient oriented research; preschool child (1-5); psychological stressor; training

DESCRIPTION (provided by applicant): Individuals with mental retardation/developmental disabilities (MR/DD) are 3-4 times more likely to develop a behavior problem or mental health disorder (BP/MH) than typically developing individuals, placing them at risk for a number of negative outcomes (e.g., social isolation, vocational difficulties). Some evidence suggests that these behavior problems begin in early childhood and negatively impact parents. Left untreated, children are at risk for developing a behavior disorder or mental illness, which places significant burden on caregivers and increases the likelihood of out-of-home placement or costly treatment. The proposed study will utilize parent training as an early intervention (secondary prevention) technique with forty parents with young children (2-4 years) with mild/moderate developmental delay. A randomized, treatment / control design is proposed. The Incredible Years Basic Parent Training Early Childhood series (IYBPT; Webster-Stratton, 1984, 1994) will be used as the intervention. This intensive 12- week intervention utilizes group discussion (8-12 parents per group) and videotape vignettes to target four curricular areas: child play, praise, rewards, and effective limit setting. The IYBPT series has been demonstrated to be efficacious in decreasing behavior problems in typically developing children. Furthermore, the Principal Investigator has successfully pilot tested this intervention approach with parents who have young children with developmental delay. Preliminary evidence from pilot data (N=13) suggest initial feasibility, acceptability, and efficacy in terms of reducing negative parent-child interactions and decreasing parent-reported stress. This proposed study will build on the initial pilot work and use a pre-, post treatment/ control design to: (1) utilize the IYBPT - Early Childhood series with caregivers who have young children (2-4 years) with developmental delay, (2) test the efficacy of the IYBPT in reducing child behavior problems and decreasing inappropriate/negative parent-child interactions, (3) explore the potential for parent training to reduce parent stress, daily hassles, and caregiver depression, often implicated in the development of psychopathology in children, and (4) decrease the risk of future behavior problems in this group by focusing on increasing parenting competence.

描述（由申请人提供）：患有精神障碍/发育障碍的人（MR/DD）出现行为问题或精神健康障碍（BP/MH）的可能性要比通常发展的人高3-4倍，使他们面临许多负面结果（例如，社会隔离，职业困难）的风险。一些证据表明，这些行为问题始于幼儿，并对父母产生负面影响。未经治疗，儿童面临患一种行为障碍或精神疾病的风险，这给看护人带来了巨大负担，并增加了户外安置或昂贵的治疗的可能性。拟议的研究将利用父母培训作为早期干预措施（二级预防）技术，有40位有儿童的父母（2-4岁），有轻度/中度的发育延迟。提出了随机的治疗 /控制设计。令人难以置信的几年基本父母培训幼儿系列（IYBPT； Webster-Stratton，1984，1994）将被用作干预措施。这种密集的12周干预利用小组讨论（每组8-12个父母）和录像带小插曲来针对四个课程领域：儿童游戏，赞美，奖励和有效的限制设定。 IYBPT系列已被证明可以有效地减少典型发展儿童的行为问题。此外，这位主要研究人员已成功试行了这种干预方法，与有发育迟缓的孩子的父母。试点数据的初步证据（n = 13）表明最初的可行性，可接受性和疗效在减少父子的负相互作用和减轻父母报告的压力方面。 This proposed study will build on the initial pilot work and use a pre-, post treatment/ control design to: (1) utilize the IYBPT - Early Childhood series with caregivers who have young children (2-4 years) with developmental delay, (2) test the efficacy of the IYBPT in reducing child behavior problems and decreasing inappropriate/negative parent-child interactions, (3) explore the potential for parent training to reduce parent stress, daily hassles,和护理人员抑郁症，通常涉及儿童心理病理学的发展，（4）通过专注于提高育儿能力来降低该群体未来行为问题的风险。