Parental Help-Seeking for Children's Disruptive Behavior

家长针对孩子的破坏性行为寻求帮助

• 批准号: 7149226
• 负责人: JEFFREY DAVID BURKE
• 金额: $ 13.31万
• 依托单位: UNIVERSITY OF PITTSBURGH AT PITTSBURGH
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-08-08 至 2011-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7149226
• 关键词: adolescence (12-20); antisocial personality; behavior test; behavioral /social science research tag; child mental health service; clinical research; conduct disorder; disease /disorder proneness /risk; family structure /dynamics; health care service utilization; health services research tag; human data; human subject; interview; juvenile delinquency; longitudinal human study; mathematical model; mental disorder diagnosis; model design /development; oppositional defiant disorder; parents; patient oriented research; psychopathology; questionnaires; self help

DESCRIPTION (provided by applicant): The aims of this application are to obtain career development support to examine factors that influence help-seeking for Oppositional Defiant Disorder (ODD) and Conduct Disorder (CD). A critical divergence exists between the prevalence and severity of ODD and CD and the degree to which children with these problems are engaged in treatment. These disorders are among the most prevalent for those in treatment or incarcerated, yet the proportion of children with ODD or CD who are in treatment is relatively low, and knowledge of the processes involved in engagement for treatment for ODD and CD is limited. Parents play a significant role in seeking out help for children's mental health problems, and their cognitions regarding behavioral disorders and treatment impacts their help-seeking behavior. Their cognitions may also be influenced by the type of disruptive behavior a child displays. The candidate proposes training and development in the empirical analysis of service delivery for disruptive behavior to help understand and guide interventions to modify these processes. The candidate, a clinical psychologist and project coordinator at Western Psychiatric Institute and Clinic, is trained in the assessment and treatment of ODD and CD, is involved in decision-making regarding types of services for children, and is trained as a researcher in developmental psychopathology. The specific aims of the training component of this proposal are to develop expertise in services research, including help-seeking behaviors, for high-risk youth, to become expert in the study and development of subtypes and pathways within ODD and CD behaviors, and to develop mastery of advanced statistical techniques suitable for sophisticated analysis of longitudinal clustered data and model development. The development and training program will include training under the direction of experts in the field of services research, disruptive behavior and developmental models of symptom subtypes, and advanced statistical analyses. Two studies 'will be undertaken: a secondary data analyses of a large scale longitudinal community research project, and a pilot study of new data collection in a sample of 150 children recruited from juvenile justice and specialty mental health venues. It is anticipated that these studies will provide novel information about factors which enhance or impede parental decisions about seeking help for children, and will inform efforts to intervene in the development of disruptive behavior in children in a more timely fashion. By completing the proposed training program, the candidate will attain a comprehensive knowledge base regarding help-seeking for ODD and CD, and will be poised to design interventions to improve treatment engagement and treatment matching for children with these disorders.

描述（由申请人提供）：本申请的目的是获得职业发展支持，以检查影响对立反抗障碍（ODD）和行为障碍（CD）寻求帮助的因素。奇数和CD的患病率和严重程度与患有这些问题的儿童从事治疗的程度之间存在关键的差异。对于治疗或被监禁的患者，这些疾病是最普遍的，但是接受治疗的奇数或CD的儿童比例相对较低，并且了解奇数和CD治疗涉及的过程的知识是有限的。父母在寻求儿童心理健康问题的帮助方面发挥了重要作用，他们对行为障碍和治疗的认知会影响他们的帮助行为。他们的认知也可能受到孩子所显示的破坏性行为的类型的影响。候选人在对服务交付的实证分析中提出培训和发展，以帮助理解和指导干预措施修改这些过程。候选人是西方精神病学研究所和诊所的临床心理学家和项目协调员，接受了对ODD和CD的评估和治疗的培训，他参与了有关儿童服务类型的决策，并接受了发展心理病理学研究人员的培训。该提案的培训部分的具体目的是在服务研究方面发展专业知识，包括寻求帮助行为，使高风险的年轻人成为奇数和CD行为内的亚型和途径的专家，以掌握适用于对长期群集数据和模型开发的先进统计技术的掌握。开发和培训计划将包括在服务研究领域专家的指导下进行培训，症状亚型的破坏性行为和发展模型以及高级统计分析。将进行两项研究：大规模纵向社区研究项目的二级数据分析，以及一项新数据收集的试点研究，该研究是在少年司法和专业心理健康场所招募的150名儿童样本中。可以预料，这些研究将提供有关增强或阻碍父母关于为儿童寻求帮助的因素的新颖信息，并将努力以更及时的方式干预儿童破坏性行为的发展。通过完成拟议的培训计划，候选人将获得有关奇数和CD寻求帮助的综合知识基础，并有望设计干预措施，以改善这些疾病儿童的治疗参与和治疗匹配。