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从童年到青春期,养育行为与破坏性行为心理病理学之间的相互关系。

Reciprocal relationships between parenting behavior and disruptive psychopathology from childhood through adolescence.

作者信息

Burke Jeffrey D, Pardini Dustin A, Loeber Rolf

机构信息

Department of Psychiatry, Western Psychiatric Institute and Clinic, University of Pittsburgh, 3811 O'Hara St., Pittsburgh, PA 15213, USA.

出版信息

J Abnorm Child Psychol. 2008 Jul;36(5):679-92. doi: 10.1007/s10802-008-9219-7. Epub 2008 Feb 20.

Abstract

Theoretical models suggest that child behaviors influence parenting behaviors, and specifically that unpleasant child behaviors coerce parents to discontinue engaging in appropriate discipline. This study examined reciprocal relationships between parenting behaviors (supervision, communication, involvement, timid discipline and harsh punishment) and child disruptive disorder symptoms (ADHD, ODD and CD) in a clinic-referred sample of 177 boys. Annual measures, including structured clinical interviews, were obtained from the beginning of the study (when boys were between the ages of 7 to 12) to age 17. Specific reciprocal influence was observed; only timid discipline predicted worsening behavior, namely ODD symptoms, and ODD symptoms predicted increases in timid discipline. Greater influence from child behaviors to parenting practices was found: ODD also predicted poorer communication and decreased involvement, and CD predicted poorer supervision. ADHD was neither predictive of, nor predicted by, parenting behaviors. The results are specifically supportive of a coercive process between child behaviors and parenting behaviors, and generally suggestive of greater influence of child behaviors on parenting behaviors than of parenting behaviors on child behaviors.

摘要

理论模型表明,儿童行为会影响养育行为,具体而言,令人不悦的儿童行为会迫使父母不再进行适当的管教。本研究在一个由177名男孩组成的临床转诊样本中,考察了养育行为(监督、沟通、参与、温和管教和严厉惩罚)与儿童破坏性行为障碍症状(注意力缺陷多动障碍、对立违抗性障碍和品行障碍)之间的相互关系。从研究开始(男孩年龄在7至12岁之间)到17岁,每年都进行测量,包括结构化临床访谈。观察到了特定的相互影响;只有温和管教预示着行为恶化,即对立违抗性障碍症状,而对立违抗性障碍症状预示着温和管教的增加。发现儿童行为对养育方式的影响更大:对立违抗性障碍还预示着沟通不良和参与度降低,品行障碍预示着监督不力。注意力缺陷多动障碍既不能预测养育行为,也不受养育行为的预测。研究结果特别支持儿童行为与养育行为之间的强制过程,总体上表明儿童行为对养育行为的影响大于养育行为对儿童行为的影响。

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