Department of Psychology, Southern Methodist University.
School of Social Work, University of Texas at Austin.
J Consult Clin Psychol. 2009 Aug;77(4):705-717. doi: 10.1037/a0015994.
This study was a randomized clinical trial of Project Support, an intervention designed to reduce conduct problems among children exposed to intimate partner violence. Participants were 66 families (mothers and children) with at least 1 child exhibiting clinical levels of conduct problems. Families were recruited from domestic violence shelters. The Project Support intervention involves (a) teaching mothers child management skills and (b) providing instrumental and emotional support to mothers. Families were randomly assigned to the Project Support intervention condition or to an existing services comparison condition. They were assessed on 6 occasions over 20 months, following their departure from the shelter. Children in families in the Project Support condition, compared with those in the comparison condition, exhibited greater reductions in conduct problems. Mothers in the Project Support condition, compared with those in the comparison condition, displayed greater reductions in inconsistent and harsh parenting behaviors and psychiatric symptoms. Changes in mothers' parenting and psychiatric symptoms accounted for a sizable proportion of Project Support's effects on child conduct problems at the end of treatment. Clinical and policy implications are discussed.
本研究为“项目支持”的随机临床试验，这是一项旨在减少受亲密伴侣暴力影响儿童的行为问题的干预措施。参与者为 66 个家庭（母亲和孩子），至少有 1 个孩子表现出临床水平的行为问题。家庭是从家庭暴力庇护所招募的。“项目支持”干预措施包括：（a）教母亲儿童管理技能，（b）为母亲提供工具和情感支持。家庭被随机分配到“项目支持”干预组或现有服务对照组。在离开庇护所后的 20 个月内，他们接受了 6 次评估。与对照组相比，“项目支持”组的儿童行为问题减少更多。与对照组相比，“项目支持”组的母亲在不一致和苛刻的育儿行为和精神症状方面的减少更大。母亲育儿和精神症状的变化占“项目支持”对治疗结束时儿童行为问题影响的相当大比例。讨论了临床和政策意义。
