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父母认知和治疗信念作为预测因子,预测在注意缺陷/多动障碍儿童家庭中使用行为养育策略的经验。

Parenting cognitions and treatment beliefs as predictors of experience using behavioral parenting strategies in families of children with attention-deficit/hyperactivity disorder.

机构信息

Departmentof Psychology, 2136 West Mall, University of British Columbia,Vancouver, British Columbia, Canada.

出版信息

Behav Ther. 2010 Dec;41(4):491-504. doi: 10.1016/j.beth.2010.02.001. Epub 2010 May 20.

Abstract

We tested a model of mothers' parenting efficacy and attributions for child ADHD behaviors as predictors of experiences with behavioral treatment. The model proposed that mothers' beliefs regarding the acceptability and effectiveness of behavioral strategies would intervene between mothers' cognitions about parenting and child behavior and their treatment experiences. Participants were 101 mothers of 5- to 10-year-old children (82% male) with ADHD. Mothers reported their parenting efficacy and attributions for child behavior, and then received a single session of treatment teaching 2 behavior management strategies. Then, mothers reported their beliefs regarding the acceptability and effectiveness of these strategies. A follow-up phone interview 1 week later assessed mothers' experiences in using the behavioral strategies. The overall model fit the data. Attributions of child ADHD behavior as more pervasive, enduring, and within the child's control were related to seeing behavioral treatment as more acceptable, but neither attributions nor treatment acceptability predicted treatment experience. However, mothers with higher parenting efficacy viewed the behavioral strategies as more likely to be effective, and this pathway significantly predicted positive treatment experience. Implications for understanding the variables that contribute to parental decision-making and treatment participation for childhood ADHD are considered.

摘要

我们测试了一个母亲育儿效能感和儿童 ADHD 行为归因模型,作为行为治疗体验的预测因素。该模型提出,母亲对行为策略的可接受性和有效性的信念将在母亲对育儿和儿童行为的认知与其治疗体验之间发挥中介作用。参与者为 101 名 5 至 10 岁患有 ADHD 的儿童的母亲(82%为男性)。母亲报告了她们的育儿效能感和儿童行为归因,然后接受了一个单一的治疗课程,教授 2 种行为管理策略。然后,母亲报告了她们对这些策略的可接受性和有效性的看法。一周后的后续电话访谈评估了母亲使用行为策略的体验。总体模型符合数据。将儿童 ADHD 行为归因于更普遍、更持久且受儿童自身控制,与将行为治疗视为更可接受有关,但归因和治疗接受度都不能预测治疗体验。然而,育儿效能感较高的母亲认为行为策略更有可能有效,而这一途径显著预测了积极的治疗体验。考虑到对儿童 ADHD 父母决策和治疗参与的相关变量的理解。

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