School of Nursing, University of Washington.
Department of Education, School, & Counseling Psychology, University of Missouri.
J Couns Psychol. 2008 Oct;55(4):473-484. doi: 10.1037/a0013664.
The present study tested the impact of a parent behavior-management intervention on child depressive and internalizing symptoms. One hundred eighty-one children were randomly assigned to receive a videotape modeling parenting intervention, the Incredible Years, or to a wait-list control group. Children who received the intervention were more likely to have lower mother-rated mood and internalizing symptoms at post-treatment, compared with children in a wait-list control group. The effect sizes observed in the present intervention fell in the small-to-medium range for the sample as a whole, and some evidence supported the authors' hypothesis that effects would be strongest for children with baseline internalizing symptoms in the clinical range. Subsequent analyses also revealed that perceived changes in parenting effectiveness mediated the effect of treatment on children's post-treatment internalizing symptoms. The finding was consistent with study hypotheses and social learning explanations of child internalizing symptoms that guided selection of putative mechanisms. Implications for counseling psychologists and for designing interventions and prevention strategies for children with internalizing symptoms are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved).
本研究检验了父母行为管理干预对儿童抑郁和内化症状的影响。181 名儿童被随机分配接受录像模型育儿干预、不可思议的岁月或等待名单对照组。与等待名单对照组的儿童相比，接受干预的儿童在治疗后更有可能表现出较低的母亲评定情绪和内化症状。在整个样本中，观察到的干预效果大小处于小到中等范围，一些证据支持作者的假设，即对于基线内化症状处于临床范围内的儿童，效果最强。随后的分析还表明，父母效能感的变化中介了治疗对儿童治疗后内化症状的影响。这一发现与研究假设以及指导潜在机制选择的儿童内化症状的社会学习解释一致。讨论了对咨询心理学家以及为有内化症状的儿童设计干预措施和预防策略的意义。(PsycINFO 数据库记录(c) 2010 APA，保留所有权利)。
