父母经验性回避作为儿童获得性脑损伤患儿父母养育干预中一种潜在的改变机制。
Parental experiential avoidance as a potential mechanism of change in a parenting intervention for parents of children with pediatric acquired brain injury.
作者信息
Brown Felicity L, Whittingham Koa, Sofronoff Kate
机构信息
The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, and Queensland Children's Medical Research Institute, Faculty of Medicine and Biomedical Sciences, The University of Queensland The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, and Queensland Children's Medical Research Institute, Faculty of Medicine and Biomedical Sciences, The University of Queensland The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, and Queensland Children's Medical Research Institute, Faculty of Medicine and Biomedical Sciences, The University of Queensland
The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, and Queensland Children's Medical Research Institute, Faculty of Medicine and Biomedical Sciences, The University of Queensland The School of Psychology, Faculty of Health and Behavioural Sciences, The University of Queensland, Queensland Cerebral Palsy and Rehabilitation Research Centre, School of Medicine, Faculty of Medicine and Biomedical Sciences, The University of Queensland, and Queensland Children's Medical Research Institute, Faculty of Medicine and Biomedical Sciences, The University of Queensland.
出版信息
J Pediatr Psychol. 2015 May;40(4):464-74. doi: 10.1093/jpepsy/jsu109. Epub 2014 Dec 22.
OBJECTIVE
To consider the relationship of parental experiential avoidance (EA) to psychological symptoms and problematic parenting strategies after pediatric acquired brain injury (ABI).
METHODS
Using available data from a randomized controlled trial of a group-based Acceptance and Commitment Therapy (ACT) workshop plus a behavioral family intervention (BFI) for parents of children with ABI (n = 59), correlational and mediational analyses were conducted to consider the role of parental EA as a process of change for parent outcomes.
RESULTS
Parent EA positively correlated with ineffective parenting behaviors and levels of psychological distress, both cross-sectionally and longitudinally. Reductions in EA mediated the treatment effect on reducing ineffective parenting behaviors and parent distress, but issues of temporality were present.
CONCLUSIONS
EA is related to parent outcomes following pediatric ABI. A larger and methodologically rigorous study is called for to further elucidate this finding and specifically determine the benefits of targeting EA with interventions such as ACT, in conjunction with evidence-based BFIs.
目的
探讨儿童获得性脑损伤（ABI）后父母经验性回避（EA）与心理症状及不良养育策略之间的关系。
方法
利用一项针对ABI患儿父母的基于团体的接受与承诺疗法（ACT）工作坊加行为家庭干预（BFI）的随机对照试验的现有数据（n = 59），进行相关分析和中介分析，以探讨父母EA作为父母结局改变过程的作用。
结果
父母EA在横断面和纵向层面均与无效养育行为及心理困扰水平呈正相关。EA的降低介导了治疗对减少无效养育行为和父母困扰的效果，但存在时间先后问题。
结论
EA与儿童ABI后的父母结局相关。需要开展一项规模更大且方法更严谨的研究，以进一步阐明这一发现，并具体确定采用ACT等干预措施针对EA的益处，同时结合循证BFI。
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