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智力残疾与发育风险:促进干预以改善儿童和家庭福祉。

Intellectual Disability and Developmental Risk: Promoting Intervention to Improve Child and Family Well-Being.

机构信息

Arizona State University.

Loma Linda University.

出版信息

Child Dev. 2017 Mar;88(2):436-445. doi: 10.1111/cdev.12740. Epub 2017 Jan 31.

Abstract

Initial intervention processes for children with intellectual disabilities (IDs) largely focused on direct efforts to impact core cognitive and academic deficits associated with the diagnosis. Recent research on risk processes in families of children with ID, however, has influenced new developmental system approaches to early intervention. Recent risk and resilience processes are reviewed that connect stress, family process, and the high rates of behavioral problems in children with ID that have substantial influence on child and family outcomes. These models are linked to emerging evidence-based intervention processes that focus on strategic parent skill training and mindfulness interventions that reduce parental stress and create indirect benefits for children's behavioral competencies. A family-focused developmental systems approach (M. J. Guralnick, 2011) is emphasized.

摘要

对于智障儿童(ID)的初始干预过程主要集中在直接努力影响与诊断相关的核心认知和学业缺陷上。然而,最近关于 ID 儿童家庭风险过程的研究影响了早期干预的新发展系统方法。最近的风险和恢复力过程进行了回顾,这些过程将压力、家庭过程以及 ID 儿童中较高的行为问题发生率联系起来,这些问题对儿童和家庭的结果有很大的影响。这些模型与新兴的基于证据的干预过程相关联,这些过程侧重于战略父母技能培训和正念干预,以减轻父母的压力,并为孩子的行为能力带来间接益处。强调了以家庭为中心的发展系统方法(M. J. Guralnick,2011)。

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