Zachary Chloe, Jones Deborah J, McKee Laura G, Baucom Donald H, Forehand Rex L
1 The University of North Carolina at Chapel Hill, Chapel Hill, NC, USA.
2 Georgia State University, Atlanta, GA, USA.
Behav Modif. 2019 Jan;43(1):3-25. doi: 10.1177/0145445517735492. Epub 2017 Oct 13.
Low-income families are less likely to effectively engage in Behavioral Parent Training (BPT), the standard of care for early-onset (3-8 years old) disruptive behavior disorders (DBDs); however, relatively little is known about predictors of treatment process and outcome within this vulnerable group. Given literature to suggest compromises associated with both low-income status and DBDs, this study examined the role of caregiver emotion regulation and socialization practices in 15 low-income families who participated in one evidence-based BPT program, Helping the Noncompliant Child (HNC). Findings suggest baseline caregiver emotion regulation predicted variability in BPT treatment duration and outcomes, whereas baseline caregiver emotion socialization practices explained variation in the severity of child disruptive behaviors concurrently, as well as BPT treatment outcomes. Furthermore, BPT yielded pre- to posttreatment effect sizes that were equivalent to or better than treatments designed to more explicitly target emotion regulation and socialization processes. Clinical implications and future directions are discussed.
低收入家庭不太可能有效地参与行为父母培训（BPT），这是早发性（3至8岁）破坏性行为障碍（DBD）的标准治疗方法；然而，对于这一弱势群体中治疗过程和结果的预测因素，人们所知相对较少。鉴于有文献表明低收入状况和破坏性行为障碍都存在相关的不利因素，本研究考察了15个参与一项循证行为父母培训项目“帮助不听话儿童”（HNC）的低收入家庭中照顾者情绪调节和社会化实践的作用。研究结果表明，照顾者情绪调节基线预测了行为父母培训治疗持续时间和结果的变异性，而照顾者情绪社会化实践基线同时解释了儿童破坏性行为严重程度的变化以及行为父母培训治疗结果。此外，行为父母培训产生的治疗前到治疗后的效应大小等同于或优于旨在更明确地针对情绪调节和社会化过程的治疗方法。文中讨论了临床意义和未来方向。
