Özyurt Gonca, Dinsever Çagla, Çaliskan Zehra, Evgin Derya
Department of Child and Adolescent Psychiatry, Medical School, Katip Çelebi University, Izmir, Turkey.
Child and Adolescent Psychiatry Department, Child Psychology Nevsehir State Hospital, Child Development Polyclinic, Nevşehir, Turkey.
Indian J Psychiatry. 2018 Jul-Sep;60(3):286-291. doi: 10.4103/psychiatry.IndianJPsychiatry_92_17.
This study aimed to determine the effect of the positive parenting program (Triple P) on child maltreatment, children's behaviors, and coping strategies of mothers.
This study was the pretest-posttest quasiexperimental design. Secondary care state hospital located in the Cappadocia region between January and February 2016. This study was conducted with mothers (n: 138) of children aged between 4 and 12 years, 126 mothers were available to finish the study. Triple P was provided to the mothers in totally three sessions as once per a week. Mothers filled the scales and parent-child information form before the intervention and just after the intervention. Parent-child information form, child behavior checklist, and ways of coping inventory were administered to the mothers.
It was determined that after the training, mean scores obtained by the children from the subscales of anxiety, social problems, somatic complaints, attention problems, rule-breaking, and aggressive behaviors decreased ( < 0.05) and desperate approach and submissive approach mean scores of the mothers decreased ( < 0.001) whereas their social support mean scores increased ( < 0.05). In addition, the mothers, who stated that they were frequently looking angry (17.4%), yelling (24.6%), sometimes humiliating (27.7%) to their children, and injured their faces (6.3%) in the past 1 month, said that they did these behaviors to their children at lower rate at the end of the training (3.9%, 17.4%, 19.8%, and 0.0%, respectively).
It was determined that Triple P was effective in reducing children's behavioral problems and improving mothers' strategies of coping with stress and contributed the reduction of emotional and physical abuse applied to children. It is recommended to ensure the continuity of these training programs.
本研究旨在确定积极育儿计划(Triple P)对儿童虐待、儿童行为以及母亲应对策略的影响。
本研究采用前后测准实验设计。于2016年1月至2月在位于卡帕多西亚地区的二级护理州立医院开展。本研究的对象为4至12岁儿童的母亲(n = 138),其中126位母亲完成了研究。Triple P共为母亲们提供三次课程,每周一次。母亲们在干预前和干预刚结束后填写量表及亲子信息表。向母亲们发放亲子信息表、儿童行为清单和应对方式量表。
经测定,训练后,儿童在焦虑、社交问题、躯体不适、注意力问题、违规和攻击行为等分量表上的平均得分降低(P < 0.05),母亲的绝望应对方式和顺从应对方式平均得分降低(P < 0.001),而其社会支持平均得分增加(P < 0.05)。此外,那些表示在过去1个月里经常对孩子面露怒色(17.4%)、大喊大叫(24.6%)、有时羞辱孩子(27.7%)以及打伤孩子脸部(6.3%)的母亲称,在训练结束时对孩子做出这些行为的比例降低(分别为3.9%、17.4%、19.8%和0.0%)。
经测定,Triple P在减少儿童行为问题、改善母亲应对压力的策略以及减少对儿童的情感和身体虐待方面有效。建议确保这些培训项目的连续性。