University of Edinburgh, Edinburgh, UK.
University of Sydney, Sydney, NSW, Australia.
Child Psychiatry Hum Dev. 2020 Aug;51(4):597-608. doi: 10.1007/s10578-019-00942-0.
Problematic parental attributions refer to negative causal explanations for child problem behaviour and are known to predict parenting intervention outcomes. This study examines alternative accounts of how mothers' problematic parental attributions, operationalised as negative pre-treatment and change resistant parental attributions during treatment, may affect child behaviour outcomes from a parenting intervention program. Putative mediators included parental feelings about the child and use of harsh discipline. Participants were 163 families with children aged from 3 to 16 referred to specialist clinics for the treatment of conduct problems. Measures were collected as part of pre-treatment, post-treatment, and 3-month follow-up assessments. Mothers' pre-treatment and change resistant parental attributions were associated with smaller improvements in parental feelings at the end of treatment which in turn were associated with greater use of harsh discipline. Greater use of harsh discipline was associated with greater conduct problems overall. Smaller improvements in parental feelings mediated the effects of pre-treatment and change resistant parental attributions on outcomes in mothers' use of harsh discipline and mediated the effects of change resistant parental attributions on outcomes in child conduct problems. Smaller improvements in parental feelings about the child may act as a mechanism that explains the impact of problematic parental attributions on treatment outcomes.
问题性父母归因是指对儿童问题行为的负面因果解释,已知其可预测育儿干预的结果。本研究考察了母亲的问题性父母归因(在治疗期间表现为负面的治疗前归因和抗拒改变的归因)如何通过育儿干预计划影响儿童行为结果的其他解释。假定的中介因素包括父母对孩子的感觉和使用严厉的纪律。参与者是 163 个家庭,其孩子年龄在 3 至 16 岁之间,被转介到专门诊所治疗行为问题。测量是作为治疗前、治疗后和 3 个月随访评估的一部分收集的。母亲的治疗前和抗拒改变的父母归因与治疗结束时父母感觉改善较小有关,而这种改善较小又与更严厉的纪律使用有关。更严厉的纪律使用与更严重的行为问题有关。父母对孩子的感觉改善较小,这一中介因素解释了治疗前和抗拒改变的父母归因对母亲使用严厉纪律的结果的影响,也解释了抗拒改变的父母归因对孩子行为问题结果的影响。父母对孩子的感觉改善较小可能是解释问题性父母归因对治疗结果影响的一个机制。