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幼儿冷酷无情特质对标准和技术增强型行为家长培训中行为观察结果的影响。

The Effects of Young Children's Callous-Unemotional Traits on Behaviorally Observed Outcomes in Standard and Technology-Enhanced Behavioral Parent Training.

机构信息

Department of Psychiatry and Human Behavior, Brown University, Providence, USA.

Warren Alpert Medical School, Brown University, 1 Hoppin St #204, Providence, RI, USA.

出版信息

Res Child Adolesc Psychopathol. 2023 Feb;51(2):165-175. doi: 10.1007/s10802-022-00979-1. Epub 2022 Nov 8.

Abstract

Behavioral Parent Training (BPT) remains the current standard of care for early onset behavior disorders (BD); however, problem behaviors characterized by relatively high callous unemotional (CU) traits are linked to poorer treatment outcomes, highlighting the need for novel interventions. This study examined the relation of baseline child CU traits to changes in observed parent and child (3 to 8 years old) behavior in 101 families with low-income randomized to either a standard (Helping the Noncompliant Child, HNC) or technology-enhanced BPT program (TE-HNC). Assessments occurred at baseline, post-intervention, and at a three-month follow-up. Treatment group moderated the relation between CU traits and observed parenting behaviors and child compliance. Specifically, higher levels of child CU traits at baseline predicted lower levels of positive parenting at post-intervention and follow-up, and lower levels of child compliance at follow-up but only in the standard program (HNC). This is the first intervention study to behaviorally assess the differential impact of CU traits in standard, relative to technology-enhanced, BPT and suggests the promise of a technology-enhanced treatment model.

摘要

行为家长培训(BPT)仍然是早期发病行为障碍(BD)的当前标准护理;然而,以相对较高的无情无感情(CU)特征为特征的问题行为与较差的治疗结果相关,突出了对新干预措施的需求。本研究检查了基线儿童 CU 特征与 101 个低收入家庭中观察到的父母和儿童(3 至 8 岁)行为变化之间的关系,这些家庭随机分配到标准(帮助不遵守的儿童,HNC)或技术增强 BPT 计划(TE-HNC)。评估在基线、干预后和三个月随访时进行。治疗组调节了 CU 特征与观察到的养育行为和儿童依从性之间的关系。具体而言,基线时儿童 CU 特征水平较高,预示着干预后和随访时积极养育水平较低,以及随访时儿童依从性较低,但仅在标准方案(HNC)中。这是第一项行为评估 CU 特征在标准(相对于增强技术)BPT 中的差异影响的干预研究,并表明增强技术治疗模式有希望。

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