Jung Anne, Heinrichs Nina
Department of Psychology, Clinical Child and Adolescent Psychology and Psychotherapy, Bielefeld University, P.O. Box 100131, 33501 Bielefeld, Germany.
Children (Basel). 2023 Oct 31;10(11):1765. doi: 10.3390/children10111765.
The experiences children have in the interactions with their caregivers influence their developmental outcomes. To target caregiving and optimize intervention effects, the assessment of caregiver-child interactions is highly relevant for families affected by parental mental disorders. Behavioral observation is a widely used method for assessing family dynamics, and the literature offers a wide variety of instruments with which to code such data. However, a structured overview of behavioral observation instruments (BOIs) is lacking, and the multitude of types of dyadic behaviors (DBs) assessed within each BOI are complicating their application. We aim to provide an overview of the BOIs applied to families affected by mental disorders and suggest a DB taxonomy that may be used across BOIs. We first conducted a systemic literature search to identify the most frequently used BOIs and the DBs they capture in clinical psychology. Second, we asked 13 experts to sort DB terms based on perceived conceptual similarity and analyzed these results using multidimensional scaling. We found approximately 450 different terms for DBs, and we argue that DBs can be classified within two overarching dimensions, i.e., in terms of structure and in terms of reaction to a child's signals. These efforts can facilitate the coding and application of BOIs in clinical practice.
儿童在与照料者互动中所经历的事情会影响他们的发展结果。为了针对照料行为并优化干预效果,对于受父母精神障碍影响的家庭而言,评估照料者与儿童之间的互动非常重要。行为观察是评估家庭动态的一种广泛使用的方法,并且文献中提供了各种各样用于对此类数据进行编码的工具。然而,缺乏行为观察工具(BOIs)的结构化概述,并且每个BOI中所评估的二元行为(DBs)类型众多,这使得它们的应用变得复杂。我们旨在提供一份应用于受精神障碍影响家庭的BOIs概述,并提出一种可跨BOIs使用的DB分类法。我们首先进行了系统的文献检索,以确定临床心理学中最常用的BOIs及其所捕捉的DBs。其次,我们请13位专家根据感知到的概念相似性对DB术语进行分类,并使用多维尺度分析这些结果。我们发现了大约450个不同的DB术语,并且我们认为DBs可以在两个总体维度内进行分类,即从结构方面以及对儿童信号的反应方面。这些努力可以促进BOIs在临床实践中的编码和应用。