Caregiver Distress and Child Behavior Problems in Children with Developmental Delay from Predominantly Minoritized Backgrounds.

IF 4.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL Journal of Clinical Child and Adolescent Psychology Pub Date : 2024-03-21 DOI:10.1080/15374416.2024.2317409

Brynna H Blanchet, Timothy Hayes, Caroline Gillenson, Keara Neuman, Perrine Heymann, Jonathan S Comer, Daniel M Bagner

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Abstract

Importance: Child behavior problems have been shown to contribute to caregiver distress and vice versa among youth with developmental delay (DD). However, studies have not examined these associations among children and caregivers from underrepresented ethnic/racial backgrounds. Furthermore, research has not explored how associations function differently following internet-delivered treatment or based on the level of acculturation and enculturation.

Objective: We examined bidirectional associations between caregiver distress (i.e. symptoms of depression, anxiety, and stress) and externalizing and internalizing behavior problems in 3- to 5-year-old children with DD from underrepresented ethnic/racial backgrounds. We also examined the impact of internet-delivered Parent-Child Interaction Therapy (iPCIT) and the moderating role of acculturation and enculturation on these bidirectional associations.

Method: Children aging out of early intervention services (n = 150) and their primary caregiver were randomized to receive iPCIT or referrals as usual (RAU) in the community.

Results: Findings provide support for bidirectional associations between child internalizing behavior problems and caregiver depressive symptoms, although there were fewer significant associations among families randomized to iPCIT compared to RAU. Weaker associations were observed among families with higher levels of enculturation, whereas stronger associations were observed among families with higher levels of acculturation.

Conclusions: Results highlight a sensitive period from age 3.5 to 4 years old for bidirectional associations between caregiver distress and child behavior problems and highlight the importance of addressing family cultural values during treatment. Findings also suggest the utility of internet-delivered behavioral parenting interventions in weakening the effect of child behavior problems on caregiver distress and vice versa.

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主要来自少数民族背景的发育迟缓儿童的照顾者苦恼与儿童行为问题》（Caregiver Distress and Child Behavior Problems in Children with Developmental Delays from Predominately Minoritized Backgrounds）。

重要性：在发育迟缓（DD）青少年中，儿童行为问题已被证明会导致照顾者的痛苦，反之亦然。然而，尚未有研究对来自少数族裔/种族背景的儿童和照顾者之间的这些关联进行研究。此外，研究也没有探讨在互联网提供治疗后，或根据文化程度和文化涵养水平，这些关联会产生怎样的不同作用：我们研究了照顾者的困扰（即抑郁、焦虑和压力症状）与外化和内化行为问题之间的双向关联。我们还研究了互联网提供的亲子互动疗法（iPCIT）的影响，以及文化适应和文化涵养对这些双向关联的调节作用：方法：对退出早期干预服务的儿童（n = 150）及其主要照顾者进行随机分组，让他们在社区接受 iPCIT 或照常转介（RAU）：结果：研究结果表明，儿童内化行为问题与照顾者抑郁症状之间存在双向关联，但随机接受 iPCIT 的家庭与接受 RAU 的家庭之间的显著关联较少。在文化程度较高的家庭中观察到的关联较弱，而在文化程度较高的家庭中观察到的关联较强：结论：研究结果表明，3.5 到 4 岁是照顾者痛苦和儿童行为问题之间双向关联的敏感期，并强调了在治疗过程中解决家庭文化价值观问题的重要性。研究结果还表明，通过互联网提供的行为养育干预措施可以削弱儿童行为问题对照顾者痛苦的影响，反之亦然。

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来源期刊

Journal of Clinical Child and Adolescent Psychology Multiple-

CiteScore

9.70

自引率

4.80%

发文量

期刊介绍： The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.