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Adult Ratings of Child ADHD Symptoms: Importance of Race, Role, and Context. 儿童ADHD症状的成人评分:种族、角色和环境的重要性。
IF 3.6 Pub Date : 2020-05-01 DOI: 10.1007/s10802-019-00615-5
George J DuPaul

Diagnostic assessment of attention-deficit/hyperactivity disorder (ADHD) in children necessarily involves subjective judgements about the severity, frequency, and impact of symptoms on the part of parents, teachers, and clinicians. Thus, it is possible that parent and teacher ratings may be discrepant as a function of child and adult respondent race, adult role (i.e., parent or teacher), and environmental context (e.g., classroom vs. home). In order to fully understand racial differences in ADHD symptom ratings, it is important to disentangle the relative contributions of these factors. This commentary discusses the results of the Kang and Harvey (Journal of Abnormal Child Psychology,2019) study in relation to race, role, and context. Specific contributions of this study as well as unanswered questions to consider when interpreting their findings are delineated. Recommendations for future research to investigate the relative contributions of race, role, and context in accounting for racial differences in parent-teacher ADHD symptom ratings along with implications for assessment practice are discussed.

儿童注意力缺陷/多动障碍(ADHD)的诊断评估必然涉及到家长、教师和临床医生对症状的严重程度、频率和影响的主观判断。因此,父母和老师的评分可能会因儿童和成人受访者的种族、成人角色(即父母或教师)和环境背景(例如教室与家庭)而有所差异。为了充分理解ADHD症状评分的种族差异,弄清这些因素的相对贡献是很重要的。这篇评论讨论了Kang和Harvey (Journal of Abnormal Child Psychology,2019)在种族、角色和背景方面的研究结果。本研究的具体贡献以及在解释他们的发现时要考虑的未回答的问题被描述。本文讨论了对未来研究的建议,以调查种族、角色和背景对父母-教师ADHD症状评分中种族差异的相对贡献,以及对评估实践的影响。
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引用次数: 3
The Relations Among Stress, Executive Functions, and Harsh Parenting in Mothers. 母亲压力、执行功能与严厉教养的关系。
IF 3.6 Pub Date : 2020-05-01 DOI: 10.1007/s10802-020-00622-x
Joanne L Park, Charlotte Johnston

Stress is a common experience that can spillover into parenting, which in turn has important implications for child behavior. Parents' executive functioning (EF) may buffer the association between feelings of stress and parenting. However, using lower socioeconomic status (SES) and household chaos as indicators of stress, research has demonstrated inconsistent patterns with regard to this moderating role of EF. This study's first aim examined the moderating role of maternal EF on the associations between SES and household chaos, and harsh parenting. The second aim investigated the effects of experimentally induced stress on harsh parenting and whether maternal EF moderated these effects. A final sample of 101 mothers of 6 to 10-year-old children participated by completing measures of EF, household chaos, SES, and harsh parenting. Additionally, mothers were randomly assigned to either a stress group or a control group. Throughout the stress (or control) induction, mothers rated their harsh parenting in response to child misbehavior vignettes. Findings revealed that stronger EF reduced the association between household chaos and harsh parenting. There were no significant effects of SES or experimentally induced stress on harsh parenting, and EF was not a significant moderator for these stressors. These results highlight the buffering role of EF for more chronic stressors such as household chaos. SES and more acute stress, as manipulated by the TSST, at least in the current sample, may be less relevant.

压力是一种常见的经历,它会溢出到养育子女的过程中,这反过来又对孩子的行为产生重要影响。父母的执行功能(EF)可以缓冲压力和养育之间的联系。然而,使用较低的社会经济地位(SES)和家庭混乱作为压力的指标,研究表明EF的调节作用模式不一致。本研究的第一个目的是检验母亲EF对社会经济地位、家庭混乱和严厉育儿之间的关联的调节作用。第二个目的是研究实验诱导的压力对严厉育儿的影响,以及母亲EF是否调节了这些影响。最后的样本是101位6到10岁孩子的母亲,他们完成了EF、家庭混乱、社会经济地位和严厉育儿的测量。此外,母亲们被随机分配到压力组或对照组。在整个压力(或控制)诱导过程中,母亲们对自己严厉的养育方式对孩子不当行为的反应进行了评分。研究结果显示,更强的EF降低了家庭混乱和严厉教育之间的联系。社会经济地位和实验诱导的压力对严厉教养没有显著影响,EF对这些压力源没有显著调节作用。这些结果突出了EF对家庭混乱等慢性压力源的缓冲作用。至少在目前的样本中,由TSST操纵的SES和更严重的压力可能不太相关。
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引用次数: 10
Modeling Treatment-Related Decision-Making Using Applied Behavioral Economics: Caregiver Perspectives in Temporally-Extended Behavioral Treatments. 应用行为经济学建模治疗相关决策:护理者视角在时间延伸行为治疗。
IF 3.6 Pub Date : 2020-05-01 DOI: 10.1007/s10802-020-00619-6
Shawn P Gilroy, Brent A Kaplan

Evidence-based behavioral therapies for children with disruptive and challenging behavior rarely yield immediate improvements in behavior. For caregivers participating in behavioral therapies, the benefits from these efforts are seldom visible until after substantial time commitments. Delays associated with relief from challenging behavior (i.e., improved behavior) can influence how caregivers decide to respond to instances of problem behavior, and in turn, their continued commitment (i.e., integrity, adherence) to treatments that require long-term implementation to produce improvements in child behavior. This study applied delay discounting methods to evaluate how delays affected caregiver preferences related to options for managing their child's behavior. Specifically, methods were designed to evaluate the degree to which caregiver preferences for a more efficacious, recommended approach was affected by delays (i.e., numbers of weeks in treatment). That is, methods evaluated at which point caregivers opted to disregard the optimal, delayed strategy and instead elected to pursue suboptimal, immediate strategies. Results indicated that caregivers regularly discounted the value of the more efficacious treatment, electing to pursue suboptimal approaches when delays associated with the optimal approach grew larger. Caregivers demonstrated similar patterns of suboptimal choice across both clinical (i.e., intervention) and non-clinical (i.e., monetary) types of decisions. These findings are consistent with research that has highlighted temporal preferences as an individual factor that may be relevant to caregiver adherence to long-term evidence-based treatments and encourage the incorporation of behavioral economic methods to better understand caregiver decision-making.

针对具有破坏性和挑战性行为的儿童的循证行为疗法很少能立即改善他们的行为。对于参与行为疗法的护理人员来说,这些努力的好处在大量的时间承诺之后才会显现出来。与挑战性行为(即行为改善)的缓解相关的延迟可以影响照顾者如何决定应对问题行为的实例,反过来,他们对需要长期实施以改善儿童行为的治疗的持续承诺(即完整性,依从性)。本研究应用延迟折扣方法来评估延迟如何影响照顾者对管理孩子行为的选择的偏好。具体来说,方法被设计用来评估护理者对更有效的推荐方法的偏好受延迟(即治疗周数)影响的程度。也就是说,在评估的方法中,看护者选择忽略最优的、延迟的策略,而选择追求次优的、即时的策略。结果表明,护理人员经常低估更有效治疗的价值,当与最佳方法相关的延迟变大时,选择追求次优方法。护理人员在临床(即干预)和非临床(即金钱)类型的决策中表现出类似的次优选择模式。这些发现与强调时间偏好作为个体因素可能与护理者坚持长期循证治疗有关的研究一致,并鼓励将行为经济学方法纳入更好地理解护理者的决策。
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引用次数: 11
Which 'Working' Components of Working Memory aren't Working in Youth with ADHD? 工作记忆的哪些“工作”成分在患有多动症的青少年中不起作用?
IF 3.6 Pub Date : 2020-05-01 DOI: 10.1007/s10802-020-00621-y
Whitney D Fosco, Michael J Kofler, Nicole B Groves, Elizabeth S M Chan, Joseph S Raiker

Despite replicated evidence for working memory deficits in youth with ADHD, no study has comprehensively assessed all three primary 'working' subcomponents of the working memory system in these children. Children ages 8-13 with (n = 45) and without (n = 41) ADHD (40% female; Mage = 10.5; 65% Caucasian/Non-Hispanic) completed a counterbalanced battery of nine tasks (three per construct) assessing working memory reordering (maintaining and rearranging information in mind), updating (active monitoring of incoming information and replacing outdated with relevant information), and dual-processing (maintaining information in mind while performing a secondary task). Detailed analytic plans were preregistered. Bayesian t-tests indicated that, at the group level, children with ADHD exhibited significant impairments in working memory reordering (BF10 = 4.64 × 105; d = 1.34) and updating (BF10 = 9.49; d = 0.64), but not dual-processing (BF01 = 1.33; d = 0.37). Overall, 67%-71% of youth with ADHD exhibited impairment in at least one central executive working memory domain. Reordering showed the most ADHD-related impairment, with 75% classified as below average or impaired, and none demonstrating strengths. The majority of children with ADHD (52%-57%) demonstrated average or better abilities in the remaining two domains, with a notable minority demonstrating strengths in updating (8%) and dual-processing (20%). Notably, impairments in domain-general central executive working memory, rather than individual subcomponents, predicted ADHD severity, suggesting that common rather than specific working memory mechanisms may be central to understanding ADHD symptoms. These impairment estimates extend prior work by providing initial evidence that children with ADHD not only exhibit heterogeneous profiles across cognitive domains but also exhibit significant heterogeneity within subcomponents of key cognitive processes.

尽管有重复的证据表明患有多动症的青少年存在工作记忆缺陷,但没有一项研究全面评估了这些儿童工作记忆系统的所有三个主要“工作”子组件。8-13岁患有(n = 45)和未患有(n = 41) ADHD的儿童(40%为女性;法师= 10.5;65%的白种人/非西班牙裔)完成了一个平衡的九项任务(每个结构三个),评估工作记忆的重新排序(保持和重新安排信息),更新(主动监测传入的信息并用相关信息替换过时的信息)和双重处理(在执行次要任务的同时保持信息)。详细的分析计划已预先登记。贝叶斯t检验显示,在组水平上,ADHD儿童在工作记忆重排序方面表现出显著的障碍(BF10 = 4.64 × 105;d = 1.34)和更新(BF10 = 9.49;d = 0.64),但非双处理(BF01 = 1.33;d = 0.37)。总体而言,67%-71%的青少年多动症患者表现出至少一个中央执行工作记忆域的损伤。重新排序显示出与多动症相关的最大损害,75%的人被归类为低于平均水平或受损,没有人表现出优势。大多数患有多动症的儿童(52%-57%)在其余两个领域表现出平均或更好的能力,值得注意的是,少数儿童在更新(8%)和双重处理(20%)方面表现出优势。值得注意的是,一般领域的中央执行工作记忆的损伤,而不是个别的子组件,预测ADHD的严重程度,这表明共同的而不是特定的工作记忆机制可能是理解ADHD症状的核心。这些损伤估计扩展了先前的工作,提供了最初的证据,证明多动症儿童不仅在认知领域表现出异质性,而且在关键认知过程的子成分中也表现出显著的异质性。
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引用次数: 25
Positive Peers-The Neglected Stepchildren of Social Influence Theories of Crime. 积极的同伴——犯罪社会影响理论中被忽视的继子女。
IF 3.6 Pub Date : 2020-05-01 DOI: 10.1007/s10802-020-00630-x
Glenn D Walters

Despite being one of the least studied components of social influence, positive peer associations have much to offer social learning theories of crime. The purpose of the current investigation was to determine whether positive peer associations moderate the peer influence effect central to social learning theory. Data provided by 3869 (1970 boys, 1899 girls) members of the Longitudinal Study of Australian Children (LSAC) were used to test the hypothesis that positive peer associations interact with components of peer influence to protect adolescents against future delinquency. A simple mediation analysis confirmed the existence of a significant indirect effect running from peer delinquency, to low empathy, to participant delinquency. When positive peer associations were added to the model as moderators, they achieved a significant negative moderating effect on the peer delinquency-low empathy path and a significant positive moderating effect on the low empathy-participant delinquency path. In this study, positive peer associations increased empathy in children with fewer delinquent peer associations and decreased offending in children with lower levels of empathy. Given evidence of their ability to inhibit negative peer influence and promote empathy in the service of reduced delinquency, positive peer associations deserve more attention from social learning theories of crime than they have thus far received.

尽管是研究最少的社会影响的组成部分之一,积极的同伴关系提供了犯罪的社会学习理论。本研究的目的是确定积极的同伴联想是否会调节同伴影响效应,这是社会学习理论的核心。澳大利亚儿童纵向研究(LSAC)的3869名成员(1970名男孩,1899名女孩)提供的数据被用来检验积极的同伴联系与同伴影响的组成部分相互作用以保护青少年免受未来犯罪的假设。一个简单的中介分析证实了从同伴犯罪到低同理心到参与者犯罪的显著间接效应的存在。当正向同伴联想作为调节因子加入模型时,它们对同伴犯罪-低共情路径具有显著的负向调节作用,对低共情-参与者犯罪路径具有显著的正向调节作用。在本研究中,积极的同伴交往增加了不良同伴交往较少的儿童的共情,减少了共情水平较低的儿童的犯罪。鉴于有证据表明,积极的同伴交往能够抑制消极的同伴影响,并在减少犯罪的过程中促进同理心,因此,积极的同伴交往应该得到犯罪社会学习理论比迄今为止所得到的更多的关注。
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引用次数: 7
Gendered Pathways of Internalizing Problems from Early Childhood to Adolescence and Associated Adolescent Outcomes. 从幼儿期到青春期内化问题的性别途径和相关的青少年结果。
IF 3.6 Pub Date : 2020-05-01 DOI: 10.1007/s10802-020-00623-w
Leslie Morrison Gutman, Natasha Codiroli McMaster

Despite trends indicating worsening internalizing problems, characterized by anxiety and depression, there is dearth of research examining gender differences in developmental trajectories of internalizing problems from early childhood to adolescence. Drawing on the UK Millennium Cohort Study (n = 17,206, 49% female), this study examines trajectories of parent-reported, clinically-meaningful (reflecting the top 10%) internalizing problems from ages 3 to 14 years and their early predictors and adolescent outcomes. Group-based modelling revealed three trajectories when examining boys and girls together, but there were significant gender differences. When examining boys and girls separately, four trajectories were identified including two relatively stable trajectories showing either high or low probabilities of internalizing problems. An increasing trajectory was also found for both boys and girls, showing an increasing probability of internalizing problems which continued to rise for girls, but levelled off for boys from age 11. A decreasing trajectory was revealed for boys, while a moderate but stable trajectory was identified for girls. Boys and girls in the increasing and high probability groups were more likely to report a number of problematic outcomes including high BMI, self-harm, low mental wellbeing, depressive symptoms, and low educational motivation than the low group. Girls on the increasing trajectory also reported more cigarette and cannabis use and early sexual activity at age 14 compared to girls on the low trajectory. Findings suggest that intervention strategies take a systemic view, targeting not only internal feelings, but also behaviours potentially associated with later negative outcomes.

尽管有趋势表明,以焦虑和抑郁为特征的内化问题正在恶化,但缺乏研究儿童早期到青春期内化问题发展轨迹中的性别差异。借鉴英国千年队列研究(n = 17206,49%为女性),这项研究考察了父母报告的、有临床意义的(反映前10%)从3岁到14岁的内化问题的轨迹及其早期预测因素和青少年结果。基于群体的建模显示,在一起检查男孩和女孩时有三条轨迹,但存在显著的性别差异。当分别检查男孩和女孩时,确定了四个轨迹,其中包括两个相对稳定的轨迹,显示内化问题的可能性高或低。男孩和女孩也发现了一个增加的轨迹,表明内化问题的可能性越来越大,女孩的内化问题持续增加,但男孩从11岁起趋于平稳。男孩的轨迹是下降的,而女孩的轨迹是适度但稳定的。与低概率组相比,高概率组和高概率组的男孩和女孩更有可能报告一些有问题的结果,包括高BMI、自残、低心理健康、抑郁症状和低教育动机。与处于低轨迹的女孩相比,处于上升轨迹的女孩在14岁时也报告了更多的吸烟和大麻使用以及早期性活动。研究结果表明,干预策略采取系统的观点,不仅针对内心感受,还针对可能与后来的负面结果相关的行为。
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引用次数: 44
A Neurocognitive Comparison of Pediatric Obsessive-Compulsive Disorder and Trichotillomania (Hair Pulling Disorder). 小儿强迫症与拔毛症的神经认知比较。
IF 3.6 Pub Date : 2020-05-01 DOI: 10.1007/s10802-020-00627-6
Emily P Wilton, Christopher A Flessner, Elle Brennan, Yolanda Murphy, Michael Walther, Abbe Garcia, Christine Conelea, Daniel P Dickstein, Elyse Stewart, Kristen Benito, Jennifer B Freeman

Obsessive-compulsive disorder (OCD) and trichotillomania (hair pulling disorder, HPD) are both considered obsessive-compulsive and related disorders due to some indications of shared etiological and phenomenological characteristics. However, a lack of direct comparisons between these disorders, especially in pediatric samples, limits our understanding of divergent versus convergent characteristics. This study compared neurocognitive functioning between children diagnosed with OCD and HPD. In total, 21 children diagnosed with HPD, 40 diagnosed with OCD, and 29 healthy controls (HCs), along with their parents, completed self-/parent-report measures and a neurocognitive assessment battery, which included tasks of inhibitory control, sustained attention, planning, working memory, visual memory, and cognitive flexibility. A series of analyses of variance (or covariance) indicated significant differences between groups on tasks examining planning and sustained attention. Specifically, children in both the OCD and HPD groups outperformed HCs on a task of planning. Further, children with OCD underperformed as compared to both the HPD and HC groups on a task of sustained attention. No between group differences were found with respect to tasks of reversal learning, working memory, spatial working memory, visual memory, or inhibitory control. The implications these findings may have for future, transdiagnostic work, as well as limitations and future directions are discussed.

强迫症(OCD)和拔毛癖(HPD)都被认为是强迫症和相关疾病,因为一些共同的病因和现象学特征。然而,缺乏这些疾病之间的直接比较,特别是在儿科样本中,限制了我们对发散性与趋同性特征的理解。这项研究比较了被诊断为强迫症和HPD的儿童的神经认知功能。总共有21名被诊断为HPD的儿童,40名被诊断为强迫症的儿童,以及29名健康对照者(hc),与他们的父母一起完成了自我/父母报告测量和神经认知评估,其中包括抑制控制、持续注意力、计划、工作记忆、视觉记忆和认知灵活性的任务。一系列方差(或协方差)分析表明,在检查计划和持续注意力的任务上,组与组之间存在显著差异。具体来说,OCD组和HPD组的儿童在计划任务上的表现都优于hc组。此外,与HPD组和HC组相比,强迫症儿童在持续注意力任务上表现不佳。在逆向学习、工作记忆、空间工作记忆、视觉记忆或抑制控制方面,组间没有发现差异。这些发现可能对未来的跨诊断工作,以及局限性和未来的方向进行了讨论。
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引用次数: 5
Pupil Response to Affective Stimuli: a Biomarker of Early Conduct Problems in Young Children. 瞳孔对情感刺激的反应:幼儿早期行为问题的生物标志。
IF 3.6 Pub Date : 2020-05-01 DOI: 10.1007/s10802-020-00620-z
Daniel T Burley, Stephanie H M van Goozen

Childhood conduct problems have been associated with reduced autonomic arousal to negative cues indicative of an insensitivity to aversive stimuli, with mixed evidence in response to positive cues. Autonomic arousal to affective stimuli has traditionally been measured through galvanic skin responses and heart-rate, despite evidence that pupillometry is more reliable and practically beneficial (i.e., no wires are attached to the participant). The current study is the first to examine abnormal pupillary responsivity to affective stimuli as a biomarker for childhood conduct problems. We measured pupil reactivity to negative, positive and neutral images in 131 children aged 4-7 years, who were referred by their teachers for being at risk of future psychopathology. We assessed relationships between pupil response to the images and teacher-rated scores on the Strengths and Difficulties Questionnaire (SDQ), which indexed child conduct problems and their overlapping emotional, behavioural and social difficulties. Reduced pupil dilation to negative images was associated with significantly increased conduct, hyperactivity, emotional and peer problems, as well as reduced prosocial behaviour. Composite scores for disruptive behaviour and emotional difficulties both uniquely predicted blunted pupil response to negative threat stimuli; there were no relations with pupil responses to positive images. These findings highlight that blunted pupil responsivity to negative stimuli serves as a biomarker for early disruptive behavioural problems and affective difficulties. Pupillometry offers an inexpensive, fast and non-intrusive measure to help identify children who are showing early disruptive behaviour or experiencing affective difficulties, which can provide opportunities for preventative intervention to avoid further psychopathology.

儿童行为问题与对负面暗示的自律神经唤醒减少有关,这表明他们对厌恶刺激不敏感,而对正面暗示的反应则证据不一。对情感刺激的自律神经唤醒历来是通过皮肤电化反应和心率来测量的,尽管有证据表明瞳孔测量法更可靠且更实用(即无需在受试者身上安装电线)。本研究首次将瞳孔对情感刺激的异常反应作为儿童行为问题的生物标志物进行研究。我们测量了 131 名 4-7 岁儿童的瞳孔对负面、正面和中性图像的反应性,这些儿童都是由老师转介来的,因为他们未来可能会出现心理病态。我们评估了瞳孔对图像的反应与教师评定的优势与困难问卷(SDQ)得分之间的关系,SDQ 反映了儿童行为问题及其重叠的情绪、行为和社交困难。瞳孔对负面图像的放大程度降低与行为、多动、情绪和同伴问题的显著增加以及亲社会行为的减少有关。破坏性行为和情绪障碍的综合评分都能独特地预测瞳孔对负面威胁刺激的反应迟钝;而瞳孔对正面图像的反应迟钝则与之无关。这些研究结果表明,瞳孔对负面刺激的反应迟钝是早期破坏性行为问题和情感障碍的生物标志。瞳孔测量法提供了一种廉价、快速和非侵入性的测量方法,有助于识别早期出现破坏性行为或情感障碍的儿童,从而为预防性干预提供机会,避免进一步的心理病变。
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引用次数: 0
Coercive Parenting Mediates the Relationship between Military Fathers' Emotion Regulation and children's Adjustment. 强制性养育在军人父亲情绪调节与子女适应之间起中介作用。
IF 3.6 Pub Date : 2020-05-01 DOI: 10.1007/s10802-020-00625-8
Jingchen Zhang, Alyssa Palmer, Na Zhang, Abigail H Gewirtz

Military parents' combat-related posttraumatic stress disorder (PTSD) symptoms have been linked to poor parenting and child maladjustment. Emotion regulation (ER) difficulties are thought to underlie PTSD symptoms, and research has begun to link parental ER to parenting behaviors. Little empirical evidence exists regarding whether fathers' ER is associated with child adjustment and what may be the underlying mechanism for this association. This study investigated whether deployed fathers' ER was associated with child emotional and behavioral problems, and whether the associations were mediated by coercive parenting behaviors. The sample consisted of 181 deployed fathers with non-deployed female partners and their 4- to 13-year-old children. Families were assessed at three time points over 2 years. ER was measured using a latent construct of fathers' self-reports of their experiential avoidance, trait mindfulness, and difficulties in emotion regulation. Coercive parenting was observed via a series of home-based family interaction tasks. Child behaviors were assessed through parent- and child-report. Structural equation modeling revealed that fathers with poorer ER at baseline exhibited higher coercive parenting at 1-year follow-up, which was associated with more emotional and behavioral problems in children at 2-year follow-up. The indirect effect of coercive parenting was statistically significant. These findings suggest that fathers' difficulties in ER may impede their effective parenting behaviors, and children's adjustment problems might be amplified as a result of coercive interactions. Implications for the role of paternal ER on parenting interventions are discussed.

军人父母的与战斗有关的创伤后应激障碍(PTSD)症状与不良的养育和孩子的不适应有关。情绪调节(ER)困难被认为是创伤后应激障碍症状的基础,研究已经开始将父母的ER与父母的行为联系起来。很少有经验证据表明父亲的ER是否与孩子的适应有关,以及这种联系的潜在机制是什么。本研究探讨了部署型父亲的ER是否与儿童的情绪和行为问题相关,以及这种关联是否通过强制性父母行为介导。样本包括181名外派父亲和未外派的女性伴侣,以及他们4至13岁的孩子。在两年内的三个时间点对家庭进行评估。ER的测量使用了父亲对他们的经验回避、特质正念和情绪调节困难的自我报告的潜在构念。通过一系列以家庭为基础的家庭互动任务来观察强制性育儿。通过亲子报告对儿童行为进行评估。结构方程模型显示,在1年的随访中,基线ER较差的父亲表现出更高的强制性养育,这与儿童在2年的随访中出现更多的情绪和行为问题有关。强制性教育的间接影响在统计学上是显著的。这些发现表明,父亲在ER中的困难可能会阻碍他们有效的育儿行为,并且儿童的适应问题可能会因强制性互动而被放大。讨论了父亲ER在育儿干预中的作用。
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引用次数: 13
Decision-Making Deficits in Adolescent Boys with and without Attention-Deficit/Hyperactivity Disorder (ADHD): an Experimental Assessment of Associated Mechanisms. 有或没有注意缺陷多动障碍(ADHD)的青春期男孩的决策缺陷:相关机制的实验评估。
IF 3.6 Pub Date : 2020-04-01 DOI: 10.1007/s10802-019-00613-7
Tycho J Dekkers, Hilde M Huizenga, Arne Popma, Anika Bexkens, Jacqueline N Zadelaar, Brenda R J Jansen

Adolescents with Attention-Deficit/Hyperactivity Disorder (ADHD) demonstrate increased levels of real-life risk-taking behavior like substance abuse and reckless behavior in traffic, which potentially originates in decision-making deficits. Using experimental gambling tasks, the current study investigated three potential underlying mechanisms: (1) risky vs. suboptimal decision making, (2) the complexity of decision-making strategies and (3) the influence of feedback. Participants were 181 male adolescents (81 ADHD, 100 Typically Developing (TD); Mage = 15.1 years). First, we addressed a common confound in many gambling tasks by disentangling risk seeking from suboptimal decision making, and found that ADHD-related decision-making deficits do not originate in increased risk seeking but in suboptimal decision making. Second, we assessed decision-making strategies with a Bayesian latent mixture analysis and found that ADHD-related decision-making deficits are characterized by the use of less complex strategies. That is, adolescent boys with ADHD, relative to TD adolescent boys, less often adopted strategies in which all characteristics relevant to make an optimal decision were integrated. Third, we administered two gambling task conditions with feedback in which adolescents experience the outcomes of their decisions and found that adolescents with ADHD performed worse relative to TD adolescents on both conditions. Altogether, this set of studies demonstrated consistent decision-making deficits in adolescent boys with ADHD: The use of less complex decision-making strategies may cause suboptimal decision making, both in situations with and without direct feedback on performance.

患有注意力缺陷/多动障碍(ADHD)的青少年在现实生活中表现出越来越多的冒险行为,比如滥用药物和交通中的鲁莽行为,这些行为可能源于决策缺陷。本研究利用实验赌博任务,探讨了三个潜在的潜在机制:(1)风险决策与次优决策;(2)决策策略的复杂性;(3)反馈的影响。参与者为181名男性青少年(81名ADHD, 100名典型发育(TD);法师= 15.1年)。首先,我们通过将风险寻求与次优决策分离开来,解决了许多赌博任务中常见的混淆问题,并发现adhd相关的决策缺陷并非源于风险寻求的增加,而是源于次优决策。其次,我们使用贝叶斯潜在混合分析评估决策策略,发现adhd相关决策缺陷的特征是使用不太复杂的策略。也就是说,患有ADHD的青春期男孩,相对于患有TD的青春期男孩,较少采用整合所有相关特征以做出最优决策的策略。第三,我们管理了两种带有反馈的赌博任务条件,在这些条件下,青少年体验了他们的决定的结果,发现ADHD青少年在两种情况下的表现都比TD青少年差。总之,这组研究证明了患有多动症的青春期男孩一致的决策缺陷:使用不太复杂的决策策略可能导致次优决策,无论是在有或没有直接表现反馈的情况下。
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引用次数: 13
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Journal of Abnormal Child Psychology
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