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The Depression Prevention Initiative: Trauma as a Moderator of Prevention Outcomes. 抑郁症预防倡议:创伤作为预防结果的调节因子。
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-12-01 Epub Date: 2020-08-08 DOI: 10.1177/1063426620945665
Marissa D Sbrilli, Jason D Jones, Rebecca M Kanine, Robert Gallop, Jami F Young

Interpersonal Psychotherapy-Adolescent Skills Training (IPT-AST) is an evidence-based indicated depression prevention program that has been shown to reduce depression symptoms. Research is needed to identify moderators of IPT-AST's effects. Although trauma history has emerged as a moderator of depression treatment outcomes, the impact of trauma on short- and long-term outcomes in the context of preventive interventions for adolescent depression is unknown. This study examines the impact of trauma on prevention outcomes in a school-based randomized controlled trial (RCT) in which 186 adolescents (mean age = 14.01 years, SD = 1.22; 67% female) were randomly assigned to IPT-AST delivered by research staff or group counseling (GC) provided by school counselors. Trauma history significantly moderated intervention outcomes during the active phase of the intervention, but not during long-term follow-up. During the active phase, youth in IPT-AST with low or no trauma exposure experienced significantly greater reductions in depression symptoms than youth in GC with low or no trauma exposure, but there were no significant differences in rates of change between the two interventions for youth with high or any trauma exposure. These findings highlight the importance of assessing trauma and investigating whether these interventions can be tailored or supplemented to enhance the effects for youth with trauma exposure.

人际心理治疗-青少年技能训练(IPT-AST)是一项基于证据的抑郁症预防计划,已被证明可以减少抑郁症症状。需要研究确定IPT-AST效果的调节因子。尽管创伤史已成为抑郁症治疗结果的调节因素,但在青少年抑郁症预防性干预的背景下,创伤对短期和长期结果的影响尚不清楚。本研究在一项基于学校的随机对照试验(RCT)中探讨了创伤对预防结果的影响,该试验有186名青少年(平均年龄= 14.01岁,SD = 1.22;67%的女性)被随机分配到由研究人员提供的IPT-AST或由学校辅导员提供的团体咨询(GC)。在干预的积极阶段,创伤史显著降低了干预结果,但在长期随访期间没有。在活跃阶段,低或无创伤暴露的青少年在IPT-AST中抑郁症状的减少明显大于低或无创伤暴露的GC青年,但对于高或任何创伤暴露的青少年,两种干预措施之间的变化率没有显着差异。这些发现强调了评估创伤的重要性,并调查这些干预措施是否可以量身定制或补充,以增强对创伤暴露的青少年的影响。
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引用次数: 3
Evaluating a Unified Screener for Adolescent Internalizing and Externalizing Problems 评估青少年内化与外化问题的统一筛选
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-11-18 DOI: 10.1177/10634266221136064
Sean N. Weeks, Tyler L. Renshaw, Allysia A. Rainey, Aubrey Hiatt
Internalizing and externalizing problems are common targets for school mental health screening. Prior research supports the interpretation of scores from the Youth Internalizing Problems Screener (YIPS) and the Youth Externalizing Problems Screener (YEPS), which were developed separately yet intended as companion measures. We extended previous work by evaluating the psychometric defensibility of integrated measurement models that combined items from the YIPS and YEPS into a unified screener (YIEPS). Specifically, we evaluated (a) a unidimensional model, (b) a correlated-factors model with two latent variables representing internalizing and externalizing problems, and (c) a bifactor model with two specific factors—internalizing and externalizing—and a general factor representing global mental health problems. We then tested the reliabilities of the several factors from these models and the informational value added of the competing models. Results indicated the bifactor YIEPS model had the best data-model fit for representing the unified screener. However, exploratory analyses suggested an alternative bifactor model with three specific factors—parsing attention problems from externalizing and internalizing content—might be an even better fit for the data. Reliability findings suggested the general factor—representing global mental health problems—was the most psychometrically defensible. Future directions for research and practice are discussed.
内化和外化问题是学校心理健康筛查的共同目标。先前的研究支持青年内化问题筛选器(YIPS)和青年外化问题筛选器(YEPS)的分数解释,它们是单独开发的,但打算作为配套措施。我们扩展了之前的工作,通过评估综合测量模型的心理防御能力,将YIPS和YEPS的项目组合成一个统一的筛选器(YIEPS)。具体来说,我们评估了(a)一个一维模型,(b)一个有两个潜在变量代表内化和外化问题的相关因素模型,以及(c)一个有两个特定因素——内化和外化——和一个代表全球心理健康问题的一般因素的双因素模型。然后,我们测试了这些模型的几个因素的可靠性和竞争模型的信息附加值。结果表明,双因子YIEPS模型最适合表示统一筛选器的数据模型。然而,探索性分析表明,一个具有三个特定因素的替代双因素模型——从外化和内化内容解析注意力问题——可能更适合数据。可靠性调查结果表明,代表全球心理健康问题的一般因素在心理计量学上是最站得住脚的。讨论了今后的研究和实践方向。
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引用次数: 0
Caregiver and Teacher Perspectives on Home–School Partnerships Within a Tier 2 Intervention 在二级干预中,照顾者和教师对家校伙伴关系的看法
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-11-05 DOI: 10.1177/10634266221130053
K. Sutherland, Eleanor G. Wu, Melissa Washington-Nortey, Kim McKnight, Bryce D. McLeod, M. Conroy
Home–school partnerships between teachers and caregivers of students with or at risk of emotional/behavioral disorders (EBD) are critical to support positive student outcomes. Yet, effective home–school partnerships may be particularly challenging to foster for students with or at risk of EBD, and little is known about how teachers and caregivers view these partnerships. We used a directed content analysis qualitative approach to examine the presence or absence of components of a conceptual model, the CARES framework, within home–school partnerships from the perspectives of both teachers and caregivers of students with or at risk of EBD. Semi-structured interviews were conducted with six U.S. teachers and 11 U.S. caregivers who had participated in a study examining the promise of a Tier 2 intervention. Findings highlight themes unique to specific components of the CARES framework and themes common across components, with authentic relationships and effective communication emerging as particularly salient for both caregivers and teachers. Results suggest critical directions for future research and essential lessons for researchers developing interventions to support positive home–school partnerships for caregivers and teachers of students with or at risk of EBD.
教师和有情绪/行为障碍(EBD)风险的学生的照顾者之间的家庭-学校伙伴关系对于支持积极的学生成果至关重要。然而,对于有EBD或有EBD风险的学生来说,培养有效的家庭-学校合作关系可能尤其具有挑战性,而且很少有人知道老师和照顾者是如何看待这些合作关系的。我们使用直接内容分析定性方法,从教师和有EBD或有EBD风险的学生的看护人的角度,检查家庭-学校合作关系中概念模型CARES框架的组成部分的存在或缺失。对6名美国教师和11名美国护理人员进行了半结构化访谈,他们参加了一项研究,检查了二级干预的前景。研究结果突出了关怀框架中特定组成部分的独特主题和各组成部分的共同主题,真实的关系和有效的沟通对照顾者和教师来说都是特别突出的。研究结果为未来的研究提供了重要的方向,也为研究人员提供了重要的经验教训,这些研究人员正在开发干预措施,以支持有EBD或有EBD风险的学生的照顾者和教师建立积极的家庭-学校伙伴关系。
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引用次数: 1
Professional Development: Improving Teachers’ Knowledge and Self-Efficacy Related to Emotional and Behavioral Disorders 专业发展:提高教师情绪与行为障碍相关知识与自我效能感
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-10-31 DOI: 10.1177/10634266221130049
K. Alkahtani
Teachers should possess adequate knowledge of emotional and behavioral disorders (EBDs) to effectively meet the unique needs of students with EBDs. This study explored the implementation and outcomes of a professional development training program on EBDs. In addition, the study examined outcomes concerning the knowledge of in-service teachers about EBDs and their self-efficacy in working with students with EBDs. This study recruited 81 general education teachers from two elementary schools, assigned under the intervention or waitlist control groups. Measures of knowledge and self-efficacy in EBDs were obtained at baseline, immediately after training, and at 5 weeks follow-up. The results demonstrated that teacher knowledge and self-efficacy in working with students with EBDs significantly improved as a result of the training program. In addition, the study observed that teacher efficacy was significantly correlated with their knowledge of EBDs. Improving teacher knowledge and self-efficacy through professional development training will mainly increase their ability and willingness to teach students with EBDs successfully in an inclusive learning environment.
教师应具备足够的情绪和行为障碍知识,以有效地满足情绪和行为障碍学生的独特需求。本研究探讨了ebd专业发展培训计划的实施和结果。此外,本研究还考察了在职教师在与学生合作时的自我效能感。本研究从两所小学招募81名通识教育教师,分为干预组和候补组。在基线、培训后立即和5周随访时,测量ebd的知识和自我效能。结果表明,教师的知识和自我效能感在培训后显著提高。此外,本研究还发现教师效能感与教师的ebd知识显著相关。通过专业发展培训提高教师的知识水平和自我效能感,主要是提高教师在全纳学习环境中成功教授ebd学生的能力和意愿。
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引用次数: 0
Evaluating the Effectiveness of a Training Program for Treatment Foster Parents in an Urban Community 评估城市社区寄养父母治疗培训计划的有效性
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-10-18 DOI: 10.1177/10634266221126472
Rachel A. Eisenberg, B. McCurdy, Laura E. Rutherford, Laina Stricker, B. Dever
Treatment foster care (TFC) provides critical mental health supports for youth with emotional, behavioral, and social difficulties who are at risk for adverse long-term outcomes. Existing evidence-based models of TFC are effective, yet resource-intensive, and they have relied primarily on evidence of implementation effectiveness with samples of non-minority parents. Recent research highlights the efficacy of an emerging, socially acceptable model that integrates existing evidence-based practices with usual care. This study applied the new model, Together Facing the Challenge (TFTC), within an urban TFC program. Trained TFC program staff delivered the TFTC training to foster parents in two cohorts. Foster parents reported child problem and prosocial behaviors pre-, mid-, and post-training, as well as 1, 3, and 12 months after the training. Results indicated that foster parents demonstrated an increase in knowledge of TFTC skills following the training and were satisfied with the training. Child problem behaviors significantly decreased over time. There were no significant changes in prosocial behavior over time. Implications of this study include the replication and extension of the use of TFTC, an evidence-based and resource-efficient intervention, to reduce problem behaviors of TFC children in urban settings.
治疗寄养(TFC)为有情绪、行为和社会困难的青少年提供重要的心理健康支持,这些青少年有不良长期结果的风险。现有的基于证据的TFC模型是有效的,但资源密集,它们主要依赖于对非少数民族父母样本的实施有效性证据。最近的研究强调了一种新兴的、社会可接受的模式的有效性,该模式将现有的循证实践与常规护理相结合。本研究在一个城市TFC项目中应用了新模型——共同面对挑战(TFTC)。训练有素的TFC项目工作人员分两组为寄养父母提供TFTC培训。养父母在训练前、中、后以及训练后1、3、12个月报告了孩子的问题和亲社会行为。结果显示,养父母在培训后对TFTC技能的认知有所提高,并对培训感到满意。随着时间的推移,儿童问题行为显著减少。随着时间的推移,亲社会行为没有显著变化。本研究的意义包括复制和扩展TFTC的使用,这是一种基于证据和资源效率的干预措施,以减少城市环境中TFC儿童的问题行为。
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引用次数: 0
Cost Effectiveness of School and Home Interventions for Students With Disruptive Behavior Problems 学校和家庭干预对破坏性行为问题学生的成本效益
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-09-06 DOI: 10.1177/10634266221120521
M. Kuklinski, J. Small, A. Frey, Kiersten Bills, S. Forness
This study examines the cost effectiveness of two interventions for disruptive behavior problems: First Step Next (FSN), a school-based intervention, and a multicomponent intervention that combined FSN with a home-based intervention, homeBase (hB). Analyses were based on findings from a large-scale comparative efficacy trial (Frey et al., 2022). Intervention costs were estimated using an activities-based ingredients method (Levin & McEwan, 2001). For each disruptive behavior examined (attention deficit-hyperactivity disorder [ADHD], conduct disorder [CD], and comorbid ADHD and CD), we defined intervention response as movement from the clinical range into the borderline or normative range or from the borderline range into the normative range at post-intervention. Comparative cost-effectiveness analyses involved calculating incremental cost-effectiveness ratios (ICERs), which showed that the combined intervention was always more cost effective. Improvement in comorbid ADHD and CD was the costliest to achieve, followed by CD, and then ADHD. Sensitivity analyses showed that FSN + hB had a high probability of being cost effective across a range of estimates indicating stakeholder willingness to pay to reduce disruptive behavior problems. This study expands the literature by estimating the costs of implementing a school-based intervention alone or alongside a home-based intervention with elementary students and comparing their cost effectiveness.
本研究考察了破坏性行为问题的两种干预措施的成本效益:以学校为基础的第一步下一步(First Step Next, FSN)干预,以及将FSN与以家庭为基础的干预相结合的多组分干预,homeBase (hB)。分析基于一项大规模比较疗效试验的结果(Frey et al., 2022)。使用基于活动的成分法估算干预成本(Levin & McEwan, 2001)。对于每一种破坏性行为(注意缺陷多动障碍[ADHD]、品行障碍[CD]以及ADHD和CD共病),我们将干预反应定义为干预后从临床范围进入边缘或规范范围,或从边缘范围进入规范范围。比较成本效益分析包括计算增量成本效益比(ICERs),结果表明联合干预总是更具成本效益。改善ADHD和CD合并症的成本最高,其次是CD,然后是ADHD。敏感性分析表明,FSN + hB在一系列估计范围内具有高成本效益的可能性,表明利益相关者愿意为减少破坏性行为问题付费。本研究通过估算单独实施学校干预或与家庭干预一起实施小学生的成本并比较其成本效益来扩展文献。
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引用次数: 1
The Teachers’ Role in Behavioral Problems of Pupils With EBD in Special Education: Teacher–Child Relationships Versus Structure 特殊教育中教师在EBD学生行为问题中的作用:师生关系与结构
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-08-26 DOI: 10.1177/10634266221119169
F. de Swart, W. Burk, Esther van Efferen, H. A. van der Stege, R. Scholte
This longitudinal study examined bidirectional associations between special education pupils’ teacher–child relationship characteristics (quality, satisfaction, and conflict), classroom structure, and behavioral problems (externalizing and attention-hyperactivity). A secondary goal was to investigate the extent to which severity of behavioral problems moderated the prospective associations. Participants were 586 pupils (86% boys) in Grades 4 to 6 ( Mage time 1 = 10.82 years, SD = 0.86) from 13 special education schools, and their teachers. Findings indicated that primarily teacher–child conflict was related to increased externalizing problems. More classroom structure was related to decreased attention-hyperactivity problems, but higher teacher–child relationship quality was linked to increases in attention-hyperactivity problems. Moreover, both types of problems were related to increases in conflict. Severity of behavior problems did not moderate these associations. Although findings were not consistent in both school years, they suggested that particularly reducing conflict and instilling more classroom structure were the most effective strategies in reducing behavioral problems. Furthermore, disrupting negative transactional associations between conflict and externalizing behavior is important to reduce externalizing behavior.
本纵向研究考察了特殊教育学生的师生关系特征(质量、满意度和冲突)、课堂结构和行为问题(外化和注意力过动)之间的双向关联。第二个目标是调查行为问题的严重程度在多大程度上缓和了预期的关联。参与者是来自13所特殊教育学校的586名4至6年级的学生(86%为男孩)及其老师(学习时间1 = 10.82年,SD = 0.86)。研究结果表明,师生冲突主要与外化问题的增加有关。更多的课堂结构与注意力多动问题的减少有关,但更高的师生关系质量与注意力多动问题的增加有关。此外,这两类问题都与冲突的增加有关。行为问题的严重程度并没有缓和这些关联。尽管这两个学年的研究结果并不一致,但他们表明,特别是减少冲突和灌输更多的课堂结构是减少行为问题的最有效策略。此外,打破冲突与外化行为之间的负向交易关联对于减少外化行为至关重要。
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引用次数: 1
Interpretation of Informant Discrepancy in School-Based Psychological Assessment of Internalizing and Externalizing Symptoms 内化症状与外化症状校本心理评估的信息差异解释
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-08-26 DOI: 10.1177/10634266221119742
Karen J. Genachowski, Nina S. Starin, Colleen M. Cummings, M. Alvord, Brendan A. Rich
Multi-informant report of student emotional and behavioral problems determines eligibility for school-based services; however, multiple informants often yield inconsistent reports of child concerns. Informant discrepancies are thought to reflect either measurement error or meaningful differences (e.g., situational variation). It is important to understand the source of inconsistencies because informant discrepancy may influence treatment outcome. The current study assessed whether informant discrepancies of internalizing and externalizing symptoms reflect meaningful differences between informants. Parents, teachers, and children ( N = 169; M age = 10.32; 65.1% Black, 30.8% Latino/Hispanic; 66.9% Male) completed the Behavior Assessment System for Children, 2nd Edition (BASC-2). The Operations Triad Model (OTM) guided the data analysis plan to identify the source of informant discrepancy. We predicted that informant discrepancy would reflect meaningful differences, as opposed to measurement error. Parent–teacher reports of hyperactivity, aggression, and anxiety, as well as teacher–child reports of anxiety and hyperactivity, supported the notion that informant discrepancies of internalizing and externalizing symptoms reflected meaningful differences. Implications of these discrepancies for interpretation of results in school-based assessment of emotional and behavioral disorders are discussed.
学生情绪和行为问题的多线索报告决定了校本服务的资格;然而,多名举报人对儿童问题的报告往往不一致。被调查者的差异被认为反映了测量误差或有意义的差异(例如,情境差异)。了解不一致的来源是很重要的,因为信息提供者的差异可能会影响治疗结果。本研究评估了内在化和外在化症状的举报人差异是否反映了举报人之间有意义的差异。家长、老师和孩子(N = 169;M年龄= 10.32;黑人占65.1%,拉丁裔/西班牙裔占30.8%;66.9%男性)完成了儿童行为评估系统第二版(BASC-2)。操作三元模型(OTM)指导数据分析计划,以识别信息差异的来源。我们预测,信息差异将反映有意义的差异,而不是测量误差。家长-教师对多动、攻击性和焦虑的报告,以及教师-儿童对焦虑和多动的报告,支持了内化和外化症状的信息差异反映有意义差异的观点。这些差异的含义解释结果在以学校为基础的评估情绪和行为障碍进行了讨论。
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引用次数: 2
Influence of Child Externalizing Behavior on Friendship Centrality and Reciprocity in Kindergarten Classrooms 幼儿外化行为对幼儿园课堂友谊中心性和互惠性的影响
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-07-22 DOI: 10.1177/10634266221110861
Jason C. Chow, K. Granger, M. Broda, Princess-Melissa Washington-Nortey
In this study, we examine friendship centrality and reciprocity between kindergarteners who exhibit externalizing classroom behaviors and their classroom peers. Teachers nominated children who display externalizing classroom behaviors, and we collected network data via individual interviews of 411 children (mean age =6.7 years; SD = .33) from 21 kindergarten classrooms in four schools. We found that children nominated for elevated levels of externalizing behavior were significantly less central to the classroom friendship network (over and above the contribution of language skills), and this effect was magnified for boys and students in larger classrooms. Moderator analyses revealed a significant gender by behavior interaction, where the difference between boys and girls was conditional on externalizing behavior nomination. Similar main effect results were found when predicting whether or not students had a reciprocal friendship tie. Students who received a teacher nomination for externalizing behavior had 48% lower odds of having a reciprocal friendship tie, after controlling for language skills. We found no significant moderators of the behavior–reciprocity relation. We conclude our study with a discussion of our findings and recommendations for future research and practice.
在本研究中,我们考察了外部化课堂行为的幼儿园幼儿与其班级同伴之间的友谊中心性和互惠性。教师提名表现出外化课堂行为的儿童,我们通过对411名儿童(平均年龄=6.7岁;SD = .33)。我们发现,外化行为水平较高的孩子在课堂友谊网络中的地位明显较低(超过语言技能的贡献),而且这种影响在大教室的男孩和学生中被放大了。调节分析显示,行为互动对性别有显著影响,男孩和女孩之间的差异取决于外化行为提名。在预测学生是否有互惠的友谊关系时,也发现了类似的主效应结果。在控制了语言技能之后,获得外化行为老师提名的学生拥有互惠友谊的几率降低了48%。我们没有发现行为互惠关系的显著调节因子。最后,我们讨论了我们的发现,并对未来的研究和实践提出了建议。
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引用次数: 1
Exploring Bidirectional Language–Behavior Influences for Spanish–English Dual Language Learning Children in Head Start 探究西英双语学习儿童在学前教育中的双向语言行为影响
IF 1.9 3区 心理学 Q2 EDUCATION, SPECIAL Pub Date : 2022-07-04 DOI: 10.1177/10634266221100212
Audrey C. Juhasz, L. Boyce
The purpose of this exploratory study was to examine the longitudinal, bidirectional relations between receptive and expressive Spanish and English language and internalizing and externalizing behavior problems in a sample of 97 preschool children from Spanish-speaking, homes who were enrolled in a U.S. Head Start program. Eight cross-lagged path models were conducted: four for each language. Models tested the autoregressive and cross-lagged paths between two dimensions of language (expressive and receptive) and behavior problems (internalizing and externalizing) over the preschool year. Findings highlight the critical importance of the home language for children who are dual language learners and suggest programs ensure adequate home language support is available in the classroom. Future directions are discussed.
本探索性研究的目的是考察97名来自西班牙语家庭的学龄前儿童在接受和表达西班牙语和英语与内化和外化行为问题之间的纵向、双向关系。进行了8个交叉滞后路径模型:每种语言4个。模型测试了语言两个维度(表达性和接受性)和行为问题(内化和外化)之间的自回归和交叉滞后路径。研究结果强调了母语对双语学习者的重要性,并建议项目确保在课堂上提供足够的母语支持。讨论了未来的发展方向。
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引用次数: 0
期刊
Journal of Emotional and Behavioral Disorders
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