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Parent to Child Intergenerational Transmission of Direct and Indirect Weight and Shape Communication. 父母对子女的直接和间接的体重和体型的代际传递。
IF 1.8 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-01-01 Epub Date: 2025-08-14 DOI: 10.1007/s10826-025-03078-z
Emily Ferrer, Shannon Marhan, Leora Haller, Shannon M O'Connor

Parental communication about body weight and shape is associated with offspring's eating behaviors and body image. However, predictors of parental weight/shape communication are less known. The present study explored whether direct (i.e., comments to the child about their weight and encouragement to diet) and indirect (i.e., modeling of the importance of body weight/shape via parent's own dieting and comments about their own weight) communication about weight, shape, and eating from parents in childhood predicted women's direct and indirect communication about weight/shape to their own child in adulthood. Participants were 634 adult mothers who provided retrospective reports of their parents' direct and indirect weight/shape-related communication during childhood. Participants then self-reported their own current direct and indirect weight/shape communication towards their own child. Multiple linear regression explored whether childhood direct and indirect communication predicts maternal weight/shape communication towards participants' own child in adulthood. Childhood direct weight/shape communication was a salient predictor of both current direct and indirect weight/shape communication. Childhood indirect weight/shape communication did not predict current direct communication when modeled with childhood direct communication, however, it was predictive of current indirect communication. Findings may highlight a need for parental psychoeducation on the lasting influence of familial weight/shape communication.

父母关于体重和体型的交流与后代的饮食行为和身体形象有关。然而,父母体重/体型交流的预测因素却鲜为人知。本研究探讨了童年时期父母关于体重、体型和饮食的直接交流(即对孩子体重的评论和鼓励他们节食)和间接交流(即通过父母自己的节食和对自己体重的评论来模拟体重/体型的重要性)是否预测了成年后女性对自己孩子体重/体型的直接和间接交流。参与者是634名成年母亲,她们提供了童年时期父母与体重/体型有关的直接和间接沟通的回顾性报告。然后,参与者自我报告了他们目前与自己孩子的体重/体型的直接和间接沟通。多元线性回归探讨了儿童时期的直接和间接沟通是否能预测母亲成年后对自己孩子的体重/体型沟通。儿童时期直接体重/体型沟通是当前直接和间接体重/体型沟通的显著预测因子。以儿童时期的直接沟通为模型,儿童时期的体重/体型间接沟通不能预测当前的直接沟通,但可以预测当前的间接沟通。研究结果可能强调了父母对家庭体重/体型交流的持久影响进行心理教育的必要性。
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引用次数: 0
Feasibility and Acceptability of Formats in a Comparative Effectiveness Trial of a Preventive Parenting Program. 一项预防性育儿计划比较有效性试验中形式的可行性和可接受性。
IF 1.6 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-01-01 Epub Date: 2025-02-05 DOI: 10.1007/s10826-025-03016-z
Gretchen Buchanan, Tori Simenec, Qiyue Cai, Abigail Gewirtz

Parenting can be challenging, and military parents face additional family stressors related to relocations and deployments. ADAPT4U is an evidence-based preventive parenting program specifically designed for military parents of school-aged children. This study examines the feasibility and acceptability of in-person group and telehealth versions of the program. We used quantitative and qualitative data in a concurrent embedded design. Quantitative data were analyzed using SPSS with regressions and ANOVAs. Qualitative data were thematically coded by multiple authors and then a consensus process was undertaken. Both conditions were highly satisfactory for participants, with in-person group rated slightly higher. Families were more likely to attend telehealth than group, both at all and for at least 50% of sessions. Telehealth participants rated more highly: helpfulness, the facilitator was understanding and responsive, and they would participate in a future parenting program based on their experience. Qualitative results reflected positive experiences both with the content and facilitators, and concerns or recommendations that often were directly addressed by the other format (e.g., suggestions by in-person group participants for a telehealth format). Consistent themes across formats included wanting children to be involved in the program and more follow-up after the end of the program. The ADAPT4U program is highly acceptable to participants, and providing multiple format options (in-person group and individual telehealth) will likely make it more feasible for parents to participate in a way that works best for them.

养育子女可能具有挑战性,军人父母面临着与搬迁和部署相关的额外家庭压力。ADAPT4U是一个以证据为基础的预防性育儿项目,专门为学龄儿童的军人父母设计。本研究考察了面对面团体和远程医疗版本的可行性和可接受性。我们在并行嵌入式设计中使用了定量和定性数据。定量资料采用SPSS进行回归分析和方差分析。定性数据由多位作者按主题编码,然后进行协商一致的过程。这两种情况对参与者来说都非常满意,面对面的小组得分略高。家庭比团体更有可能参加远程医疗,无论是根本还是至少50%的会议。远程医疗的参与者得到了更高的评价:乐于助人,调解人理解和回应,他们将根据自己的经验参加未来的育儿计划。定性结果反映了内容和主持人方面的积极经验,以及通常由其他格式直接解决的关切或建议(例如,面对面小组参与者对远程保健格式的建议)。各种形式的一致主题包括希望孩子们参与到项目中来,以及在项目结束后更多的跟进。ADAPT4U项目对参与者来说是高度可接受的,提供多种形式的选择(面对面的团体和个人远程医疗)可能会使父母以最适合他们的方式参与更可行。
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引用次数: 0
Moderating Effects of Parenting Stress and COVID-19 Pandemic Impacts on Relations Between Harsh Discipline and Child Behavior Problems. 父母压力和COVID-19大流行对严厉管教与儿童行为问题关系的调节作用
IF 1.6 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-01-01 Epub Date: 2025-05-03 DOI: 10.1007/s10826-025-03068-1
Kivilcim Degirmencioglu, Jianing Sun, Klaudia I Kulawska, Fanwen Zhang, Catherine M Diercks, Erika Lunkenheimer

The present study examined the dual moderating effects of parenting stress and negative COVID-19 pandemic impacts on the link between parental harsh discipline and child behavior problems. Mothers and children aged 2-6 years (M = 49.68 months, 51.03% female; N = 339) in the United States participated online via Amazon Mechanical Turk during the COVID-19 pandemic (Summer or Winter 2020). Mothers reported on harsh discipline, parenting stress, negative COVID-19 impacts, and children's internalizing and externalizing problems. As hypothesized, results showed a significant three-way interaction effect such that parenting stress and negative COVID-19 impacts exacerbated the positive relation between harsh discipline and child behavior problems, however, only for internalizing problems. Children had the highest levels of internalizing problems when harsh discipline, parenting stress, and negative COVID-19 impacts were higher; additionally, parenting stress still exacerbated the positive relation between harsh discipline and internalizing when pandemic impacts were lower. For externalizing problems, two-way interaction results revealed that positive relations between harsh discipline and externalizing were weaker when pandemic impacts were higher, suggesting that pandemic stressors altered these well-established effects. Findings suggested that proximal familial risks and broader environmental risks interact in complex ways to influence children's mental health difficulties, and that interventions to reduce parenting stress may ameliorate children's internalizing problems, especially when additional environmental stressors are present.

本研究考察了父母压力和COVID-19大流行的负面影响对父母严厉管教与儿童行为问题之间关系的双重调节作用。2 ~ 6岁母婴(M = 49.68个月,女性51.03%;N = 339)在2019冠状病毒病大流行期间(2020年夏季或冬季)通过亚马逊土耳其机械在线参与。母亲们报告了严厉的纪律、养育压力、COVID-19的负面影响以及儿童的内化和外化问题。正如假设的那样,结果显示了显著的三方互动效应,即父母压力和COVID-19的负面影响加剧了严厉纪律与儿童行为问题之间的正相关关系,但仅对内化问题有效。当严厉的纪律、养育压力和COVID-19的负面影响较高时,儿童的内化问题水平最高;此外,当大流行影响较低时,父母的压力仍然加剧了严厉管教与内化之间的正相关关系。对于外部化问题,双向互动结果显示,当大流行影响较高时,严厉纪律与外部化之间的正相关关系较弱,这表明大流行压力源改变了这些既定的影响。研究结果表明,近端家庭风险和更广泛的环境风险以复杂的方式相互作用,影响儿童的心理健康问题,减少父母压力的干预措施可能会改善儿童的内化问题,特别是当存在额外的环境压力因素时。
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引用次数: 0
The Multidimensional Assessment of Parenting Scale: Youth Report Form in Inpatient and Partial Hospital Settings. 父母教养量表的多维评估:住院及部分住院青少年报告表格。
IF 1.8 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-01-01 Epub Date: 2025-08-12 DOI: 10.1007/s10826-025-03131-x
Christina M Hogan, Emily Beckmann, Micaela Maron, Kelsey Sutton, April Highlander, Melissa Pielech, Jennifer C Wolff, Thamara Davis, Justin Parent

The Multidimensional Assessment of Parenting Scale (MAPS) was developed to assess a wide range of behaviors across positive and negative domains of parenting. This study aims to expand the utility of the MAPS by evaluating a youth-report version which provides an additional perspective on parenting practices. The study evaluated the youth-report form of the MAPS (MAPS-Y) in a large clinical population (N = 628) ranging from middle childhood (8-12) to adolescence (13-17) who were admitted to partial and inpatient psychiatric units. Youth and their caregivers completed the parent and youth versions of the MAPS questionnaire, and measures of child and adolescent psychopathology, emotion regulation, family context, and adversity. Analyses of factor structure, reliability, agreement, and validity were performed. The study also examined a short form of the MAPS-Y for reliability and validity. CFA and model fit indices indicated that all items loaded as expected onto subscales and with good fit. Analyses support strong reliability. The factor structure of the youth-report form was invariant across developmental stages, included both positive and negative domains, and demonstrated strong psychometric properties. The MAPS-Y short form demonstrated strong validity and reliability. The youth-report form of the MAPS and its short form are appropriate for use among children and adolescents experiencing acute clinical symptoms. The MAPS youth-report form will allow for nuanced, in-depth assessment of the parenting behaviors beyond parent-report that are critical to treatment outcomes in youth.

养育子女多维评估量表(MAPS)的开发是为了评估在养育子女的积极和消极领域的广泛行为。本研究旨在通过评估青年报告版本来扩大MAPS的效用,该版本提供了关于养育实践的额外视角。该研究评估了大量临床人群(N = 628)从儿童中期(8-12岁)到青少年期(13-17岁)的青少年报告形式MAPS (MAPS- y),这些人被部分和住院精神科收治。青少年和他们的照顾者完成了父母和青少年版本的MAPS问卷,并测量了儿童和青少年的精神病理、情绪调节、家庭背景和逆境。进行因子结构、信度、一致性和效度分析。该研究还检查了map - y的一个简短形式的信度和效度。CFA和模型拟合指数表明,所有条目都按预期加载到子量表上,拟合良好。分析支持高可靠性。青少年报告表的因素结构在不同的发展阶段是不变的,包括积极和消极的领域,并表现出强烈的心理测量特性。MAPS-Y简表具有较强的效度和信度。青年报告形式及其简短形式适用于出现急性临床症状的儿童和青少年。MAPS青少年报告表格将允许对父母报告之外的父母行为进行细致、深入的评估,这对青少年的治疗结果至关重要。
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引用次数: 0
Sex Differences in the Association Between Difficulties with Worry Regulation and Anxiety Symptoms in Black Children. 黑人儿童忧虑调节困难与焦虑症状相关性的性别差异
IF 1.8 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-01-01 Epub Date: 2025-08-09 DOI: 10.1007/s10826-025-03077-0
Elizabeth E McAfee, Emma C Lathan, Rebecca Lipschutz, Dominique L La Barrie, Yara Mekawi, Anais F Stenson, Tanja Jovanovic, Bekh Bradley, Abigail Powers

Black children are at significant risk for anxiety through heightened exposure to poverty, trauma, and racial discrimination, and females are at higher risk for childhood onset than males. One potentially relevant factor is difficulties with worry regulation. This study seeks to understand how difficulties with worry regulation and sex differences may affect risk for anxiety in Black children. The present study examined relations between difficulties with worry regulation and anxiety symptoms by sex in a sample of 98 Black children (Mage = 10.08, SDage = 1.48). Caregivers reported on child worry dysregulation (i.e exaggerated displays of worry), worry inhibition (i.e suppression of worry), and anxiety. Positive associations were found between caregiver-reported child worry dysregulation and anxiety symptoms (r = 0.41, p < 0.01) but not worry inhibition (r = 0.11, p = 0.37). The association between higher child worry dysregulation and higher child anxiety symptoms was moderated by child sex, (B = 5.00, p = 0.01), such that it was significant in girls but not in boys, independent of child trauma exposure and pubertal acceleration. Higher worry dysregulation was related to higher anxiety in girls but not boys. Trauma exposure also predicted higher child anxiety symptoms (p < 0.01). Worry dysregulation may be a helpful target for identifying girls at risk for anxiety disorders. Future research should examine additional factors that may relate to anxiety symptoms in Black male children, including other facets of emotion dysregulation, to further disentangle sex specific pathways of risk.

由于贫困、创伤和种族歧视的加剧,黑人儿童具有显著的焦虑风险,而女性在儿童期发病的风险高于男性。一个潜在的相关因素是监管方面的困难。本研究旨在了解焦虑调节的困难和性别差异如何影响黑人儿童的焦虑风险。本研究以98名黑人儿童为样本,按性别考察了焦虑调节困难与焦虑症状之间的关系(Mage = 10.08, SDage = 1.48)。照护者报告了儿童焦虑失调(即担忧的夸张表现)、担忧抑制(即担忧的抑制)和焦虑。照料者报告的儿童焦虑失调与焦虑症状呈正相关(r = 0.41, p r = 0.11, p = 0.37)。较高的儿童焦虑失调和较高的儿童焦虑症状之间的关联被儿童性别所缓和(B = 5.00, p = 0.01),因此在女孩中显著而在男孩中不显著,独立于儿童创伤暴露和青春期加速。在女孩中,较高的焦虑失调与较高的焦虑有关,而与男孩无关。创伤暴露也预示着更高的儿童焦虑症状(p
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引用次数: 0
The Child's Perspective on the School-Based Mindfulness Programme, Paws b. 儿童对校本正念课程的看法,b。
IF 1.6 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-01-01 Epub Date: 2025-03-28 DOI: 10.1007/s10826-025-03047-6
Katie Crompton, Alessandra Fasulo, Daphne Kaklamanou, Eszter Somogyi

School-based mindfulness programmes (SBMPs) are becoming widely used in primary schools, however findings regarding their effectiveness are controversial. Understanding how children describe and interpret the experience of taking part in these programmes may hold the key for improving their effectiveness. In this study we sought to gather children's views about a 12-lesson SBMP called Paws b. A week after the completion of the SBMP in five classes of two primary schools, during Personal Social and Health Education (PSHE) lessons, we conducted four focus groups with 8- and 9-year-olds. We randomly selected two girls and two boys from each class to form each focus group. The discussion was led by a different researcher that had not been associated with the delivery of the lessons. A reflexive thematic analysis was conducted on the transcribed data. We identified three major themes in children's discussions: (1) Mindfulness as instrumental for self-regulation, (2) Continued practice can lead to positive changes, and (3) Embedded memories from Paws b. The themes indicate that children remembered key practices and information, and used them in daily life. They enjoyed the training although not always from the beginning, observed changes in themselves and in their classmates and understood mechanisms through which mindfulness training can have positive effects. Implications of these findings are discussed in relation to both the content of this specific SBPM and the way in which the course was delivered.

基于学校的正念课程(SBMPs)在小学中被广泛使用,然而关于其有效性的研究结果存在争议。了解儿童如何描述和解释参加这些项目的经历,可能是提高这些项目有效性的关键。在这项研究中,我们试图收集孩子们对一门名为Paws b的12课SBMP的看法。在两所小学的五个班级完成SBMP一周后,在个人社会与健康教育(PSHE)课程中,我们对8岁和9岁的孩子进行了四个焦点小组的讨论。我们从每个班级随机抽取两名女生和两名男生组成每个焦点小组。这次讨论是由另一位没有参与授课的研究人员主持的。对转录数据进行反身性专题分析。我们确定了儿童讨论的三个主要主题:(1)正念是自我调节的工具;(2)持续练习可以导致积极的变化;(3)来自Paws的嵌入式记忆。这些主题表明儿童记住了关键的练习和信息,并在日常生活中使用它们。他们喜欢训练,尽管并非总是从一开始就喜欢,他们观察到自己和同学的变化,并理解正念训练可以产生积极影响的机制。这些发现的含义讨论了这两个特定的spbpm的内容和方式的课程交付。
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引用次数: 0
Mothers' and Fathers' Personality, Infants' Anger Proneness, and Responsive Parenting. 父母性格、婴儿愤怒倾向与反应性养育。
IF 1.8 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2025-01-01 Epub Date: 2025-10-31 DOI: 10.1007/s10826-025-03195-9
Grazyna Kochanska, Lilly C Bendel-Stenzel, Danming An

Parenting in infancy is immensely important for children's development and therefore, contributors to varying quality of early parenting have been extensively studied. Among those, parents' personality and its links with parenting have attracted intense interest, but factors that may affect those associations, including characteristics of the child, particularly in father-infant relationships, remain poorly understood (Taraban & Shaw, 2018). We present a study of 200 families, including infants, mothers, and fathers (Children and Parents Study). Parents reported their Big Five traits and distress/psychopathology. We observed their parenting (a composite of responsiveness, positive affect, and reversed negative affect, defined as positive responsiveness) toward the infant in home interactions. The infants' anger proneness, most often considered a characteristic that poses parenting challenges, was observed in standard temperament episodes, and modeled as a moderator of personality - parenting relations. Mothers showed more responsiveness, more positive affect, and less negative affect than fathers. Fathers' higher Agreeableness, Openness, and Extraversion were associated with more responsiveness. The effect of Agreeableness was further qualified by its interaction with child anger proneness: More agreeable fathers were more responsive toward infants high or average in anger proneness, and highly disagreeable fathers were less responsive toward those infants. Mothers' personality traits, alone or in interaction with infants' anger proneness, were unrelated to their parenting; however, mothers who were higher in distress/psychopathology were less responsive toward their infants, especially when the infants were high or average in anger proneness.

婴儿期的养育对儿童的发展非常重要,因此,早期养育质量的不同因素已被广泛研究。其中,父母的个性及其与养育子女的联系引起了人们的强烈兴趣,但可能影响这些联系的因素,包括孩子的特征,特别是在父子关系中,仍然知之甚少(塔拉班和肖,2018)。我们提出了一项对200个家庭的研究,包括婴儿、母亲和父亲(儿童和父母研究)。父母报告了他们的五大特征和痛苦/精神病理。我们观察了他们在家庭互动中对婴儿的养育(反应性、积极影响和反向消极影响的复合,定义为积极反应性)。婴儿的愤怒倾向,通常被认为是对养育子女构成挑战的一种特征,在标准气质事件中被观察到,并被建模为人格-养育关系的调节因子。母亲比父亲表现出更多的反应,更多的积极影响,更少的消极影响。父亲的宜人性、开放性和外向性越高,反应能力越强。亲和性的影响通过与儿童愤怒倾向的相互作用进一步得到证实:更随和的父亲对高或中等愤怒倾向的婴儿反应更积极,而非常不随和的父亲对这些婴儿反应更少。母亲的人格特质,单独或与婴儿的愤怒倾向相互作用,与他们的养育方式无关;然而,抑郁/精神病理程度较高的母亲对婴儿的反应较差,尤其是当婴儿的愤怒倾向较高或一般时。
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引用次数: 0
Maternal Literacy Skills and Children's Kindergarten Outcomes in Rural Communities with Low Incomes: The Moderating Role of Hours in Child Care. 农村低收入社区母亲识字技能与儿童幼儿园成绩:保育时间的调节作用
IF 1.8 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2024-12-01 Epub Date: 2024-11-24 DOI: 10.1007/s10826-024-02960-6
Elizabeth B Miller, Erin Roby, Mary Bratsch-Hines, Clancy B Blair

Based on theoretical premises of ecological systems theory and the compensatory hypothesis, a subset of data from the Family Life Project (N = 773), a population-based study of rural families with low incomes, were used to test for associations between maternal literacy in infancy and children's academic outcomes and teacher-reported problem behaviors in kindergarten. A second aim tested whether increased time in child care averaged from 6-36 months moderated such relations. Results indicated that maternal literacy was significantly positively related to academic outcomes (ES = .17-.23) and significantly negatively related to children's problem behaviors (ES = -.15) in kindergarten. Child care hours were not significantly related to any outcome. Significant interactions were found between maternal literacy and hours in child care on both children's academic skills and problem behaviors. Specifically, for mothers with lower literacy levels, significant dose-response relationships were detected between increased time in child care and children's higher academic scores and reduced problem behaviors (ES = .07-.09). Implications for maternal literacy and child care access among rural families are discussed.

基于生态系统理论和补偿性假设的理论前提,本研究以农村低收入家庭为研究对象,采用家庭生活项目(N = 773)的数据子集来检验幼儿时期母亲读写能力与幼儿学业成绩和幼儿园教师报告的问题行为之间的关系。第二个目的是测试平均6-36个月的儿童看护时间的增加是否会缓和这种关系。结果显示,母亲读写能力与幼儿幼儿园学业成绩显著正相关(ES = 0.17 ~ 0.23),与幼儿问题行为显著负相关(ES = - 0.15)。儿童保育时间与任何结果均无显著相关。研究发现,母亲的读写能力与儿童保育时间对儿童的学业技能和问题行为都有显著的相互作用。具体而言,对于识字水平较低的母亲,在儿童保育时间的增加与儿童学业成绩的提高和问题行为的减少之间发现了显著的剂量-反应关系(ES = 0.07 - 0.09)。讨论了对农村家庭中产妇识字和儿童保育机会的影响。
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引用次数: 0
Poverty Reduction and Family Functioning: Results from an Experimental Study in Sub-Saharan Africa. 减贫与家庭功能:撒哈拉以南非洲一项实验研究的结果。
IF 1.8 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2024-10-01 Epub Date: 2024-10-02 DOI: 10.1007/s10826-024-02920-0
Leyla Karimli, Josephine Nabayinda, Portia B Nartey, Fred M Ssewamala

The study tests the effect of poverty-reduction intervention on family functioning reported by AIDS-orphaned children in extended families in Southern Uganda by asking two questions: (1) based on children's reports, how does poverty reduction intervention affect family functioning? and (2) to what extent do these effects vary by a child's gender and orphanhood status? Informed by the social causation theory, family stress model, and asset theory, the study aims to address the existing knowledge gap on effects of poverty reduction interventions on family functioning in low-income families caring for AIDS orphaned children in Uganda. We ran multilevel regression models using longitudinal data collected in a cluster-randomized controlled trial from N = 1410 children (n = 621 boys and n = 789 girls) recruited from 48 rural primary schools in Uganda. Survey data was collected every 12 months over the course of 5 years. The average age of children at enrollment was 13 years. We found significant positive effects of the intervention on family cohesion, family communication, and child-caregiver relationship. Effects vary by child's gender and orphanhood category. Intervention improves family communication for boys, while improving family cohesion and quality of child-caregiver relationship for girls. Single maternal orphans reported improved family communication, while single paternal orphans reported improved child-caregiver relationship. Poverty reduction interventions are important to improve family functioning for low-income families. Variations by child's gender and orphanhood status have not been reported in previous studies, and our findings underscore the importance of continued research in this area.

本研究通过提出两个问题来检验减贫干预对乌干达南部大家庭中艾滋病孤儿报告的家庭功能的影响:(1)基于儿童报告,减贫干预如何影响家庭功能?(2)这些影响在多大程度上取决于儿童的性别和孤儿身份?在社会因果理论、家庭压力模型和资产理论的指导下,本研究旨在解决关于减贫干预措施对乌干达照顾艾滋病孤儿的低收入家庭家庭功能影响的现有知识差距。我们使用从乌干达48所农村小学收集的N = 1410名儿童(N = 621名男孩和N = 789名女孩)的聚类随机对照试验中收集的纵向数据运行了多水平回归模型。调查数据在5年内每12个月收集一次。入学儿童的平均年龄为13岁。我们发现干预对家庭凝聚力、家庭沟通和儿童照顾者关系有显著的正向影响。影响因儿童性别和孤儿类别而异。干预措施改善了男孩的家庭沟通,同时改善了女孩的家庭凝聚力和照顾儿童关系的质量。单亲母亲孤儿报告说,家庭沟通有所改善,而单亲父亲孤儿报告说,儿童照顾者的关系有所改善。减贫干预措施对于改善低收入家庭的家庭功能非常重要。以前的研究没有报道过儿童性别和孤儿状况的差异,我们的研究结果强调了在这一领域继续研究的重要性。
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引用次数: 0
An Archival Study of the Relationship Between Treatment Duration, Functioning, and Out-of-Home Placement for Youth with Serious Emotional Disturbance in a State-Wide Intensive In-Home Family Treatment Program 对全州范围内的强化居家家庭治疗项目中严重情感障碍青少年的治疗时间、功能和家庭外安置之间关系的档案研究
IF 2.1 3区 心理学 Q2 FAMILY STUDIES Pub Date : 2024-09-19 DOI: 10.1007/s10826-024-02906-y
C. Wayne Jones, Steve Simms, Jesse Troy, Scott Suhring, Dan Warner, Tara Byers

The main aim of this study was to evaluate the effectiveness of Pennsylvania’s state-wide intensive in-home treatment for youth with serious emotional disturbance (SED), EcoSystemic Structural Family Therapy-Family Based Mental Health Services (ESFT-FBMHS). Despite its long history of implementation, the program remains empirically under-evaluated. In this archival study, out-of-home placement and youth functioning outcomes were compared across four tiers of length of stay. Given the high-risk population treated in ESFT-FBMHS, it was hypothesized that the families and youth who completed the full duration of treatment (169–224 days) would have better outcomes than those who stopped treatment after 168 days or less. We utilized an ex post facto quantitative research design analyzing archived medical claims data of 2251 youth treated between 2018 and 2022 to assess out-of-home placement rates and analyzed archived data from six domains of the Child and Adolescent Needs and Strengths (CANS; Problem Presentation, Risk Behaviors, Functioning, Child Safety, Caregiver Needs, and Child Strengths) to assess changes in youth functioning post-discharge (90 and 180 days). An analysis using generalized estimating equations (GEE), controlling for potential confounding variables such as demographics and clinical features, suggest that length of stay in ESFT-FBMHS was significantly associated with out-of-home placement and youth improvement on the CANS at both 90- and 180-days post-discharge. As a group, youth with SED who did not complete the full duration of the program had 2–3 times the odds of out-of-home placement at 90 days post-discharge and 1–3 times the odds at 180 days post-discharge as compared to program completers. CANS scores showed improvement in 40.1% of youth who completed the program as compared to only 11.7%–18.2% for those who did not. The results of this study suggest that ESFT-FBMHS is effective for youth with SED as a group and can improve youth functioning and reduce out-of-home placement.

本研究的主要目的是评估宾夕法尼亚州针对有严重情绪障碍(SED)的青少年所开展的全州范围的强化居家治疗--生态系统结构家庭疗法--基于家庭的心理健康服务(ESFT-FBMHS)的有效性。尽管该项目实施已久,但经验评估仍然不足。在这项档案研究中,我们对四级住院时间的家庭外安置和青少年功能结果进行了比较。鉴于 ESFT-FBMHS 的治疗对象为高风险人群,我们假设完成整个疗程(169-224 天)的家庭和青少年会比那些在 168 天或更短时间内停止治疗的家庭和青少年有更好的疗效。我们采用事后定量研究设计,分析了 2018 年至 2022 年期间接受治疗的 2251 名青少年的存档医疗索赔数据,以评估家庭外安置率,并分析了儿童和青少年需求与优势(CANS;问题表现、风险行为、功能、儿童安全、照顾者需求和儿童优势)六个领域的存档数据,以评估青少年出院后(90 天和 180 天)的功能变化。使用广义估计方程(GEE)进行的分析表明,在出院后90天和180天内,ESFT-FBMHS的住院时间与家庭外安置和青少年CANS的改善有显著关系。作为一个群体,未完成整个项目的 SED 青少年在出院后 90 天的家庭外安置几率是完成项目者的 2-3 倍,在出院后 180 天的家庭外安置几率是完成项目者的 1-3 倍。在完成计划的青少年中,有 40.1%的人 CANS 分数有所提高,而未完成计划的青少年只有 11.7%-18.2%。这项研究结果表明,ESFT-FBMHS 对患有 SED 的青少年群体是有效的,可以改善青少年的功能,减少家庭外安置。
{"title":"An Archival Study of the Relationship Between Treatment Duration, Functioning, and Out-of-Home Placement for Youth with Serious Emotional Disturbance in a State-Wide Intensive In-Home Family Treatment Program","authors":"C. Wayne Jones, Steve Simms, Jesse Troy, Scott Suhring, Dan Warner, Tara Byers","doi":"10.1007/s10826-024-02906-y","DOIUrl":"https://doi.org/10.1007/s10826-024-02906-y","url":null,"abstract":"<p>The main aim of this study was to evaluate the effectiveness of Pennsylvania’s state-wide intensive in-home treatment for youth with serious emotional disturbance (SED), EcoSystemic Structural Family Therapy-Family Based Mental Health Services (ESFT-FBMHS). Despite its long history of implementation, the program remains empirically under-evaluated. In this archival study, out-of-home placement and youth functioning outcomes were compared across four tiers of length of stay. Given the high-risk population treated in ESFT-FBMHS, it was hypothesized that the families and youth who completed the full duration of treatment (169–224 days) would have better outcomes than those who stopped treatment after 168 days or less. We utilized an ex post facto quantitative research design analyzing archived medical claims data of 2251 youth treated between 2018 and 2022 to assess out-of-home placement rates and analyzed archived data from six domains of the Child and Adolescent Needs and Strengths (CANS; Problem Presentation, Risk Behaviors, Functioning, Child Safety, Caregiver Needs, and Child Strengths) to assess changes in youth functioning post-discharge (90 and 180 days). An analysis using generalized estimating equations (GEE), controlling for potential confounding variables such as demographics and clinical features, suggest that length of stay in ESFT-FBMHS was significantly associated with out-of-home placement and youth improvement on the CANS at both 90- and 180-days post-discharge. As a group, youth with SED who did not complete the full duration of the program had 2–3 times the odds of out-of-home placement at 90 days post-discharge and 1–3 times the odds at 180 days post-discharge as compared to program completers. CANS scores showed improvement in 40.1% of youth who completed the program as compared to only 11.7%–18.2% for those who did not. The results of this study suggest that ESFT-FBMHS is effective for youth with SED as a group and can improve youth functioning and reduce out-of-home placement.</p>","PeriodicalId":48362,"journal":{"name":"Journal of Child and Family Studies","volume":"17 1","pages":""},"PeriodicalIF":2.1,"publicationDate":"2024-09-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142256169","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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Journal of Child and Family Studies
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