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1.
Medicine (Baltimore) ; 100(4): e23894, 2021 Jan 29.
Artigo em Inglês | MEDLINE | ID: mdl-33530185

RESUMO

BACKGROUND: We aimed to evaluate the effect of music-based intervention on the aggressive behavior in children and adolescents, and made a comparison of music medicine and music therapy. METHODS: We searched PubMed (MEDLINE), Ovid-Embase, and the Cochrane Central Register of Controlled Trials (CENTRAL) to identify relevant studies. Standardized mean differences (SMDs) were estimated with random-effect model. RESULTS: We included 10 studies and found a significant decrease of aggressive behavior (SMD = -0.99; 95% CI = -1.42 to -0.56) and a significant increase of self-control (SMD = 0.56; 95% CI: 0.19 to 0.93) in the music-based intervention group compared with the control group. The aggressive behavior was significantly decreased in the music therapy group compared with the control group (SMD = -1.79; 95% CI = -3.23 to -0.35); while, no difference was observed between music medicine group and control group. Sub-group analyses exhibited a more efficacious in reducing aggressive behavior in the children received ≥2 sessions per week, the children with a mean age > 10 years, the children whose behavior were reported by teachers, and the children with aggressive behavior before intervention. Sensitivity analyses yielded similar results. CONCLUSION: Music-based intervention seemed to be more efficacious for reducing aggression and increasing self-control in children and adolescents, especially music therapy.


Assuntos
Comportamento do Adolescente , Agressão , Transtornos do Comportamento Infantil/terapia , Musicoterapia , Adolescente , Comportamento do Adolescente/psicologia , Criança , Transtornos do Comportamento Infantil/psicologia , Humanos , Autocontrole
2.
Medicine (Baltimore) ; 99(50): e23272, 2020 Dec 11.
Artigo em Inglês | MEDLINE | ID: mdl-33327250

RESUMO

School sandplay group therapy is a useful clinical treatment method for adolescents who cannot adapt to school due to various emotional and behavioral problems. In this study, we conducted 10 weeks of group therapy in 70 adolescents referred to as maladjustment behavior problem in the school. The purpose of this study was to evaluate the clinical effects of sandplay therapy on the emotions and behaviors objectively through minnesota multiphasic personality test -2. There was a statistically significant difference in clinical scales such as depression, masculinity- femininity, social introversion, anger, subjective depression, need for affection, somatic complaint, and internal/external alienation after school sandplay group therapy. Sandplay therapy is estimated to have clinical effects not only on the emotional problems of maladapted high school students but also on physical problems.


Assuntos
Transtornos do Comportamento Infantil/terapia , MMPI , Ludoterapia , Psicoterapia de Grupo , Adolescente , Transtornos do Comportamento Infantil/psicologia , Feminino , Humanos , Masculino , Ludoterapia/métodos , Psicoterapia de Grupo/métodos , República da Coreia , Instituições Acadêmicas , Inquéritos e Questionários , Resultado do Tratamento
4.
J Appl Behav Anal ; 53(3): 1242-1258, 2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32643811

RESUMO

As the world navigates the COVID-19 health crisis, behavior analysts are considering how best to support families while maintaining services and ensuring the health and safety of everyone involved. Telehealth is one service delivery option that provides families with access to care in their own communities and homes. In this article, we provide a brief summary of the telehealth literature in applied behavior analysis that provided coaching and training to families for individuals who displayed challenging behavior. These studies targeted functional assessment and function-based treatment for challenging behavior. We briefly summarize what is known relative to the assessment and treatment of challenging behavior via telehealth, place these results within a descriptive context of the decisions made by the research team at the University of Iowa, and discuss what we, as behavior analysts, should consider next to advance our understanding and practice of telehealth.


Assuntos
Análise do Comportamento Aplicada , Transtornos do Comportamento Infantil/terapia , Telemedicina , Análise do Comportamento Aplicada/métodos , Criança , Transtornos do Comportamento Infantil/diagnóstico , Infecções por Coronavirus/prevenção & controle , Humanos , Pandemias/prevenção & controle , Pneumonia Viral/prevenção & controle
5.
Pediatrics ; 146(1)2020 07.
Artigo em Inglês | MEDLINE | ID: mdl-32561612

RESUMO

BACKGROUND AND OBJECTIVES: There is an urgent need to prepare pediatricians to care for children with behavioral and mental health (B/MH) conditions. In this study, we evaluate the perceived competence of pediatric residents and recent graduates in the assessment and treatment of B/MH conditions, characterize variation in competence across residency programs, and identify program characteristics associated with high competence. METHODS: Cross-sectional survey of applicants for the initial certifying examination in pediatrics. Questions were focused on (1) who should be competent in B/MH skills, (2) institutional support around B/MH training, and (3) perceived competence in 7 B/MH assessment skills and 9 treatment skills. Competence was rated on a 5-point scale, and high levels of assessment and treatment competence were defined as scores of ≥4. Composite measures for B/MH assessment and treatment were calculated as mean scores for each domain. We examined variation in residents' self-reported competence across programs and used linear regression to identify factors associated with high levels of competence at the program level. RESULTS: Of applicants, 62.3% responded to the survey (n = 2086). Of these, 32.8% (n = 595) reported high competence in assessment skills and 18.9% (n = 337) in treatment skills. There were large variations in reported competence across programs. Respondents from smaller programs (<30 trainees) reported higher competence in assessment and treatment than those from large programs (P < .001). CONCLUSIONS: Current and recent pediatric trainees do not report high levels of perceived competence in the assessment and treatment of children with B/MH conditions. The substantial variation across programs indicates that the pediatric community should create standards for B/MH training.


Assuntos
Atitude do Pessoal de Saúde , Competência Clínica , Internato e Residência , Transtornos Mentais/diagnóstico , Transtornos Mentais/terapia , Pediatria/educação , Criança , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/terapia , Estudos Transversais , Feminino , Humanos , Masculino , Autorrelato
6.
Int. j. psychol. psychol. ther. (Ed. impr.) ; 20(2): 1889-1780, jun. 2020.
Artigo em Espanhol | IBECS | ID: ibc-192930

RESUMO

No disponible


COVID-19 confinement situation imposed to the population by the public health reasons causes a considerable reordering of daily habits in families with children. Parent-child interactions might crease and, accordingly, the opportunities to strengthen adaptive behavioral dynamics between the child and their parents and other family members. If this is not the case, problematic behavior increases and, in the context of confinement conditions, the probability of COVID-19 might also infection. Functional Analysis of Behavior is a key reference to shape child'behavior and in the same functional root, Acceptance and Commitment Therapy (ACT) is proving to be useful to build psychological flexibility in many arenas beyond the clinical one where it accumulates remarkable evidence. One of this arenas points to building flexible behavioral patterns in children both in educational and family contexts. The present work aims to apply the ACT model for managing the child's behavior and for improving psychological flexibility during family interactions in the context of following the instructions to reduce virus infection


Assuntos
Humanos , Criança , Transtornos do Comportamento Infantil/terapia , Infecções por Coronavirus/epidemiologia , Quarentena/psicologia , Terapia de Aceitação e Compromisso , Pandemias/estatística & dados numéricos , Distância Social , Sintomas Afetivos/epidemiologia , Características da Família , Relações Familiares/psicologia , Transtornos do Comportamento Infantil/epidemiologia
7.
PLoS One ; 15(5): e0231620, 2020.
Artigo em Inglês | MEDLINE | ID: mdl-32374786

RESUMO

BACKGROUND: There is little evidence on the child and family factors that affect the intensity of care use by children with complex problems. We therefore wished to identify changes in these factors associated with changes in care service use and its intensity, for care use in general and psychosocial care in particular. METHODS: Parents of 272 children with problems in several life domains completed questionnaires at baseline (response 69.1%) and after 12 months. Negative binominal Hurdle analyses enabled us to distinguish between using care services (yes/ no) and its intensity, i.e. number of contacts when using care. RESULTS: Change in care use was more likely if the burden of adverse life events (ALE) decreased (odds ratio, OR = 0.94, 95% confidence interval, CI = 0.90-0.99) and if parenting concerns increased (OR = 1.29, CI = 1.11-1.51). Psychosocial care use became more likely for school-age children (vs. pre-school) (OR = 1.99, CI = 1.09-3.63) if ALE decreased (OR = 0.93, CI = 0.89-0.97) and if parenting concerns increased (OR = 1.26, CI = 1.10-1.45). Intensity of use (>0 contacts) of any care decreased when ALE decreased (relative risk, RR = 0.95, CI = 0.92-0.98) and when psychosocial problems became less severe (RR = 0.38, CI = 0.20-0.73). Intensity of psychosocial care also decreased when severe psychosocial problems became less severe (RR = 0.39, CI = 0.18-0.84). CONCLUSIONS: Changes in care-service use (vs. no use) and its intensity (>0 contacts) are explained by background characteristics and changes in a child's problems. Care use is related to factors other than changes in its intensity, indicating that care use and its intensity have different drivers. ALE in particular contribute to intensity of any care use.


Assuntos
Transtornos do Comportamento Infantil/terapia , Cuidado da Criança , Serviços de Saúde da Criança/provisão & distribução , Serviços de Saúde da Criança/estatística & dados numéricos , Recursos em Saúde , Adolescente , Adulto , Criança , Transtornos do Comportamento Infantil/epidemiologia , Cuidado da Criança/métodos , Cuidado da Criança/estatística & dados numéricos , Serviços de Saúde da Criança/organização & administração , Bem-Estar da Criança/estatística & dados numéricos , Pré-Escolar , Estudos de Coortes , Família , Feminino , Seguimentos , Recursos em Saúde/organização & administração , Recursos em Saúde/estatística & dados numéricos , Recursos em Saúde/provisão & distribução , Humanos , Lactente , Recém-Nascido , Estudos Longitudinais , Masculino , Países Baixos/epidemiologia , Relações Pais-Filho , Poder Familiar , Fatores Socioeconômicos , Inquéritos e Questionários
8.
J Consult Clin Psychol ; 88(7): 669-679, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32352803

RESUMO

OBJECTIVE: The current study examined the comparative efficacy of a more intensive version of Parent-Child Interaction Therapy (I-PCIT; 5 days/week over 2 weeks) versus a time-limited weekly PCIT format (1 day/week over 10 weeks) in treating early childhood externalizing behavior problems. METHOD: Using a randomized trial design, 60 young children (mean age [Mage] = 4.33 years; 65% male; 85% Latinx) with clinically elevated levels of externalizing behavior problems and their parents were assigned to either I-PCIT (n = 30) or time-limited PCIT (n = 30). Families completed pre-, post-, and follow-up assessments 6-9 months following treatment completion. Parents completed measures of child behavior, discipline practices, and parenting stress. Observational data on child behavior and parenting were also collected. RESULTS: Noninferiority and multivariate repeated-measures analyses indicated comparable improvements across 6 out of 7 observed and parent-reported outcomes, including parenting skills, discipline practices, and child externalizing behavior problems at posttreatment. Comparable treatment gains remained at follow-up, with the caveat that parents in time-limited PCIT reported lower externalizing behavior problems compared with I-PCIT, although both groups were still significantly better compared with pretreatment. Lastly, moderation analyses indicated that parents experiencing high levels of stress benefited more from I-PCIT in terms of decreasing child externalizing behavior compared with time-limited PCIT. CONCLUSIONS: I-PCIT appears to be a viable treatment option for families, especially those experiencing high levels of stress, in terms of targeting early externalizing behavior problems within a short period of time. (PsycInfo Database Record (c) 2020 APA, all rights reserved).


Assuntos
Terapia Comportamental , Transtornos do Comportamento Infantil/terapia , Relações Pais-Filho , Comportamento Problema/psicologia , Comportamento Infantil/psicologia , Transtornos do Comportamento Infantil/psicologia , Pré-Escolar , Feminino , Humanos , Masculino , Poder Familiar
9.
Pediatr Clin North Am ; 67(3): 437-449, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32443985

RESUMO

As members of state-funded team to monitor psychotropic medication use and examine cost-effective methods for behavioral treatment in foster care, the authors review behavioral studies on interventions for foster youth who engage in challenging behavior. Four behavioral technologies-preference assessments, teaching procedures, functional behavioral assessment and intervention, and parent training-are discussed. Four case studies and behavioral data for foster youth treated using these technologies are provided. Finally, pediatric providers are encouraged to recommend a practitioner with specialized training in behavior analysis to foster parents if a child displays disruptive behavior.


Assuntos
Terapia Comportamental/métodos , Transtornos do Comportamento Infantil/terapia , Criança Acolhida/psicologia , Cuidados no Lar de Adoção , Adolescente , Criança , Humanos
10.
Pediatr Clin North Am ; 67(3): 469-479, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32443987

RESUMO

Many children in the United States are performing below basic standards in reading, mathematics, and writing. Children at risk for academic problems often have comorbid classroom behavior problems and/or are diagnosed with high-incidence disabilities. Early intervention to prevent academic problems is a key goal of school-wide response-to-intervention models. The goal of school-based instructional intervention is to increase children's strength of responding so basic academic skills can be combined to solve more complex tasks. Parents and caregivers can support intervention efforts at school by engaging in frequent communication with student assistance teams and helping children with academic work completion at home.


Assuntos
Transtornos do Comportamento Infantil/terapia , Intervenção Educacional Precoce/métodos , Escolaridade , Deficiências da Aprendizagem/terapia , Criança , Transtornos do Comportamento Infantil/complicações , Avaliação Educacional , Humanos , Deficiências da Aprendizagem/complicações , Programas de Rastreamento , Matemática , Leitura , Estados Unidos , Redação
11.
Pediatr Clin North Am ; 67(3): 513-524, 2020 06.
Artigo em Inglês | MEDLINE | ID: mdl-32443990

RESUMO

Children who have a dental home are more likely to receive preventative care, require fewer dental treatments, and are less likely to have dental disease. Many children demonstrate behavior management concerns that may impede families from establishing a dental home for their children. Conceptually, behavior concerns develop through a process of conditioning. Prevention of such problems should focus on providing positive experiences related to dental care. Treatment components to address behavior management concerns include graduated exposure, contingent reinforcement, modeling and prompting, distraction/relaxation, and cognitive behavior therapy. Further support, training, and reimbursement for time required to administer such treatment is needed.


Assuntos
Terapia Comportamental/métodos , Transtornos do Comportamento Infantil/terapia , Assistência Odontológica para Crianças/métodos , Saúde Bucal , Criança , Pré-Escolar , Relações Dentista-Paciente , Humanos , Lactente
12.
Rev. psicol. clín. niños adolesc ; 7(2): 22-31, mayo 2020. tab, graf
Artigo em Inglês | IBECS | ID: ibc-193690

RESUMO

Children and adolescents living in residential childcare have a higher prevalence of mental health problems as a result of a history of adverse childhood experiences. Therefore, this population should be a priority target for mental health preventive interventions. The current study analyses the effectiveness of the Wave by Wavesurf therapy program, that combines surfing with a psychological group intervention, through a randomized controlled trial. Seventy-three youth (7-17 years) living in residential care participated in the study. Main mental health outcomes (adjustment problems, depression, anxiety, and wellbeing) and secondary outcomes (self-efficacy, self-regulation, sleep quality, physical activity, pro-social behavior, and social connectivity) were assessed at pre- and post-intervention. The results indicated a significant impact of the intervention on mental health outcomes reported by the key residential worker, with medium to large effect sizes. Specifically, after the intervention, there was a significant reduction in the total emotional and behavioural problems, and a significant increase of youth pro-social behaviour and quality of life that was not observed for the waiting list group. There were no significant effects on other measures reported by the children (e.g., depression and anxiety, self-esteem, emotion regulation, social connectedness, sleep quality, physical activity) and on executive functions measures. The Wave by Wave program seems to be an effective intervention to reduce behavior problems and to promote pro-social behavior in a high-risk sample. The absence of significant effects on other dimensions may indicate the need of some complementary support to address specific difficulties of this population


Los niños y adolescentes que viven en acogimiento residencial tienen una mayor prevalencia de problemas de salud mental. Por lo tanto, esta población debe ser un objetivo prioritario para las intervenciones preventivas de salud mental. El estudio actual analiza la efectividad del programa Wave by Wave, que combina el surf con una intervención psicológica grupal, a través de un ensayo controlado aleatorio. Setenta y tres jóvenes (7-17 años) que viven en acogimiento residencial participaron en el estudio. Los principales resultados de salud mental (problemas de ajuste, depresión, ansiedad y bienestar) y los resultados secundarios (autoeficacia, autorregulación, calidad del sueño, actividad física, comportamiento prosocial y conectividad social) se evaluaron antes y después de intervención. Los resultados indicaron un impacto significativo de la intervención sobre los resultados de salud mental reportados por el cuidador en la residencia. Específicamente, después de la intervención, hubo una reducción significativa en los problemas emocionales y conductuales totales, y un aumento significativo del comportamiento prosocial de los jóvenes y de la calidad de vida que no se observó en el grupo control. No hubo efectos significativos en otras medidas reportadas por los niños (ex., depresión y ansiedad, autoestima) y en las medidas de las funciones ejecutivas. El programa Wave by Wave parece ser una intervención efectiva para reducir los problemas de comportamiento y promover el comportamiento prosocial en una muestra de alto riesgo. La ausencia de efectos significativos en otras dimensiones puede indicar la necesidad de algún apoyo complementario para abordar las dificultades específicas de esta población


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Transtornos do Comportamento Infantil/terapia , Instituições Residenciais , Criança Abandonada/psicologia , Acolhimento , Comportamento do Adolescente/psicologia , Prevenção Primária/métodos , Resultado do Tratamento
13.
Pediatrics ; 145(Suppl 1): S20-S29, 2020 04.
Artigo em Inglês | MEDLINE | ID: mdl-32238528

RESUMO

OBJECTIVES: To summarize baseline data and lessons learned from the Autism Learning Health Network, designed to improve care and outcomes for children with autism spectrum disorder (ASD). We describe challenging behaviors, co-occurring medical conditions, quality of life (QoL), receipt of recommended health services, and next steps. METHODS: A cross-sectional study of children 3 to 12 years old with ASD receiving care at 13 sites. Parent-reported characteristics of children with ASD were collected as outcome measures aligned with our network's aims of reducing rates of challenging behaviors, improving QoL, and ensuring receipt of recommended health services. Parents completed a survey about behavioral challenges, co-occurring conditions, health services, and the Patient-Reported Outcomes Measurement Information System Global Health Measure and the Aberrant Behavior Checklist to assess QoL and behavior symptoms, respectively. RESULTS: Analysis included 530 children. Challenging behaviors were reported by the majority of parents (93%), frequently noting attention-deficit/hyperactivity disorder symptoms, irritability, and anxiety. Mean (SD) scores on the Aberrant Behavior Checklist hyperactivity and irritability subscales were 17.9 (10.5) and 13.5 (9.2), respectively. The Patient-Reported Outcomes Measurement Information System Global Health Measure total score of 23.6 (3.7) was lower than scores reported in a general pediatric population. Most children had received recommended well-child (94%) and dental (85%) care in the past 12 months. CONCLUSIONS: This baseline data (1) affirmed the focus on addressing challenging behaviors; (2) prioritized 3 behavior domains, that of attention-deficit/hyperactivity disorder, irritability, and anxiety; and (3) identified targets for reducing severity of behaviors and strategies to improve data collection.


Assuntos
Transtorno do Espectro Autista/terapia , Transtornos do Comportamento Infantil/terapia , Qualidade de Vida , Transtorno do Espectro Autista/complicações , Criança , Transtornos do Comportamento Infantil/complicações , Serviços de Saúde da Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Masculino
15.
Prax Kinderpsychol Kinderpsychiatr ; 69(1): 3-21, 2020 Jan.
Artigo em Alemão | MEDLINE | ID: mdl-31918650

RESUMO

Parents' and Childcare Teachers' Agreement on Mental Health Problems, Psychosocial Ressources and Need for Action Young Children with mental health problems rarely receive professional help. Recognising a problem is one key factor for mental health care utilisation in kindergarten age. In this study psychosocial problems and ressources of 255 children (age 3,0-6,6 years) were assessed by parents and childcare teachers with the instrument "Verhaltensskalen für das Kindergartenalter" (VSK, Koglin u. Petermann, 2016). Subjective need for action was also measured. Teachers announced a need for action in 19.8 % of the children, while parents did so for 17.3 % of the children, but they agreed only for 18.9 % of these children. So agreement on need for action was low (κ = .16). Agreement was also low for psychosocial problems (Median ICC = .32), and very low with respect to the borderline/clinical range (κ = .13). No agreement was found for psychosocial ressources. Results underline the importance for Early Education and Care professionals to cooperate with institutions like social-pediatric centers to avoid blind spots in the identification of mental health problems in preschool age.


Assuntos
Transtornos do Comportamento Infantil , Saúde Mental , Professores Escolares , Criança , Transtornos do Comportamento Infantil/diagnóstico , Transtornos do Comportamento Infantil/terapia , Pré-Escolar , Humanos , Pais
17.
Eur Child Adolesc Psychiatry ; 29(11): 1555-1568, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31925545

RESUMO

A recent increase in the development of online parent programs calls for the need to understand how effective these strategies are for improving children's mental health. We meta-analyzed the effects of online parent programs on children's behavioral problems. Moreover, we explored the combinations of program components to yield stronger program effects. Medline, PsycINFO, Web of Science, and the Cochrane Library were searched. We included peer-reviewed randomized studies evaluating the effect of an online parent program. Effect sizes (Hedges' g) were calculated from post intervention means and standard deviations. We used Qualitative Comparative Analysis (QCA) to identify pathways to effectiveness and individual content and delivery components that seem sufficient or necessary for yielding high effectiveness. Of 2941 articles, 12 articles with a total of 2025 participants met the inclusion criteria. Online parent programs have significant effects on children's behavioral problems (g = - 0.32; 95% CI, - 0.47 to - 0.17), emotional problems (g = - 0.22; 95% CI, - 0.31 to - 0.13), and parental mental health problems (g = - 0.30; 95% CI, - 0.42 to - 0.17). In the QCA, sending parents reminders to work on the program was the only one sufficient component. In conclusion, online support programs reduce children's behavioral and emotional problems and improve parental mental health. Sending parents reminders to work on the program seems to contribute to high effectiveness. Review Registration This study was registered with PROSPERO, number CRD42017080051.


Assuntos
Transtornos do Comportamento Infantil/terapia , Intervenção Baseada em Internet/tendências , Pais/psicologia , Criança , Feminino , Humanos , Internet , Masculino
18.
J Behav Health Serv Res ; 47(1): 126-138, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31165416

RESUMO

Retention in treatment for children with behavior problems is critical to achieve successful outcomes, and clinical evidence suggests the behavioral health needs and retention of military-connected and civilian families differ meaningfully. Military and civilian children in outpatient behavioral treatment were compared in terms of presenting problems as well as appointment adherence (n = 446 children and their parents). Demographics and rates of externalizing behavior were similar across the two groups. More military than civilian children had internalizing problems. Military parents had more parenting distress and depressive symptoms. Fewer military families dropped out of treatment early. Within-military comparisons demonstrated that children whose parent had recently deployed were more likely to have internalizing problems and poor adaptive skills. Although retention was better among military families, the early treatment drop-out proportions (20-30%) for both groups highlight a barrier to effective behavioral intervention.


Assuntos
Transtornos do Comportamento Infantil/psicologia , Militares/psicologia , Pais/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/psicologia , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Adulto , Criança , Transtornos do Comportamento Infantil/epidemiologia , Transtornos do Comportamento Infantil/terapia , Serviços de Saúde da Criança , Pré-Escolar , Feminino , Humanos , Masculino , Transtornos Mentais/epidemiologia , Transtornos Mentais/psicologia , Transtornos Mentais/terapia , Mid-Atlantic Region , Pessoa de Meia-Idade , Militares/estatística & dados numéricos , Pacientes Ambulatoriais , Estudos Retrospectivos , Adulto Jovem
19.
Autism ; 24(1): 160-176, 2020 01.
Artigo em Inglês | MEDLINE | ID: mdl-31187642

RESUMO

Parent-Child Interaction Therapy is an empirically based, behavioral parent training program for young children exhibiting disruptive behaviors. Parent-Child Interaction Therapy shows promise for treating disruptive behaviors in children with autism spectrum disorder. Treatment processes (i.e. treatment length and homework compliance), parenting skills, parenting stress, and behavioral outcomes (i.e. disruptive and externalizing behaviors and executive functioning) were compared in 16 children with autism spectrum disorder and 16 children without autism spectrum disorder matched on gender, age, and initial intensity of disruptive behaviors. Samples were statistically similar in terms of child receptive language, child race and ethnicity, parent age, gender and education, and number of two-parent families in treatment. Families received standard, mastery-based Parent-Child Interaction Therapy. Both groups demonstrated significant and clinically meaningful improvements in child disruptive and externalizing behavior and executive functioning, parenting skills, and parenting stress. Length of treatment, homework compliance, and parent and child outcomes did not differ significantly between groups. A subset of children with autism spectrum disorder also showed significant improvements in social responsiveness, adaptive skills, and restricted/repetitive behaviors. This study replicates and extends prior research by demonstrating that children with and without autism spectrum disorder experience similar benefits following Parent-Child Interaction Therapy. Findings may expand the availability and dissemination of time-limited, evidence-based interventions for autism spectrum disorder and comorbid disruptive behaviors.


Assuntos
Transtorno do Espectro Autista/complicações , Transtorno do Espectro Autista/terapia , Transtornos do Comportamento Infantil/complicações , Transtornos do Comportamento Infantil/terapia , Relações Pais-Filho , Pais/educação , Avaliação de Programas e Projetos de Saúde/métodos , Adulto , Transtorno do Espectro Autista/psicologia , Estudos de Casos e Controles , Criança , Transtornos do Comportamento Infantil/psicologia , Pré-Escolar , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Poder Familiar/psicologia , Pais/psicologia
20.
Behav Modif ; 44(2): 159-185, 2020 03.
Artigo em Inglês | MEDLINE | ID: mdl-30246552

RESUMO

Behavioral Parent Training (BPT) is the standard of care for early-onset Behavior Disorders (BDs). Preliminary evidence suggests that BPT may also lead to improvement in comorbid symptomatology, particularly internalizing problems, in children with BDs, yet less is currently known about how BPT produces such cascading effects. To begin to address this gap in the literature, trajectory analyses were used to examine the link between treatment components of one mastery-based BPT program, Helping the Noncompliant Child (HNC), and child internalizing symptoms over the course of treatment. Findings revealed that parental use of the Attends skill (i.e., parental description of child activity with warmth and enthusiasm) over time was significantly associated with decreases in trajectories of child internalizing symptoms across treatment. Further probing of these effects revealed that parent use of average or above-average levels of Attends across treatment sessions led to significant reductions in child internalizing symptoms by Sessions 7 to 10 of treatment. Consistent with the movement toward a modular approach to the treatment of children, findings highlight the importance of identifying particular BPT skills that can be used in treatment to target multiple comorbid child symptom clusters. Clinical implications and future directions are discussed.


Assuntos
Sintomas Comportamentais/terapia , Transtornos do Comportamento Infantil/terapia , Educação não Profissionalizante , Avaliação de Processos e Resultados em Cuidados de Saúde , Relações Pais-Filho , Poder Familiar , Adulto , Idade de Início , Pré-Escolar , Feminino , Humanos , Masculino
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