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Application of the transtheoretical model to parent facilitation of healthy anxiety management in their children .

机译：跨理论模型在父母促进子女健康焦虑管理中的应用。

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摘要

Anxiety disorders represent one of the most common and debilitating forms of psychopathology among children, with prevalence rates estimated to be between 12% and 17.3%. Although a number of efficacious treatments for child anxiety exist, there is a distinct need for prevention programs as well. Moreover, research suggests that parents play a crucial role in how their children manage anxiety, underscoring the importance of involving parents in both the treatment and prevention of child anxiety. For a variety of reasons, parents may be at different levels of readiness to engage in behaviors that promote their child's healthy coping with anxiety. Although most existing prevention and treatment programs do incorporate parental components, no study to date examines how parental readiness effects this parental involvement. The present study aims to address this gap in the literature by developing theoretically-based measures to assess parental attitudes toward and readiness for helping their children to manage anxiety in a healthy manner using the Transtheoretical Model of Behavior Change. Results provide support for the use of the TTM applied to parent facilitation of healthy anxiety management in their children. Exploratory and confirmatory analyses for Decisional Balance, Confidence, and Parenting Behavior scales produced three internally consistent measures. Analyses resulted in one pros and one cons scale for the Decisional Balance construct, two subscales for the Confidence construct, and one scale representing Positive Parenting Behaviors. Stage of change measures including one-item and three-item categorical staging algorithms and a URICA continuous stage measure were developed and compared with regard to their relationship to other constructs of interest. Despite a skewed staging distribution under-representing the early stages of change, expected theoretical patterns by stage of change were found for all three scales. Evaluations of the decisional balance and confidence measures by stage suggest that a three-item categorical staging algorithm may be best. However, additional research is necessary to fully evaluate the potential utility of a continuous stage measure. In addition, the sample for this study was primarily white, affluent, and educated so future research will need to examine the use of these measures in more diverse populations. The measures developed in this study have important implications for the future development of effective assessment and intervention tools to increase parental use of behaviors that facilitate healthy management of anxiety in their children.
机译：焦虑症是儿童中最常见和最令人衰弱的心理病理形式之一，患病率估计在12％至17.3％之间。尽管存在许多有效的治疗儿童焦虑症的方法，但也非常需要预防计划。此外，研究表明，父母在孩子如何处理焦虑中起着至关重要的作用，强调了让父母参与儿童焦虑症的治疗和预防的重要性。出于多种原因，父母可能处于不同的准备程度，准备采取促进孩子健康地应对焦虑的行为。尽管大多数现有的预防和治疗计划确实包含了父母的成分，但迄今为止，尚无研究检查父母的准备如何影响父母的参与。本研究旨在通过开发基于理论的措施来评估父母对父母的态度和准备情况，以使用行为改变的跨理论模型帮助他们的孩子以健康的方式管理焦虑，从而弥补文献中的空白。结果为将TTM用于父母促进孩子健康焦虑管理的使用提供了支持。对决策平衡，自信心和育儿行为量表的探索性和确认性分析产生了三个内部一致的量度。分析得出，“决策平衡”构造为一个优点和一个缺点量表，“信心”构造为两个子量表，一个代表积极父母行为的量表。制定了包括单项和三项分类分阶段算法和URICA连续阶段度量的变更阶段度量，并比较了它们与其他感兴趣结构的关系。尽管分阶段的分布偏斜不足以代表变化的早期阶段，但对于这三个量表，都发现了变化阶段的预期理论模式。分阶段评估决策平衡和置信度的方法表明，最好使用三项分类分阶段算法。但是，还需要进行其他研究来全面评估连续阶段测量的潜在效用。此外，本研究的样本主要是白人，富裕和受过良好教育的人，因此未来的研究将需要研究这些手段在更多不同人群中的使用。这项研究中制定的措施对未来评估的有效开发和干预工具的发展具有重要意义，以增加父母对行为的使用，从而促进他们子女对焦虑的健康管理。

著录项

  • 作者

    Burditt, Caitlin.;

  • 作者单位

    University of Rhode Island.;

  • 授予单位 University of Rhode Island.;
  • 学科 Psychology Clinical.
  • 学位 Ph.D.
  • 年度 2011
  • 页码 103 p.
  • 总页数 103
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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