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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Dose-Response Effect of Mother-Infant Clinical Home Visiting on Aggressive Behavior Problems in Kindergarten.
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Dose-Response Effect of Mother-Infant Clinical Home Visiting on Aggressive Behavior Problems in Kindergarten.

机译：母婴临床家访对幼儿园侵略行为问题的剂量反应效应。

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OBJECTIVE:: The objective of this follow-up study was to assess the long-term effects of clinical infant home-visiting services on child outcomes at school entry. METHOD:: Participants were 63 five-year-olds from low-income families, half of whom were referred to parent-infant home-visiting services during the first 18 months of life due to concerns about the caretaking environment. Families received between 0 and 18 months of weekly home visits based on infant age at entry into the study. At age 5, children were rated by teachers on the Preschool Behavior Questionnaire for behavior problems in the classroom and by parents both on the Simmons Behavior Checklist for behavior problems at home and on the Achenbach Social Competence Items for positive play behaviors with friends. RESULTS:: With initial family risk status and child gender controlled, teacher-rated hostile behavior problems decreased in dose-response relation to the duration of early home-visiting services, which accounted for 15% of the variance in child hostile behavior. Parents' reports of positive play behaviors were positively linearly related to service duration. Parents' reports of behavior problems were less reliably related to service duration than teacher reports. CONCLUSIONS:: Early home-visiting services reduced the incidence of aggressive behavior problems among socially at-risk children for up to 3.5 years after the end of services.
机译：目的：这项随访研究的目的是评估临床婴儿在家就诊服务对入学时儿童结局的长期影响。方法：参与者是来自低收入家庭的63岁的5岁儿童，由于对照护环境的担忧，他们中有一半在出生后的前18个月被转介给父母婴儿家庭看护服务。根据进入研究的婴儿年龄，每周接受0到18个月的家访。在5岁时，教师在“学前行为问卷”中对孩子在课堂上的行为问题进行了评估，并在父母的“西蒙斯行为清单”中对在家中的行为问题进行了评估，并在“阿亨巴赫社交能力项目”中对与朋友的积极游戏行为进行了评估。结果：在家庭风险处于初始状态且儿童受到性别控制的情况下，教师评价的敌对行为问题与早期家庭看护服务持续时间的剂量反应关系有所减少，占儿童敌对行为差异的15％。父母关于积极游戏行为的报告与服务时间呈线性正相关。父母关于行为问题的报告与服务时间的相关性不如教师报告。结论：在服务终止后长达3.5年的时间里，早期的家庭看护服务可降低社会风险儿童的攻击性行为问题的发生率。

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