No description available.

Maternal depression has a negative impact on child development and the parent-child relationship (NICHD Early Child Care Research Network, 1999). The purpose of this study was to determine the treatment effectiveness of Parent Child Interaction Therapy (PCIT) with mothers identified with high levels of depressive symptoms in comparison with mothers with low levels of depressive symptoms and their children with behavior problems. The treatment effectiveness of PCIT was measured by pre- to post-treatment changes in the quality of parent-child relationship and reductions in child behavior problems, maternal depression, and parental stress. Subjects were 23 mothers identified with low levels of depressive symptoms and 26 mothers identified with high levels of depressive symptoms and their children. Findings showed there were improvements at post-treatment for both groups in child behavior problems, the quality of the parent-child relationship, maternal depressive symptoms, and parent stress levels. Mothers in the high depressive symptoms group reported achieving greater treatment gains when compared to the mothers in the low symptom group.

The purpose of this study was to examine the effectiveness of PCIT as an alternative to medication in managing symptoms and behavior problems of preschool-aged children with ADHD. Using a multiple baseline single-case design, the study measured the impact of PCIT on four preschool-aged children's problem behaviors and ADHD symptoms, parenting practices, and mothers' attitudes towards therapy. Outcome measures included the Child Behavior Checklist, Eyberg Child Behavior Inventory, Behavior Assessment System for Children, ADHD Symptom Observation form, Dyadic Parent-Child Interaction Coding System, Parenting Practices Interview, and Therapy Attitude Inventory. Results from visual analyses, a visual permutation test, and hierarchical linear modeling showed partial treatment effects for mothers' use of labeled praises (b = 10.67, p < 0.0001), commands (b = -26.84, p = 0.000), behavior management skills (b = 91.21, p < 0.0001), children's behavior problems (b = -20.29, p = 0.000), and parent-reported ADHD symptoms (b = -25.76, p = 0.000). Mothers expressed high satisfaction with PCIT and reported their relationships with their children and their children's compliance and behavior problems had improved post-intervention. The consistency with which other caretaking partners (e.g., fathers) practiced the same discipline procedures as the mothers in the study played a significant role in the changes observed in mothers' use of effective discipline practices and children's behavior problems. Findings of this study indicate PCIT may partially be an effective intervention in improving children's behavior problems and ADHD symptoms.

Filial therapy, originally developed by Bernard Guerney (1964), is a form of parent child therapy utilizing child-centered skills and limit setting strategies to improve the parent child relationship and to increase positive child behaviors. Parent Child Interaction Therapy (PCIT), developed by Sheila Eyberg (1988), is an empirically supported treatment for improving parenting skills and decreasing negative externalizing behavior with children. Child Parent Relationship Therapy (CPRT), developed by Garry Landreth (2002), is an up and coming form of Filial therapy, supported in the literature for improving the parent child relationship and improving the child’s general functioning. Children diagnosed with Autism Spectrum Disorders (ASD) often present with deficits in their socialization and communication abilities. These deficiencies can cause strain on the parent child relationship because of the challenges inherent to the maladaptive interactions common among families with a child diagnosed with ASD. Therefore, there is a need for effective interventions to improve the functioning between the parent and child. However, a review of the literature discovered a lack of research using Filial therapy with children diagnosed with ASD and no research comparing different forms of Filial therapy. In order to better inform practitioners, the current study utilized qualitative analysis through a deconstructing evidence approach to examine the experience of four participants in either the PCIT or CPRT group. Participants completed pre and post assessments measuring changes in the parent child relationship and their child’s adaptive functioning. The counselors of the group also recorded the parents’ reactions to the group through their weekly progress notes. The results yielded little support for one approach over the other. One participant in the CPRT had a very successful experience overall, reporting improvement in the parent child relationship and her child’s adaptive functioning. Furthermore, the counselors recorded a more positive reaction from the parents in the CPRT group as compared to the largely neutral or negative reactions from the parents in the PCIT group. However, overall, the study concluded that more research is needed on identifying a clearly superior Filial therapy approach for children diagnosed with ASD. / Department of Counseling Psychology and Guidance Services

A model of Teacher Child Interaction Therapy (TCIT) was implemented in two kindergarten classrooms of students (n = 2) who successfully completed Parent Child Interaction Therapy, but continued to demonstrate disruptive behaviors in the classroom. The current study first indicated that TCIT was implemented with integrity by both the therapists and teacher participants. Next, the effects of this intervention on the teacher’s skills, students’ disruptive behaviors, teacher’s stress, and teacher-child relationships were investigated. The treatment acceptability was also examined. Both visual and statistical analyses found a treatment effect in both cases was seen for both teachers’ increased use of positive interaction skills and decrease of negative interaction skills during the intervention session. However, these skills generalized to the interactions between the teacher and student during classroom instruction. Mixed results were found related to teachers’ use of effective commands. Results from visual analysis indicated that one child participant demonstrated a decrease in disruptive behaviors according to both teacher rating scales and classroom behavior observations. Neither teacher indicated significantly reduced stress over the course of TCIT. Teacher-child relationships improved for both students; however, one teacher also reported increased conflict in the relationship. Both teachers expressed high levels of treatment acceptability for the intervention. Further research should investigate the underlying causes for the nuances in the findings of this study. Additional research is also warranted to determine whether these results can be generalized to other students as well as best practices for implementing this intervention in schools.

The purpose of this study was to conduct a survey to identify the beliefs and practices of conservative Protestant parents, which assisted in clarifying the assertions in the current literature regarding conservative Protestant parenting. Additionally, this researcher sought to determine the applicability of child parent relationship therapy (CPRT), a filial therapy model based upon the principles of child centered play therapy, for conservative Protestant parents by ascertaining the need for cultural modifications. Beliefs and practices of conservative Protestants were measured using the Protestant Parenting Inventory (PPI), an original instrument developed through a series of focus groups and pilot testings. The population comprised 148 mothers and fathers from 4 Southern Baptist churches in and around the Dallas/Fort Worth metroplex. Exploratory factor analysis was applied to the data in order to increase internal consistency estimates and percent of explained variance. Criterion coding of demographic data allowed a multiple regression analysis to determine which demographic variables were significant predictors of participant responses on the PPI. Descriptive statistics allowed the researcher to investigate the compatibility of conservative Protestants and CPRT. Results of this study both confirm and refute past findings regarding conservative Protestants. Results also revealed the need for some cultural modifications to CPRT in order to make it an acceptable parenting resource for conservative Protestant parents.

Submitted by Fabiana Gonçalves Pinto (benf@ndc.uff.br) on 2015-12-09T12:36:35Z No. of bitstreams: 1 Glauco Barbosa Cardoso.pdf: 839821 bytes, checksum: b810bed43581a057dd68b5aeed98b330 (MD5) / Made available in DSpace on 2015-12-09T12:36:35Z (GMT). No. of bitstreams: 1 Glauco Barbosa Cardoso.pdf: 839821 bytes, checksum: b810bed43581a057dd68b5aeed98b330 (MD5) Previous issue date: 2008 / Mestrado Profissional em Enfermagem Assistencial / Este estudo apresenta os resultados de uma investigação do Programa de Pósgraduação Strictu Senso Mestrado Profissional Enfermagem Assistencial, da Escola de Enfermagem Aurora de Afonso Costa/UFF, Niterói/Rio de Janeiro. Neste sentido, busca trabalhar com o profissional da área de saúde, especificamente a equipe de enfermagem, a partir das relações presentes neste processo, sejam elas com o paciente ou com a equipe multidisciplinar, entendendo que a ação profissional, não pode ser pensada sem levar em conta a importância das ações de comunicação nela inserido. O presente estudo tem como objetivo descrever e analisar o processo de trabalho, realizado pela equipe de enfermagem em um estabelecimento público de saúde. Para tanto, caracteriza-se como um estudo qualitativo, que emprega em sua metodologia a técnica do sósia. Uma técnica originária da ergologia, que a partir da discrição do processo de trabalho realizado pelo profissional, busca identificar quais os elementos empregados durante o cuidado. O campo de pesquisa foi a unidade de Doenças Infecciosas e Parasitarias do Hospital Universitário Antônio Pedro. A opção pelo hospital se dá por este ser uma instituição organizada e preparada para proteger e manter a vida dentro dos limites da doença e dos recursos tecnológicos disponíveis, que finda por valorizar mais o corpo doente do que o ser que vivencia a doença. A análise do material indicou que o processo de trabalho desenvolvido pela equipe de enfermagem da unidade estudada caracteriza-se por uma sólida estrutura organizativa, permitindo um trânsito das diferentes tecnologias durante o cuidado, com foco no uso das tecnologias leves-duras pelos enfermeiros e das tecnologias leves por parte dos técnicos e auxiliares de enfermagem / This study presents the results of an investigation of the Graduate Program strictest sense Master Professional Nursing Care, of the School of Nursing called Aurora Afonso Costa of UFF, in Niterói, Rio de Janeiro. In this sense, it intends to work with the professional in the area of health, specifically the nursing staff, from the present relations in this process, whether with patients or with the multidisciplinary team, realizing that the action work, cannot be considered without taking into account the importance of actions of communication in this process include. This study aims to describe and analyze the process of work, performed by the nursing staff in a public health. To that end, it is characterized as a qualitative study, which employs in its methodology the technical ”double”. A technique originating from the “ergologic” that as of the description of the work done by professional, seeks to identify which items employees during the caution. The field of research was the unit of Infectious and Parasitic Diseases of the University Hospital Antonio Pedro. The decision by the hospital was based on the fact that the institution be organized and prepared to protect and maintain the life within the boundaries of illness and technological resources available, which just ended by giving more attention to the ill body than to the experience of the sick person. The analysis of the material indicated that the process of the work done by the nursing staff of the unit studied is characterized by a solid organizational structure, allowing a transit of different technologies during the care, with a focus on the use of soft-hard technology by nurses and soft technology on the part of technicians and auxiliary nurses

M.A. / ADD is a term used to describe a group of individuals who have certain common problems. Most have learning difficulties that may interfere with school and social activities. Many are hyperactive and/or easily distracted with short spans of attention. The exact causes of ADD are not known, but there is widespread acceptance that the disorder is often inherited. ADD is presently managed, but not cured. Effective management requires understanding. It is essential that all those involved develop a commonsense understanding of the associated problems. The aim of this study is to describe the behaviour of ADD children and their parents in order to establish whether similarities exist between the two. This will assist in understanding this complex disorder. The literature review served as a theoretical basis for the research. It also aided in the design of additional questionnaires which were used to gather demographic information on the children and parents involved. The objectives of the study were firstly to describe the behaviour of ADD children using the Behaviour Rating Scale for Hyper-children (BRASH). By analyzing data gathered from this instrument, high scores in the areas of intensity, persistence, sensitivity, perceptiveness, energy and extroversion, were identified. Secondly, the Assessment Scale for Hyperpersons (ASH) was administered in order to collect data concerning the behaviour of parents involved. Areas that received high scores included: intensity, perceptiveness, sensitivity, energy and extroversion. The next objective was to establish possible similarities in the behaviour of ADD children and their parents. The behaviour patterns were compared, and similarities identified. Both groups scored highest in the areas of intensity, perceptiveness, sensitivity, energy and extroversion. The results emphasize ADD as a family issue, rather than an individual one.

This study examined the effectiveness of training low income Black American parents in child parent relationship therapy (CPRT). In response to the cultural values and challenges faced by low income Black American parents, the CPRT manual was adapted slightly for use with parents for this study. In this quasi-experimental design, 14 parents were assigned to the experimental group and 13 parents were assigned to the no treatment control group. Six hypotheses were analyzed. Different analyses were conducted based on the hypotheses. A two-factor repeated measures analysis of variance and analysis of covariance were conducted to determine if the CPRT treatment and the no treatment control group performed differently across time according to pretest and posttest results of the Child Behavior Checklist - Parent Version (CBCL) and the Parenting Stress Index (PSI). Additionally, partial η2 was calculated to determine practical significance. Five hypotheses were retained at the .025 level of significance. Findings indicated that parents who participated in the CPRT training reported a statistically significant decrease in parent-child relationship stress. Specifically, parents assigned to the experimental group demonstrated a statistically significant decrease in Child Domain (p < .001), Parent Domain (p < .001), and Total Stress (p < .001) of the PSI when compared to parents assigned to the no treatment control group. Similarly, results indicated that parents assigned to the experimental group reported statistically significant improvements in Total Problems (p < .01) and Externalizing Problems (p = .001) of the CBCL, when compared to parents assigned to the no treatment control group. No statistical significant results were found on Internalizing Problems.

When a child has been sexually abused, the non-offending parent and child may benefit from an intervention aimed at enhancing the parent child relationship. This mixed-methods study examined the process of child parent relationship therapy (CPRT) with non-offending parents of children who had been sexually abused. One purpose of the present study was to examine change in parent-child relationship, child behavior, and parent empathy of non-offending parents whose children have been sexually abused after participation in CPRT. A secondary purpose of this study was to explore subjective experiences of non-offending parents who participate in CPRT. Participants (N = 8) completed 11 weeks of CPRT in either Spanish speaking (n = 4) or English speaking (n = 4) groups. All participants completed pretest and posttest instruments including Child Behavior Checklist, Parenting Stress Index, and Measurement of Empathy in Adult-Child Interaction. Pretest and posttest means were reported but because of small sample size, only descriptive statistics are reported. Possible trends in pretest/posttest mean scores of the quantitative instruments are discussed. All participants also completed a post semi-structured interview to account for the experience of participants qualitatively. Analysis of the qualitative data revealed enhanced parent-child relationships, improved communication, greater acceptance, positive parental internal changes, positive behavioral changes in child, and positive changes in discipline.