Parenting programmes for parents of children and young people with behavioural difficulties

Children and young people exhibiting behavioural difficulties present a major challenge not only to parents but also to education and health professionals and to society as a whole. In this paper, I shall address some key issues regarding these parenting programmes, based particularly on a programme of research over 13 years in the Centre for Educational Development, Appraisal and Research at the University of Warwick. This has comprised large‐scale studies across all areas of England, both programmes targeted at parents whose children are presenting or at risk of developing behavioural difficulties: the Parenting Early Intervention Pathfinder and Parenting Early Intervention Programme; and universal programmes aimed at all parents, as a positive contribution to behavioural development across the population: the CANparent trial. All were funded by the Department for Education plus the continuation of the CANparent trial was funded by the Department of Health. In addition, I consider studies that have built on this research to examine the use of parenting programmes with parents of children and young people with special educational needs; and also the effectiveness of programmes during sustained implementation, beyond formal trials and similar research initiatives, that is, as day‐to‐day practice. I show that well‐constructed parenting programmes that are acceptable to parents are effective, that these positive effects on parents can remain over time, and also that the positive effects found in well‐organised trials can be maintained when programmes are delivered by community services as part of their normal practice.     

Parenting young children with challenging behaviour

Previous research has established the link between harsh parenting and poor outcomes in children, although little attention has been paid to the concurrent protective factors which may exist. The relationship between parenting behaviours and childhood externalizing behaviours was investigated in a sample of 60 parents of young children (ages 2–5 years). Thirty families were selected for participation based on teacher‐reported externalizing behaviour in their young child which exceeded normal limits and matched with a sample of 30 parents of children without externalizing behaviour problems. Results found that parents of young children with externalizing behaviours tended to use more frequent verbal and corporal punishment with their young children, and reported more behaviour problems with their young children when compared with a control group. However, no significant differences were found between groups with respect to positive, nurturing behaviours, or utilizing appropriate developmental expectations. Implications for prevention are discussed. Copyright © 2005 John Wiley & Sons, Ltd.     

Parenting stress in parents of children with attention-deficit hyperactivity disorder and parents of children with learning disabilities

Parenting a child with ADHD can challenge parenting resources and coping. Increasingly, researchers are examining the relationship between the behavior of the child with ADHD and family functioning. While studies have shown inceased parenting stress in parents of children with ADHD, these studies have compared children with ADHD to non-disabled children. This study compares reports of parenting stress among mothers of children with ADHD, mothers of children with learning disabilities and mothers of non-referred children. Results showed that parenting stress was highest for mothers of children with ADHD. Increased parenting stress was associated with child characteristics and, in particular, with externalizing behavior problems.     

Parenting style in Spanish parents with children aged 6 to 14

The aim of this paper was to establish which parenting style of Spanish families is associated with optimum children's outcomes. A random Spanish sample of 1,103 parents of children and teenagers from 6 to 14 years of age, of whom 47% were females, reported on their child-rearing practices. Families were classified into 1 of 4 groups (authoritative, authoritarian, indulgent, or neglectful) based on the parents' answers. Socialization outcomes were 6 indicators of interpersonal relationship quality, 9 indicators of psychological adjustment, 7 indicators of personal competence, and 12 indicators of behavior problems. Results showed that indulgent and authoritative parenting styles were associated with better outcomes than authoritarian and neglectful parenting. Overall, our results supported the idea that, in Spain, the optimum parenting style is the indulgent one, as scores in the four sets of socialization outcomes among children and teenagers from indulgent families were always equal to, or even better than, the authoritative parenting style.     

Parenting among Hispanic and Anglo-American mothers with young children

The authors examined parenting practices and developmental expectations among 38 Hispanic and 38 Anglo-American mothers living in the United States. Mothers of children 3 to 5 years of age completed the Parent Behavior Checklist (R. A. Fox, 1994), a 100-item measure of parents' developmental expectations, discipline, and nurturing practices. In addition, the authors appraised the Hispanic mothers' acculturation and selected them for participation if their scores on an acculturation scale indicated (a) that their lifestyle was predominantly Hispanic and (b) that they had not been assimilated into the dominant culture. The 2 ethnic groups were also divided by socioeconomic status (SES). There were significant main effects for ethnicity and SES on the discipline and nurturing scores but not on the expectations scores. The Hispanic and higher SES mothers reported higher discipline and lower nurturing scores than did the Anglo-American and lower SES mothers. An unexpected finding was the tendency for higher SES Hispanic mothers to report more frequent use of discipline than the other 3 groups.     

Parenting behaviors in parents with anxiety disorders

Anxiety disorders are familial, and although considerable evidence supports the role of genetic/biological parameters in their development, these alone do not entirely explain their etiology. In this study, the role of parenting behavior as a possible factor in the transmission of anxiety from parent to child was examined. Using interview, self-report, and direct behavioral observation, behaviors of parents with an anxiety disorder were compared to those of parents without an anxiety disorder on a number of dimensions, but particularly with respect to whether anxious parents actively inhibited their children from engaging in normal age appropriate activities. These behaviors were assessed during routine activities and in a structured non-conflictual play task. Although anxious parents did not overtly restrict their child's behavior in either type of activity, they reported higher levels of distress when their children were engaged in these activities. Similarly, the "emotional climate" in families with an anxious parent differed significantly from families without an anxious parent. The results are discussed in terms of how parenting behaviors might influence the development of maladaptive anxiety via social learning and information transfer, and their heuristic implications.     

Parenting after trauma: Supporting parents and caregivers in the treatment of children impacted by violence

The deleterious impact of trauma on parents and their capacity to parent their children seems well recognized in the clinical community, although not sufficiently studied empirically. The purposes of this article are to present an overview of current knowledge about trauma and parenting, to provide an illustrative clinical case study, and to offer recommendations for systemic treatment modalities, multidisciplinary program design, and empirical evaluation. The preponderance of evidence from both the available literature and clinical observations indicates the crucial need for caregiver support in families who have experienced violence. The case study provides an exemplar of the overlapping and interrelated clinical needs of families experiencing trauma. The authors conclude that future empirical study should focus on delineating the processes through which parent functioning following trauma affects children, as well as establishing the effectiveness of treatment and the links between improvement in parent mental health and subsequent enhanced functioning in children. ©2003 Michigan Association for Infant Mental Health.     

二胎家庭的父母养育

随着我国全面二胎政策的实施,关于二胎家庭父母养育的问题越来越受到社会的广泛关注。但是,在我国这方面的研究极度稀缺。本文就二胎家庭父母养育的表现形式、影响因素及作用机制进行论述。二胎家庭父母养育的表现形式包括父母差别对待、协调同胞关系等。二胎家庭父母养育的影响因素包括父母养育第一胎的经验、婚姻质量、协同养育、儿童特点等。二胎父母养育的作用机制包括父母差别对待造成的儿童心理发展问题,以及父母在协调同胞关系中的作用。此外,本文结合已有文献,提出了一个"二胎家庭父母养育的过程机制"模型,揭示在二胎家庭情境下,各种因素是如何影响父母的养育模式,又通过哪些作用机制对家中的两个孩子产生影响。最后,强调未来我国的研究者应该重视本土化,关注社会变迁中二胎父母养育的特点。     

Assessing the effectiveness of the ‘Incredible Years® parent training’ to parents of young children with ADHD symptoms – a preliminary report

This study examined the effectiveness of an evidence‐based parent training program in a real‐world Scandinavian setting. Parents of 36 young children with or at risk of Attention Deficit Hyperactive Disorder (ADHD) self‐referred to participate in the Incredible Years^® Parent Training Program (IYPT) through a Danish early intervention clinic. Using a benchmarking approach, we compared self‐report data with data from a recent efficacy study. Eight out of nine outcome measures showed comparable or higher magnitude of effect from pretest to posttest. Effects were maintained or improved across six months. The methodology of this study exemplifies a rigorous but feasible approach to assessing effectiveness when evidence‐based US protocols are transferred into the existing Scandinavian service delivery. Findings suggest that IYPT can be implemented successfully as an easy‐access early intervention to families of children with or at risk of ADHD.     

Measuring executive function skills in young children in Kenya

Interest in measuring executive function skills in young children in low- and middle-income country contexts has been stymied by the lack of assessments that are both easy to deploy and scalable. This study reports on an initial effort to develop a tablet-based battery of executive function tasks, which were designed and extensively studied in the United States, for use in Kenya. Participants were 193 children, aged 3–6 years old, who attended early childhood development and education centers. The rates of individual task completion were high (65–100%), and 85% of children completed three or more tasks. Assessors indicated that 90% of all task administrations were of acceptable quality. An executive function composite score was approximately normally distributed, despite higher-than-expected floor and ceiling effects on inhibitory control tasks. Children’s simple reaction time (β = –0.20, p = .004), attention-related behaviors during testing (β = 0.24, p = .0005), and age (β = –0.24, p = .0009) were all uniquely related to performance on the executive function composite. Results are discussed as they inform efforts to develop valid and reliable measures of executive function skills among young children in developing country contexts.     

Sleep problems of parents of typically developing children and parents of children with autism

Few researchers have investigated the relation of children's sleep problems to their parents' sleep problems. Children with autism have been reported to evidence greater sleep problems than do typically developing children (C. D. Hoffman, D. P. Sweeney, J. E. Gilliam, & M. C. Lopez-Wagner, 2006; P. G. William, L. L. Sears, & A. Allard, 2004). In the present study, parents (N = 106) of children independently diagnosed with autism (4-16 years of age; M= 8.20 years, SD = 2.69 years) reported greater sleep problems for themselves than did parents (N = 168) of typically developing children (4-15 years of age; M = 8.62 years, SD = 3.28 years). Children's sleep problems were related to parents' sleep problems for both groups; in the autism group, children's level of symptomatology was not related to their parents' sleep. The authors suggest areas for further research on the sleep problems of children and their parents, the potential interaction of these problems with children's symptomatic behavior, and the relations of these factors to child, parent, and family functioning.     

The effects of the Triple P-Positive Parenting Program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties

Two variants of a behavioral family intervention (BFI) program known as Triple P were compared using 87 preschoolers with co-occurring disruptive behavior and attentional/hyperactive difficulties. Families were randomly allocated to enhanced BFI (EBFI), standard BFI (SBFI), or a waitlist (WL) control group. At postintervention both BFI programs were associated with significantly lower levels of parent-reported child behavior problems, lower levels of dysfunctional parenting, and greater parental competence than the WL condition. The EBFI condition was also associated with significantly less observed child negative behavior in comparison to the WL. The gains achieved at postintervention were maintained at 1-year follow-up. Contrary to predictions, the enhanced program was not shown to be superior to the standard program using any of the outcome measures at either postintervention or follow-up. Each of the programs produced significant reductions in children's co-occurring disruptive behavior and attentional/hyperactive difficulties with 80% of the children showing clinically reliable improvement in observed negative behavior from preintervention to follow-up.     

Development and Validation of the Knowledge of Parenting Strategies Scale: Measuring Effective Parenting Strategies

The current study aimed to develop and evaluate a measure of parenting knowledge, the Knowledge of Parenting Strategies Scale (KOPSS); specifically, to establish the scales internal reliability, ensure a clinically appropriate length, provide a community sample for future comparison, demonstrate adequate test–retest reliability and convergent validity, and to compare the scale to dysfunctional discipline styles. A total of n?=?865 parents were involved in the development and evaluation of the scale. In Study 1, data was collected from n?=?229 parents and Rasch analyses revealed seven items did not fit the measurement model. Study 2 involved a further sample of community families (n?=?346) and revealed the scale could be further shortened to 16 items. Study 3 revealed the scale has good test–retest reliability over a one-week period (r?=?.88, p?<?.001). Study 4 demonstrated convergent validity through a comparison to the Knowledge of Effective Parenting Scale (r?=?.583, p?=?.009). Study 5 utilised a sample of community families (n?=?190), revealing the scale was negatively correlated with hostile and lax discipline (r?=??.29, p?<?.001; r?=??.15, p?<?.05). Lastly, Study 6 showed scores on the KOPSS significantly improved following clinic-based and Internet-based Behavioural Parent Training. The KOPSS was found to be a valid and reliable measure of parenting knowledge of effective parenting strategies, which can be used to evaluate knowledge acquisition in parenting programs, and test the role of knowledge in behaviour change.