Parent Management Training in a Chinese Population: Application and Outcome

Ho, T. P.; Chow, Veronica; Fung, Christina; Leung, Karen Ka Yan; Chiu, Kit-Yuen; Yu, Germaine; Au, Yee-Wan; Lieh‐Mak, F.

doi:10.1097/00004583-199909000-00022

Cited by 46 publications

(44 citation statements)

References 30 publications

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“…This finding is consistent with data from European American caregivers (e.g., Cross-Calvert and McMahon 1987;Jones et al 1998). However, this finding contradicts the reports that Chinese parents in Hong Kong are hesitant to use praise (Ho et al 1999;Leung et al 2009). Results from current study suggest that mainland Chinese caregivers find contingent praise and responsive play at home to be acceptable parenting strategies.…”

Section: Discussioncontrasting

confidence: 61%

“…It was predicted that the BFT components would be perceived as acceptable, since increasing child compliance is a treatment goal consistent with Chinese culture. Additionally, mainland Chinese caregivers might perceive differential attention (i.e., contingent praise) as a less acceptable strategy to manage child disruptive behavior, since Chinese parents in Hong Kong were found to be hesitant to use praise in therapy (Ho et al 1999;Leung et al 2009). In contrast, the BFT control procedures (Stage II) might be perceived as more acceptable than praise and play components (Stage I), since Chinese families place strong emphasis on conformity, obedience, and discipline (Ho 1986).…”

Section: Introductionmentioning

confidence: 99%

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Acceptability of Behavioral Family Therapy among Caregivers in China

Roberts

Wong

et al. 2010

J Child Fam Stud

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In the U.S., helping the noncompliant child and parent child interaction therapy represent behavioral family therapy programs that are empirically supported for treating the conduct problems of 2-to 7-year old children. This study examined how caregivers in China would view behavioral family therapy. Caregivers in Hangzhou, China reported the perceived age of deviance for behavioral family therapy targets (e.g., noncompliance) and rated the acceptability of behavioral treatment components (e.g., timeout). Chinese caregivers agreed with EuropeanAmerican culture on considering noncompliance, aggression, tantrums, and negative talk deviant during the preschool period. Overall, Chinese caregivers considered all the following nine behavioral family therapy components acceptable: contingent praise, responsive play, ignoring deviant attention seeking, authoritative instruction-giving, warnings, chair timeouts, ignoring tantrums during timeout, room backups for chair timeouts, and immediate timeouts for aggression. However, specific parental reservations were found regarding backup procedures for chair timeouts, particularly room backups. Possible treatment accommodations of behavioral family therapy for Chinese families are discussed.

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Section: Discussioncontrasting

confidence: 61%

Section: Introductionmentioning

confidence: 99%

Acceptability of Behavioral Family Therapy among Caregivers in China

Roberts

Wong

et al. 2010

J Child Fam Stud

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“…Several longitudinal studies of psychiatric symptoms have shown high rates of PTSD and depressive symptoms (e.g. 50% in Cambodians) that generally diminish over time (Kinzie, Sack, Angell, Clarke, & Rath, 1986; Kinzie, Sack, Angell, Manson, Rath, 1989; Sack et al, 1993; Sack, Clarke, & Seeley, 1996; Sack, Him, & Dickason, 1999). Adolescent refugees with strong parental support and community engagement have diminished negative behavioral outcomes (Drury & Williams 2012; Geltman et al, 2005).…”

Section: Introductionmentioning

confidence: 99%

Fostering Resilience: Protective Agents, Resources, and Mechanisms for Adolescent Refugees’ Psychosocial Well-Being

Weine

Ware

Hakizimana

et al. 2014

APS

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Background Adolescent refugees face many challenges but also have the potential to become resilient. The purpose of this study was to identify and characterize the protective agents, resources, and mechanisms that promote their psychosocial well-being. Methods Participants included a purposively sampled group of 73 Burundian and Liberian refugee adolescents and their families who had recently resettled in Boston and Chicago. The adolescents, families, and their service providers participated in a two-year longitudinal study using ethnographic methods and grounded theory analysis with Atlas/ti software. A grounded theory model was developed which describes those persons or entities who act to protect adolescents (Protective Agents), their capacities for doing so (Protective Resources), and how they do it (Protective Mechanisms). Protective agents are the individuals, groups, organizations, and systems that can contribute either directly or indirectly to promoting adolescent refugees’ psychosocial well-being. Protective resources are the family and community capacities that can promote psychosocial well-being in adolescent refugees. Protective mechanisms are the processes fostering adolescent refugees’ competencies and behaviors that can promote their psychosocial well-being. Results Eight family and community capacities were identified that appeared to promote psychosocial well-being in the adolescent refugees. These included 1) finances for necessities; 2) English proficiency; 3) social support networks; 4) engaged parenting; 5) family cohesion; 6) cultural adherence and guidance; 7) educational support; and 8) faith and religious involvement. Nine protective mechanisms identified were identified and grouped into three categories: 1) Relational (supporting, connecting, belonging); 2) Informational (informing, preparing), and; 3) Developmental (defending, promoting, adapting). Conclusions To further promote the psychosocial well-being of adolescent refugees, targeted prevention focused policies and programs are needed to enhance the identified protective agents, resources, and mechanisms. Because resilience works through protective mechanisms, greater attention should be paid to understanding how to enhance them through new programs and practices, especially informational and developmental protective mechanisms.

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“…Additionally, in many communities including those in Rwanda, mental illness is understood almost exclusively to be psychosis (Rugema et al 2015), and PTSD symptoms may not be viewed as warranting mental health care. This may be particularly true in communities where the burden of trauma exposure and PTSD is extremely high, long-term mental health outcomes are heterogeneous (Karstoft et al 2013), and symptoms may seem disconnected from functioning (Sack et al 1999). Further research is required to understand specific factors that may be limiting treatment seeking in this setting.…”

Section: Discussionmentioning

confidence: 99%

Mental health care in post-genocide Rwanda: evaluation of a program specializing in posttraumatic stress disorder and substance abuse

Harerimana²

2016

Glob. Ment. Health

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BackgroundFollowing the genocide, millions of Rwandans are likely living with posttraumatic stress disorder (PTSD). Le Centre Psychothérapeutique Icyizere provides the only specialized treatment for PTSD in the Rwandan healthcare system.MethodsDemographics, diagnosis, treatment, outcomes, and scores on assessments of functioning and PTSD were recorded from clinical charts of all patients receiving care between October 2013 and 2014. Descriptive statistics and within-group t tests comparing functional impairment and PTSD symptoms at intake to discharge and follow-up were calculated.ResultsA total of 719 patients (55.08% male) received care. Patients were more educated, more likely to live in the capital, and less likely to be married than the general population. Patients reported high desire for, and strong satisfaction with, care. Most patients (55.60%) were still in care by the end of the program evaluation. Functioning improved from intake to discharge (p < 0.001), and improvements were sustained at follow-up (p < 0.001). Most adults were diagnosed with psychotic disorders, substance use disorders, or depression. Only 20 patients were diagnosed with PTSD, and symptoms were improved at discharge (p = 0.003).ConclusionsThis program evaluation demonstrated the utility of a low-resource information management system to provide clarity about the patient population and outcomes. Results suggest that services are effective and sustainable, although people with PTSD were not the primary recipients of care. Disparities in care by diagnosis, education, marital status, and geography are discussed. Results have contributed to changes in service delivery and care and efforts to increase access to care.

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Parent Management Training in a Chinese Population: Application and Outcome

Cited by 46 publications

References 30 publications

Acceptability of Behavioral Family Therapy among Caregivers in China

Acceptability of Behavioral Family Therapy among Caregivers in China

Fostering Resilience: Protective Agents, Resources, and Mechanisms for Adolescent Refugees’ Psychosocial Well-Being

Mental health care in post-genocide Rwanda: evaluation of a program specializing in posttraumatic stress disorder and substance abuse

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