Correspondence concerning this write-up should be addressed to Marianne Wamboldt, Psychiatry, Children"s Hospital Colorado, 13123 east 16th Ave B130, Aurora, CO 80045. E-mail: marianne.wamboldt

Corresponding Author

Psychiatry, Children"s Hospital Colorado, Aurora, CO

Correspondence worrying this post should be handle to Marianne Wamboldt, Psychiatry, Children"s Hospital Colorado, 13123 eastern 16th Ave B130, Aurora, CO 80045. E-mail: marianne.wamboldt
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Caregiving relationship are far-reaching factors in the development, mediation, or moderation of childhood mental wellness problems. However, epidemiological and also clinical research has been minimal by absence of reliable, succinct, and also standardized methods of assessing parent–child connection constructs. The Relational processes Workgroup (ad hoc come the DSM-5 process) proposed more specific criteria to define a parent–child relational difficulty (PCRP). These criteria were ar tested in one of the DSM-5 field trial sites, using a comparable research style as DSM-5. Participants contained 133 symptomatic kids (5–17years) in energetic treatment because that a mental wellness problem and also their primary caregiver (86% mothers). Two different clinicians, each blinded come the assessment of the other clinician as well as the DSM-5 diagnoses, interviewed the dyads within a 2-week period, using the proposed PCRP criteria. Prior to each interview, parents were asked come write about their partnership with your child, and also children (over the age of 10years) filled the end the Parental Bonding Instrument, short Current, and also the viewed Criticism Measure. Clinicians were able to read the narratives and see results of the boy report measures before assessing the dyad. The weighted pervasiveness of a PCRP in this sample was 34%. The interclass kappa for as whole agreement between clinicians was 0.58 (0.40, 0.72), i beg your pardon indicates good interrater reliability. Further, clinicians discovered the PCRP diagnostic criteria clinically useful and also an development over the brief description the PCRP the was presented in DSM-IV. Relationships in between children and their major caregiver have the right to be assessed in a trusted manner, based on clinical interview through the child–caregiver dyad and several self-report measures.

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Las relaciones de cuidado kid factores significativos para el desarrollo, mediación o moderación de los problemas de salud mental en la niñez. Sin embargo, ras investigaciones epidemiológicas y clínicas se han visto limitadas por la falta de métodos fiables, concisos y estandarizados para evaluar construcciones de relaciones paternofiliales. El Grupo de Trabajo de Procesos Relacionales (grupo advertisement hoc para el proceso DSM-5) propuso criterios más específicos para definir un Problema de Relación Paternofilial (PCRP en inglés). Estos criterios fueron probados en uno de los lugares para pruebas de campo de DSM-5 mediante un diseño investigativo similar a DSM-5. Entre los participantes se incluyeron 133 niños sintomáticos (5-17 años) bajo tratamiento activo para un problema de salud psychological junto a su cuidador major (86% madres). Se pidió a los padres que escribieran sobre su relación con sus niños, y los niños mayores de 10 años de edad llenaron un Instrumento de Lazos Parentales, versión breve, y la Medida de Criticismo Percibido. Dos clínicos separados y cegados entrevistaron a ras parejas dentro de un periodo de 2 semanas, usando los criterios propuestos para PCRP. La prevalencia ponderada de un PCRP en esta muestra fue de 34%. El coeficiente interclase kappa de acuerdo basic entre los clínicos fue 0.58 (0.40, 0.72), lo que indica una buena fiabilidad de prueba y repetición de prueba. En adición, los clínicos estimaron los criterios diagnósticos PCRP útiles clínicamente y una mejora con respecto a la descripción breve de PCRP que fue presentada en DSM-IV. Ras relaciones entre niños y su cuidador major pueden ser evaluadas de manera fiable, a basic de la entrevista clínica con la pareja paternofilial y varias medidas de autoinforme.


照料关系是童年精神健康问题发展,调解和缓和的重要因素。然而, 流行病学和临床研究由于缺少可靠,简练和标准化评估父母儿童关系的方法而被局限。关系过程工作组(下设于DSM-5过程) 提出更具体的标准来定义家长儿童关系问题(PCRP). 这些标准通过使用与DSM-5类似的研究设计在DSM-5田间试验场地被实地测试。参与者包括133位有症状并正在积极接受精神健康问题治疗的孩子(5-17岁)和他们的主要照料人(86%是母亲)。家长被要求写出他们与孩子的关系,10岁以上的孩子要填写家长密切关系文书,简短通报和感知批评度量。两个单独的临床治疗师在两个星期的时间内通过使用建议的PCRP标准采访了这些二元关系。在该样本中,PCRP的权衡普及率是34%。临床治疗师之间总体认同的组际Kappa是0.58 (0.40,0.72),这表明了很好的测试-再测试可靠性。此外,临床治疗师还发现PCRP诊断标准在临床上很有用,并且改进了DSM-IV提供的PCRP简短描述。儿童与他们主要照顾人之间的关系可以通过可靠的方法,基于儿童-照料人二元向量的采访和几项自我报告措施被评估。