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Living with conduct problem youth: family functioning and parental perceptions of their child.

Abstract：

:Parenting children with conduct problems (CP) is challenging, yet very little is known about the impact of the child's behaviour on family functioning or how parents of children with CP perceive their child. The aim of this research was to examine whether families with children with CP and high vs. low levels of callous-unemotional traits (HCU vs. LCU) experience differences in family functioning and parental perceptions. One hundred and one parents/caregivers of boys aged 11-16 [Typically developing (TD) n = 31; CP/HCU n = 35; CP/LCU n = 35] completed the McMaster Family Assessment Device, measuring multiple domains of family functioning. Parents/caregivers also completed a written statement describing their child, used for qualitative analysis. Families with CP/HCU children had poorer affective involvement than TD (p = 0.00; d = - 1.17) and CP/LCU (p = 0.03; d = - 0.62) families. Families with CP/HCU children showed significantly poorer general family functioning (p = 0.04; d = - 0.63) and more poorly defined family roles (p = 0.005; d = - 0.82) than families with TD children. Qualitative analyses indicated that parents/caregivers of CP/HCU children characterised them as having a dichotomous personality and being superficially charming. CP/LCU children were characterised as cheeky and endearing, with parents reporting good rapport. Families with CP/HCU children presented with specific difficulties in affective involvement and parents described challenges which were in line with the child's specific presentation of lack of empathy and shallow affect. These findings may be used to help clinicians identify targets for family interventions.

journal_name

Eur Child Adolesc Psychiatry

journal_title

European child & adolescent psychiatry

authors

Roberts R,McCrory E,Joffe H,De Lima N,Viding E

doi

10.1007/s00787-017-1088-6

subject

Has Abstract

pub_date

2018-05-01 00:00:00

pages

595-604

issue

5

eissn

1018-8827

issn

1435-165X

pii

10.1007/s00787-017-1088-6

journal_volume

27

pub_type

杂志文章

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