Cynthia Leung

Effectiveness of Parent-Child Interaction Therapy (PCIT) Among Chinese Families

Objective: This study examined the effectiveness of Parent—Child Interaction Therapy (PCIT) among Chinese parents and children in Hong Kong with significant behavior problems. Method: The participants (intervention group, 48; comparison group, 62) completed questionnaires on child behavior problems and parenting stress before and after intervention. Results: Univariate analysis of covariance, with preintervention scores as covariates, showed the intervention group participants reported fewer child behavior problems and parenting stress postintervention than the comparison group participants. The observational data demonstrated a decrease in inappropriate child-management strategies and an increase in positive parenting practices following intervention. The intervention group participants generally maintained the changes 3 to 6 months after program completion. Conclusions: Cultural issues related to PCIT and culturally appropriate intervention strategies were discussed.

The psychological adaptation of overseas and migrant students in Australia

This study aimed to examine the psychological adaptation of overseas and migrant students, and Anglo-Australian students, in the light of various individual variables including social self-efficacy, locus of control, loneliness, age, sex, and acculturating group membership. Participants were 382 students attending various universities in Melbourne, Australia. There were 189 Anglo-Australian students, 72 Southern-European second-generation migrant students, 33 Asian migrant students, 33 Chinese migrant students, and 55 Chinese overseas students. The results suggested that there were ethnic differences in loneliness, social self-efficacy, locus of control, and academic satisfaction. For nonmigrant students, a sense of control was important to their psychological and academic adaptation whereas for migrant/overseas students, supportive social relationships were important for their psychological and academic adaptation. The implications of these results for service provisions to students were also discussed. ...

Outcome of a postnatal depression screening programme using the Edinburgh Postnatal Depression Scale: a randomized controlled trial

BACKGROUND There is a lack of evidence on the effectiveness of postnatal depression (PND) screening programmes in reducing morbidity. The aim of this study was to evaluate the effectiveness of a PND screening programme using Edinburgh Postnatal Depression Scale (EPDS) in improving maternal mental health. METHODS The randomized controlled trial design was used. Participants were 462 Chinese mothers with 2-month-old babies visiting Maternal and Child Health Centres in Hong Kong. Participants in the intervention group were screened for PND using the EPDS, whereas those in the control group were screened by clinical assessment. In both groups, participants identified with PND were offered follow-up management according to protocol. RESULTS Participants in the intervention group had better maternal mental health outcome as assessed by EPDS at 6 months (risk ratio: 0.59; 95% confidence interval: 0.39-0.89). The number needed to screen was 25. CONCLUSIONS A PND screening programme comprising the use of EPDS as the screening tool and the provision of follow-up care had resulted in an improvement in maternal mental health at 6 months.

Development of a preschool developmental assessment scale for assessment of developmental disabilities

The aim of this paper was to describe the development of the cognitive domain of the Preschool Developmental Assessment Scale (PDAS) for assessment of preschool children with developmental disabilities. The initial version of the cognitive domain consisted of 87 items. They were administered to 324 preschool children, including 240 children from preschools and 84 children with developmental disabilities. Initial Rasch analysis results indicated that the fit statistics of 42 of the items were outside the acceptable range. Based on the fit statistics and considering the overall structure of the scale, the revised version consisted of 40 items and this version conformed to the Rasch expectations. The revised 40-item scale could differentiate between children with typical development and children with developmental disabilities. It could also differentiate between children from different age groups. The internal consistency estimate (KR-20) was .93. The cognitive domain of the PDAS is considered a promising developmental assessment tool for assessment of developmental disabilities.

Romantic beliefs, styles and relationships among young people from Chinese, Southern European, and Anglo-Australian backgrounds

In this study, the romantic beliefs, styles of relating, sex-role traits, and social self-efficacy of 433 young people from three cultural groups were assessed and their links with relationship status and loneliness explored. A majority cultural group (Anglo-Australians) was compared with two minority groups (Chinese- and Southern European-background young people) within the same society. Chinese-background youth were less likely to be in a romantic relationship and more likely to be lonely than Anglo-Australian or Southern European-Australians. Greater loneliness was associated with non-secure relationship styles, lower social self-efficacy, and lower scores on psychosocial femininity and masculinity. Predictors of relationship status included romantic attitudes and relationship styles. Some evidence pointed to stronger social efficacy and more secure relationship styles being associated with greater acculturation but it was rather weak and inconsistent.

The effectiveness of a Group Triple P with Chinese parents who have a child with developmental disabilities: a randomized controlled trial

The study examined the effectiveness of Group Triple P, a Level 4 variant of the Triple P multilevel system of parenting support, with Chinese parents who had a preschool aged child with a developmental disability, using randomized controlled trial design. Participants (Intervention group: 42; Waitlist Control group: 39) completed measures on child behaviour, parental stress, dysfunctional discipline styles and parental conflict before and after program completion by the Intervention group. Intervention group participants also completed these same measures six months after program completion. Compared to the Waitlist Control group, parents receiving Group Triple P reported significantly lower levels of child behaviour problems, parental stress, dysfunctional discipline style and parental conflict scores. The Intervention group participants maintained their gains six months after program completion. The results provided promising evidence for the Level 4 Group Triple P as an effective intervention program for Chinese parents who have preschool aged children with developmental disabilities.

The Efficacy of Parent-Child Interaction Therapy with Chinese Families: Randomized Controlled Trial.

Objective: This study aimed to examine the efficacy of the Parent-Child Interaction Therapy (PCIT) in Hong Kong Chinese families, using randomized controlled trial design. Methods: The participants included 111 Hong Kong Chinese parents with children aged 2–7 years old, who were randomized into the intervention group (n = 54) and control group (n = 57). The participants were requested to complete a set of questionnaires on child behavior problems and parenting before and after intervention. They were also assessed by PCIT therapists using Dyadic Parent–Child Interaction Coding System: Abbreviated Version (3rd edition) before and after intervention. Results: The results indicated significant decrease in child behavior problems, parenting stress, negative emotions, negative parenting practices, and increase in positive parenting practices in the intervention group, compared with the control group. Conclusion: The results provided encouraging evidence that the PCIT was effective with Hong Kong Chinese families.

Outcome Evaluation of the Hands-On Parent Empowerment (HOPE) Program

This study evaluated the effectiveness of the HOPE program. Participants included 120 Chinese new immigrant parents with preschool children in Hong Kong from 13 preschools which were randomized into intervention group (HOPE) and comparison group (6-session parent education program). Parent participants completed measures on child behavior, parenting stress, social support and self-efficacy before and after intervention. The children were assessed on the WPPSI-R and receptive vocabulary before and after parent intervention. Results indicated significant decrease in post-intervention child behavior problems and parenting stress and increase in social support in the intervention group, compared with the comparison group. Implications for service delivery for parents of preschool children were discussed.

The Chinese Parental Stress Scale: Psychometric Evidence Using Rasch Modeling on Clinical and Nonclinical Samples

In this study, we examined the psychometric properties of the Parental Stress Scale (PSS; Berry & Jones, 1995) with Chinese parents. Participants included 162 parents recruited through primary schools and 38 parents with children with attention deficit hyperactivity disorder (ADHD). Rasch analysis results indicated that 2 items were outside the accepted fit statistics range and that the Likert scale response categories were not functioning properly. We identified a reduced 16-item scale with 5 categories as unidimensional, with a person reliability of .86; the Likert scale response categories worked well. The revised PSS correlated with measures of child behavior and parenting stress and could differentiate between the 2 groups of parents.

The validation of a scale to measure cognitive development in Chinese preschool children.

The present study aimed to evaluate the reliability and validity of the cognitive sub-test of the Preschool Developmental Assessment Scale (PDAS) for Hong Kong Chinese children. Participants included 378 children (189 boys and 189 girls) aged 3-6 years old, with 324 children with typical development and 54 children with developmental disabilities. They were administered the cognitive sub-test of the PDAS and the Wechsler Preschool and Primary Scale of Intelligence - Revised (WPPSI-R). The PDAS cognitive sub-test total scores correlated positively with the WPPSI-R scores. It could differentiate children from different age groups, with younger children attaining significantly lower scores than older children. The sub-test could also differentiate children with typical development from those with developmental disabilities, with the latter attaining significantly lower scores. The sensitivity and specificity were around 80%. Internal consistency (KR-20) was .93 and test-retest reliability was .81. The cognitive sub-test of the PDAS was found to be a promising screening tool for the identification of preschool children with developmental disabilities.