Randomized trial of parent-child interaction therapy improves child-welfare parents' behavior, self-regulation, and self-perceptions.

IF 4.5 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of consulting and clinical psychology Pub Date : 2024-02-01 Epub Date: 2023-12-07 DOI:10.1037/ccp0000859

Elizabeth A Skowron, Akhila K Nekkanti, Amanda M Skoranski, Carolyn M Scholtes, Emma R Lyons, Kathryn L Mills, David Bard, Alexus Rock, Elliot Berkman, Elizabeth Bard, Beverly W Funderburk

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引用次数: 0

Abstract

Objective: We conducted a large (N = 204) randomized, clinical trial to test the efficacy of parent-child interaction therapy (PCIT) on observed parenting, two key drivers of maladaptive parenting-self-regulation and social cognitions, and child behavior outcomes in a sample of child welfare-involved families.

Method: Participants were randomly assigned to standard PCIT (n = 120) or services-as-usual (SAU; n = 84). The sample was characterized by low household income, significant exposures to adverse childhood experiences, and substance abuse. Intention-to-treat analyses were conducted on multiply imputed data followed by secondary per-protocol analyses.

Results: Significant PCIT effects emerged on (a) increased positive parenting, reduced negative parenting and disruptive child behavior (small-to-medium intention-to-treat effects and medium-to-large per-protocol effects); (b) gains in parent inhibitory control on the stop-signal task (small-to-medium effects); (c) gains in parent-reported emotion regulation and (d) positive, affirming self-perceptions (small-to-medium effects), relative to the SAU control group. PCIT's effects on gains in parent emotion regulation were mediated by reductions in observed negative parenting. No differences in rates of parent commands or child compliance were observed across conditions. Harsh child attributions moderated treatment impact on parenting skills acquisition. PCIT parents who held harsher attributions displayed greater gains in use of labeled praises and declines in negative talk/criticism with their child, than control group parents.

Conclusions: This randomized trial presents the first evidence that PCIT improves inhibitory control and emotion regulation in a child welfare parents and replicates other published trials documenting intervention gains in positive parenting and child behavior in child welfare families. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

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亲子互动疗法改善儿童福利父母行为、自我调节和自我认知的随机试验。

目的:我们进行了一项大型(N = 204)随机临床试验，以检验亲子互动疗法(PCIT)对观察性育儿、自我调节和社会认知这两个导致不适应育儿的关键因素以及涉及儿童福利的家庭的儿童行为结局的疗效。方法:参与者随机分配到标准PCIT组(n = 120)或常规服务组(SAU;N = 84)。该样本的特点是家庭收入低，严重暴露于不良童年经历和药物滥用。意向治疗分析是对多重输入的数据进行的，然后是二级协议分析。结果:显著的PCIT效应出现在(a)增加积极的父母教养，减少消极的父母教养和破坏性的儿童行为(小到中等的意向治疗效应和中到大的协议效应);(b)父母对停止信号任务的抑制控制(中小型影响);(c)与SAU对照组相比，父母报告的情绪调节能力有所提高，(d)积极、肯定的自我认知(中小型影响)。PCIT对父母情绪调节增益的影响是通过观察到的消极父母教养的减少来调节的。在不同条件下，没有观察到父母命令率或儿童依从性的差异。严厉的儿童归因调节了治疗对父母技能习得的影响。与控制组的父母相比，拥有严厉归因的PCIT父母在使用标签表扬方面表现出更大的进步，在与孩子进行消极谈话/批评方面表现出更大的下降。结论:这项随机试验首次提供了PCIT改善儿童福利家庭抑制控制和情绪调节的证据，并重复了其他已发表的试验，这些试验记录了儿童福利家庭中积极育儿和儿童行为的干预收益。(PsycInfo数据库记录(c) 2023 APA，版权所有)。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of consulting and clinical psychology PSYCHOLOGY, CLINICAL-

CiteScore

9.00

自引率

3.40%

发文量

期刊介绍： The Journal of Consulting and Clinical Psychology® (JCCP) publishes original contributions on the following topics: the development, validity, and use of techniques of diagnosis and treatment of disordered behaviorstudies of a variety of populations that have clinical interest, including but not limited to medical patients, ethnic minorities, persons with serious mental illness, and community samplesstudies that have a cross-cultural or demographic focus and are of interest for treating behavior disordersstudies of personality and of its assessment and development where these have a clear bearing on problems of clinical dysfunction and treatmentstudies of gender, ethnicity, or sexual orientation that have a clear bearing on diagnosis, assessment, and treatmentstudies of psychosocial aspects of health behaviors. Studies that focus on populations that fall anywhere within the lifespan are considered. JCCP welcomes submissions on treatment and prevention in all areas of clinical and clinical–health psychology and especially on topics that appeal to a broad clinical–scientist and practitioner audience. JCCP encourages the submission of theory–based interventions, studies that investigate mechanisms of change, and studies of the effectiveness of treatments in real-world settings. JCCP recommends that authors of clinical trials pre-register their studies with an appropriate clinical trial registry (e.g., ClinicalTrials.gov, ClinicalTrialsRegister.eu) though both registered and unregistered trials will continue to be considered at this time.