Optimizing parenting and child outcomes following parent-child interaction therapy - toddler: a randomized controlled trial.

Autor: Kohlhoff J; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Kensington, NSW, Australia. jane.kohlhoff@unsw.edu.au.; Karitane, Carramar, NSW, Australia. jane.kohlhoff@unsw.edu.au.; Ingham Institute for Medical Research, Liverpool, NSW, Australia. jane.kohlhoff@unsw.edu.au., Wallace N; Karitane, Carramar, NSW, Australia., Cibralic S; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Kensington, NSW, Australia.; South Western Sydney Local Health District, Liverpool, NSW, Australia., Morgan S; Karitane, Carramar, NSW, Australia., Briggs NE; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Kensington, NSW, Australia.; Mark Wainwright Analytical Centre, University of New South Wales, Kensington, NSW, Australia., McMahon C; Macquarie University, Ryde, NSW, Australia., Hawkins E; Griffith University, QLD, Gold Coast, Australia., Druskin L; West Virginia University, Morgantown, WV, USA., Owen C; West Virginia University, Morgantown, WV, USA., Lieneman C; Boys Town Center for Behavioral Health, Omaha, NE, USA., Han R; West Virginia University, Morgantown, WV, USA., Eapen V; Discipline of Psychiatry and Mental Health, School of Clinical Medicine, University of New South Wales, Kensington, NSW, Australia.; Ingham Institute for Medical Research, Liverpool, NSW, Australia.; South Western Sydney Local Health District, Liverpool, NSW, Australia., Huber A; Families In Mind Psychology, Canberra, ACT, Australia., McNeil CB; University of Florida, Gainesville, FL, USA.
Jazyk: angličtina
Zdroj: BMC psychology [BMC Psychol] 2024 Nov 22; Vol. 12 (1), pp. 688. Date of Electronic Publication: 2024 Nov 22.
DOI: 10.1186/s40359-024-02171-0
Abstrakt: Background: Parent-Child Interaction Therapy-Toddler (PCIT-T) is an attachment-informed intervention model designed to meet the specific developmental needs of toddlers aged 12-24 months presenting with challenging behaviors.
Methods: This study used a randomized controlled design to evaluate outcomes of PCIT-T for children aged 14-24 months with disruptive behaviors. Ninety toddlers with parent-reported disruptive behavior were randomly allocated to PCIT-T (intervention), an active control condition (Circle of Security- Parenting™; COS-P), or a non-treatment control condition (wait-list; WL). Outcomes were assessed at baseline (Time 1), post treatment/post waitlist (Time 2) and 4-month follow-up (Time 3).
Results: At follow-up, the PCIT-T group displayed the highest levels of parenting sensitivity and positive parental verbalizations, and the lowest levels of negative child-directed verbalizations and non-attuned mind-minded statements. Of the three groups, the PCIT-T group showed the greatest degree of change on these variables, followed by the COS-P group and then the non-treated controls. The PCIT-T group were also the only group to show significant within-group improvements in sensitivity, self-reported parental reflectiveness, empathy and emotional understanding, parent-reported child social competence, child internalizing problems, and general behavior issues. Significant reductions in parental stress, child externalizing behaviors and parenting behaviors were seen for both the PCIT-T and COS-P groups.
Conclusions: Delivered in the early intervention period of toddlerhood, Parent-Child Interaction Therapy-Toddler has the potential to bring about significant changes for children presenting with early onset behavioral issues.
Trial Registration: Australian New Zealand Clinical Trials Registry (ANZCTR), 12,618,001,554,257. Registered 24 September 2018 - retrospectively registered, https://anzctr.org.au/Trial/Registration/TrialReview.aspx?ACTRN=12618001554257 .
Competing Interests: Declarations. Ethics approval and consent to participate: The project had full ethical clearance from the South Western Sydney Local Health District Human Research Ethics Committee (SWSLHD HREC); project number HREC/18/LPOOL/72. All participating parents gave written informed consent prior to participation, for themselves and for their child. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests.
(© 2024. The Author(s).)
Databáze: MEDLINE
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