Journal
JOURNAL OF CHILD PSYCHOLOGY AND PSYCHIATRY
Volume 62, Issue 1, Pages 86-96Publisher
WILEY
DOI: 10.1111/jcpp.13263
Keywords
Parenting practices; parent-child interaction; observational; preschool depression; parent-child interaction therapy
Categories
Funding
- National Institute of Mental Health [5R01MH098454-04, K23MH115074-01, K23MH22325028202-01, L30 MH108015]
Ask authors/readers for more resources
This study investigated the impact of PCIT-ED on parenting behaviors in early childhood depression treatment, finding that caregivers in the treatment group showed reductions in negative parenting behaviors and affect, along with increases in positive parenting behaviors and affect. The observed interactional style of caregivers in the treatment group also showed more positivity.
Background Parenting in early childhood exerts substantial influence over children's emotional health and development. Using data from a randomized controlled trial of a novel treatment for early childhood depression, Parent-Child Interaction Therapy Emotion Development (PCIT-ED), we explored two broad dimensions of parenting (behavior and affect) to determine whether any changes could be detected following treatment when compared to those in a waitlist control condition. Method 229 caregiver-child dyads, 114 randomly assigned to PCIT-ED for preschool-onset depression, and 115 assigned to a waitlist completed two structured interaction tasks at baseline and post-treatment. Interactions were later coded by observer's blind to diagnostic and treatment status. Results Greater reductions were found in self-reported negative parenting behaviors and observed negative affect and greater increases in self-reported positive parenting behaviors and observed positive affect among the caregivers in the treatment group. Increases in the overall positivity of the observed interactional style of caregivers, but no observed parenting behavior change was found following treatment. Discrepancies between self-reported and observed parenting were greater among caregivers on the waitlist. Conclusions Following PCIT-ED treatment, caregivers self-reported improvements in parenting practices and declines in punitive practices along with observed increases in positive affect and decreases in negative affect when interacting with their child. Moreover, coherence between self-reported and observed parenting was higher in the treatment group. These findings highlight the efficacy of PCIT-ED in improving parenting behaviors and the need to use multiple methods to assess parenting in treatment studies.
Authors
I am an author on this paper
Click your name to claim this paper and add it to your profile.
Reviews
Recommended
No Data Available