Werba Branlyn E, Eyberg Sheila M, Boggs Stephen R, Algina James
University of Florida, Gainesville, FL 32610, USA.
Behav Modif. 2006 Sep;30(5):618-46. doi: 10.1177/0145445504272977.
This study explored predictors of treatment response and attrition in Parent-Child Interaction Therapy (PCIT). Participants were 99 families of 3- to 6-year-old children with disruptive behavior disorders. Multiple logistic regression was used to identify those pretreatment child, family, and accessibility factors that were predictive of success or attrition. For all study participants, waitlist group assignment and maternal age were the significant predictors of outcome. For treatment participants (study participants excluding those who dropped out after the initial evaluation but before treatment began), only maternal ratings of parenting stress and maternal inappropriate behavior during parent-child interactions were significant predictors of treatment outcome. These results suggest that for treatment studies of disruptive preschoolers, the benefits of using a waitlist control group may be outweighed by the disproportionate number of dropouts from this group. Once families begin PCIT, however, parent-related variables become salient in predicting treatment outcome.
本研究探讨了亲子互动疗法（PCIT）中治疗反应和治疗中断的预测因素。研究对象为99个有破坏性行为障碍的3至6岁儿童家庭。采用多元逻辑回归来确定那些预测治疗成功或中断的治疗前儿童、家庭和可及性因素。对于所有研究参与者，等待名单分组和母亲年龄是结果的显著预测因素。对于接受治疗的参与者（研究参与者中排除那些在初始评估后但在治疗开始前退出的人），只有母亲对育儿压力的评分以及亲子互动期间母亲的不适当行为是治疗结果的显著预测因素。这些结果表明，对于破坏性行为障碍学龄前儿童的治疗研究，使用等待名单对照组的益处可能被该组中不成比例的退出人数所抵消。然而，一旦家庭开始接受PCIT治疗，与父母相关的变量在预测治疗结果时就变得显著。
