Fernandez Melanie A, Eyberg Sheila M
Department of Child and Adolescent Psychology, New York University School of Medicine, New York, NY 10016, USA.
J Abnorm Child Psychol. 2009 Apr;37(3):431-41. doi: 10.1007/s10802-008-9281-1.
Predictors of attrition from individual parent-child interaction therapy were examined for 99 families of preschoolers with disruptive behavior disorders. Seventy-one percent of treatment dropouts were identified by lower SES, more maternal negative talk, and less maternal total praise at pretreatment. Following PCIT, families were randomly assigned to an Assessment-Only or Maintenance Treatment condition. Higher maternal distress predicted 63% of dropouts in the Assessment-Only condition. Lower maternal intellectual functioning predicted 83% of dropouts from Maintenance Treatment. Findings highlight a continuing need for evidence-based retention strategies at various phases of engagement in PCIT.
对99个患有破坏性行为障碍的学龄前儿童家庭进行了个体亲子互动治疗中治疗中断预测因素的研究。71%的治疗退出者在治疗前被确定为社会经济地位较低、母亲负面言论较多以及母亲总体赞扬较少。亲子互动治疗后，家庭被随机分配到仅评估或维持治疗组。母亲较高的痛苦程度预测了仅评估组63%的退出率。母亲较低的智力功能预测了维持治疗组83%的退出率。研究结果凸显了在亲子互动治疗参与的各个阶段持续需要基于证据的留存策略。
