Department of Psychology, Florida International University, Miami, FL 33199, USA.
J Dev Behav Pediatr. 2010 Apr;31(3):209-16. doi: 10.1097/DBP.0b013e3181d5a294.
To examine the initial efficacy of parent-child interaction therapy (PCIT) for treating behavior problems in young children who were born premature.
In this randomized, controlled trial, 28 children between the ages of 18 and 60 months, who were born <37 weeks gestation and presented with clinically significant externalizing behavior problems, were randomly assigned to an immediate treatment (IT) or waitlist (WL) control group.
After 4 months, children who received PCIT were reported by their mother to have less attention problems, aggressive behaviors, and externalizing and internalizing behavior problems, and they were observed to be more compliant to maternal commands than children in the WL group. In addition, mothers in the IT group interacted more positively with their child, reported lower parenting stress related to difficult child behavior and demonstrated improved parenting practices compared with WL mothers. Behavior change maintained for 80% of the IT children 4 months after treatment completion.
This study demonstrates preliminary efficacy of PCIT for the treatment of behavior problems in young children who were born premature.
考察亲子互动疗法（PCIT）治疗早产儿幼儿行为问题的初始疗效。
在这项随机对照试验中，28 名年龄在 18 至 60 个月之间、妊娠<37 周且存在明显外化行为问题的儿童被随机分配至即时治疗（IT）或候补名单（WL）对照组。
4 个月后，与 WL 组相比，接受 PCIT 的儿童的母亲报告称其注意力问题、攻击性行为以及外化和内化行为问题较少，且对母亲指令的顺从性更高。此外，与 WL 母亲相比，IT 组的母亲与孩子的互动更为积极，与孩子的困难行为相关的育儿压力更低，并表现出改善的育儿实践。80%的 IT 儿童在治疗结束后 4 个月内保持行为改变。
本研究初步证明了 PCIT 治疗早产儿幼儿行为问题的疗效。
