Mayerson Center for Safe and Healthy Children, Cincinnati Children's Hospital Medical Center.
Department of Pediatrics, University of Cincinnati College of Medicine.
Psychol Trauma. 2024 Apr;16(Suppl 1):S97-S105. doi: 10.1037/tra0001259. Epub 2022 May 5.
To determine whether Parent-Child Interaction Therapy (PCIT) is as effective at reducing behavior problems for children with a history of trauma and for those who do not complete therapy.
Retrospective chart review of patients between 2.5 and 6.5 years of age who participated in PCIT between January 1, 2012, and December 1, 2019, at a child advocacy center within a large Midwestern children's hospital was performed. Demographics, trauma history, and Eyberg Child Behavior Inventory (ECBI) and parenting confidence scores were collected. Changes in child behavior and parenting confidence over time were compared between patients with and without trauma exposure using separate generalized estimating equation models for those who did and did not complete PCIT.
Of the 212 PCIT participants, 116 (54.72%) had a trauma history and 96 (45.28%) did not, and 98 (46.23%) completed PCIT and 114 (53.77%) did not. Patient demographics were fairly diverse and representative of the region. Patients with trauma exposure were significantly less likely to complete PCIT (38.79%) than patients without trauma exposure (55.21%). ECBI intensity scores significantly decreased over time among both patients who did and did not complete PCIT. The change in ECBI intensity scores over time did not differ between patients with and without trauma exposure regardless of whether or not they completed PCIT. Parenting confidence significantly improved over time regardless of trauma exposure or attrition.
Standard PCIT can be used effectively with children with trauma exposure and results in significant improvement even for those who do not complete therapy. (PsycInfo Database Record (c) 2024 APA, all rights reserved).
确定亲子互动疗法（PCIT）是否同样有效地减少有创伤史和未完成治疗的儿童的行为问题。
对 2012 年 1 月 1 日至 2019 年 12 月 1 日期间在中西部一家大型儿童医院的儿童倡导中心接受 PCIT 的 2.5 至 6.5 岁患者进行回顾性图表审查。收集人口统计学资料、创伤史、伊格儿童行为量表（ECBI）和育儿信心评分。对于完成和未完成 PCIT 的患者，使用单独的广义估计方程模型比较有和无创伤暴露的患者随时间变化的儿童行为和育儿信心变化。
在 212 名 PCIT 参与者中，有 116 名（54.72%）有创伤史，96 名（45.28%）没有，98 名（46.23%）完成了 PCIT，114 名（53.77%）没有。患者的人口统计学特征相当多样化，具有代表性。有创伤暴露的患者完成 PCIT 的可能性明显低于无创伤暴露的患者（38.79%比 55.21%）。无论是完成还是未完成 PCIT 的患者，ECBI 强度评分随时间均显著降低。无论是否完成 PCIT，有创伤暴露和无创伤暴露的患者，ECBI 强度评分随时间的变化均无差异。育儿信心随时间显著提高，无论是否有创伤暴露或流失。
标准的 PCIT 可以有效地用于有创伤史的儿童，即使对于那些未完成治疗的儿童，也能取得显著的改善。
