Hennefield Laura, Gilbert Kirsten, Donohue Meghan Rose, Tillman Rebecca, McCoy Art, Diggs Gwendolyn, Paul Zori A, Kohl Patricia L, Luby Joan L
Department of Psychiatry, Washington University School of Medicine, Saint Louis, MO, USA.
Department of Psychiatry, Washington University School of Medicine, 4444 Forest Park, Suite 2100, Saint Louis, MO, USA.
Child Psychiatry Hum Dev. 2024 Jan 14. doi: 10.1007/s10578-023-01639-1.
Children living in poverty and facing related forms of adversity are at higher risk for experiencing concurrent and later psychopathology. Although negative psychological outcomes can be improved by enhancing sensitive and responsive caregiving early in development, interventions targeting the caregiver-child dyad are not readily accessible. The present study investigated the feasibility and effectiveness of delivering a shortened eight-session form of Parent-Child Interaction Therapy-Emotion Development (PCIT-ED) in-person or remotely as an early intervention for 3-6-year-old children (N = 62) at elevated risk for psychopathology who were growing up in low-income communities. Caregiver-child dyads were randomized to eight-sessions of PCIT-ED or online parenting education. Relative to parenting education, children receiving PCIT-ED exhibited lower externalizing symptoms and functional impairment and more positive peer relationships following the intervention. Findings support the effectiveness of this shortened form of PCIT-ED, delivered in-person or remotely, as an early intervention to improve symptoms of psychopathology and functioning in high-risk children living in poverty.Trial registration Clinicaltrials.gov; NCT04399629.
生活贫困并面临相关形式逆境的儿童出现并发及后期精神病理学问题的风险更高。虽然通过在发育早期加强敏感且有回应的照料可以改善负面心理结果，但针对照料者与儿童二元组的干预措施并不容易获得。本研究调查了以面对面或远程方式提供缩短至八节课程的亲子互动疗法-情绪发展（PCIT-ED）作为对在低收入社区成长的、有精神病理学高风险的3至6岁儿童（N = 62）的早期干预措施的可行性和有效性。照料者与儿童二元组被随机分配接受八节PCIT-ED课程或在线育儿教育。相对于育儿教育，接受PCIT-ED的儿童在干预后表现出更低的外化症状和功能损害，以及更积极的同伴关系。研究结果支持了这种缩短形式的PCIT-ED以面对面或远程方式提供，作为改善生活贫困的高风险儿童精神病理学症状和功能的早期干预措施的有效性。试验注册Clinicaltrials.gov；NCT04399629。
