Department of Pediatrics, Jichi Medical University, Shimotsuke City, Tochigi, Japan.
Pediatr Int. 2024 Jan-Dec;66(1):e15742. doi: 10.1111/ped.15742.
Premature children are known to be at a high risk of developing behavioral problems. This study examined the effectiveness of parent-child interaction therapy (PCIT) in reducing behavioral problems in young children born premature.
The study included 18 child-parent pairs with children born at less than 35 weeks of gestation (range: 23-34 weeks, median: 31.0 weeks) and aged 27-52 months (median: 38.0 months). They were assigned to either the PCIT group (n = 7) or the non-PCIT group (n = 11) based on maternal desire for treatment. The study was designed to examine the effects of PCIT. Specifically, the Eyberg Child Behavior Inventory (ECBI) intensity score, ECBI problem score, and Parenting Stress Index Short Form (PSI-SF) scores were compared before treatment and after 6 months.
In the PCIT group, the mean ECBI intensity score was 135.7 (SD = 13.5; T-score = 64) at baseline and 90.1 (SD = 15.5; T-score = 46) at post-assessment, the mean ECBI problem score was 9.8 (SD = 1.9; T-score = 54) at baseline and 4.4 (SD = 3.1; T-score = 44) at post-assessment, the mean PSI-SF total score was 60.1 (SD = 4.8; 95%tile) at baseline and 49.6 (SD = 5.6; 85%tile) at post-assessment, showing a significant improvement (ECBI intensity scores: p < 0.001, d = 2.03; ECBI problem scores: p < 0.001, d = 1.94; PSI-SF total scores: p = 0.004, d = 0.86). On the other hand, none of the scores showed significant change in the non-PCIT group.
The PCIT can be considered as a potential treatment option for behavioral problems in young children born premature.
众所周知，早产儿患行为问题的风险较高。本研究旨在探讨亲子互动疗法（PCIT）对减少早产儿幼儿行为问题的有效性。
该研究纳入了 18 对母婴，儿童出生胎龄小于 35 周（范围：23-34 周，中位数：31.0 周），年龄为 27-52 个月（中位数：38.0 个月）。根据母亲对治疗的渴望，他们被分配到 PCIT 组（n=7）或非 PCIT 组（n=11）。该研究旨在检验 PCIT 的效果。具体来说，在治疗前和 6 个月后，比较 Eyberg 儿童行为清单（ECBI）强度评分、ECBI 问题评分和父母压力指数简短版（PSI-SF）评分。
在 PCIT 组中，ECBI 强度评分的平均值在基线时为 135.7（SD=13.5；T 分数=64），在评估后为 90.1（SD=15.5；T 分数=46），ECBI 问题评分的平均值在基线时为 9.8（SD=1.9；T 分数=54），在评估后为 4.4（SD=3.1；T 分数=44），PSI-SF 总分的平均值在基线时为 60.1（SD=4.8；95%分位数），在评估后为 49.6（SD=5.6；85%分位数），表明有显著改善（ECBI 强度评分：p<0.001，d=2.03；ECBI 问题评分：p<0.001，d=1.94；PSI-SF 总分：p=0.004，d=0.86）。另一方面，非 PCIT 组的评分均无显著变化。
PCIT 可被视为治疗早产儿幼儿行为问题的一种潜在治疗选择。
