Furuzawa Ayako, Yoshinaga Naoki, Hattori Kie
Nursing, Nihon Fukushi University, Tokai, JPN.
Nursing, University of Miyazaki, Miyazaki, JPN.
Cureus. 2024 Oct 5;16(10):e70904. doi: 10.7759/cureus.70904. eCollection 2024 Oct.
This single case study explored the effectiveness of Internet Parent-Child Interaction Therapy (I-PCIT) for addressing maternal guilt in a case of child abuse. I-PCIT was implemented because traditional PCIT was challenging due to the family's geographical constraints and the mother's professional commitments. The study utilized multiple assessment tools, including the Eyberg Child Behavior Inventory (ECBI) and the Beck Depression Inventory-II (BDI-II), to measure the therapy's impact on the child's behavior and the mother's depressive symptoms. The case conceptualization highlighted the mother's emotional regulation difficulties and dissociative symptoms under stress that contributed to the abusive incidents. I-PCIT sessions, conducted via videoconferencing software, focused on enhancing the mother-son relationship through Child-Directed Interaction (CDI) and Parent-Directed Interaction (PDI) phases. Through 19 sessions of I-PCIT (with one session conducted face-to-face), the mother's mastery of positive skills improved, and follow-up sessions indicated sustained positive outcomes. This case study underscores the potential of I-PCIT in preventing the recurrence of abuse, enhancing parental skills, and facilitating positive parent-child interaction. It also highlights the importance of therapist-parent collaboration in mitigating dropout risks and promoting therapy adherence.
本单病例研究探讨了互联网亲子互动疗法（I-PCIT）在处理一起虐待儿童案件中母亲内疚感方面的有效性。实施I-PCIT是因为由于家庭的地理限制和母亲的工作安排，传统的亲子互动疗法（PCIT）具有挑战性。该研究使用了多种评估工具，包括埃伯格儿童行为量表（ECBI）和贝克抑郁量表第二版（BDI-II），以衡量该疗法对儿童行为和母亲抑郁症状的影响。病例概念化强调了母亲在压力下的情绪调节困难和分离症状，这些因素导致了虐待事件的发生。通过视频会议软件进行的I-PCIT课程，重点通过儿童主导互动（CDI）和家长主导互动（PDI）阶段加强母子关系。经过19次I-PCIT课程（其中一次为面对面授课），母亲对积极技能的掌握有所提高，后续课程显示出持续的积极效果。本病例研究强调了I-PCIT在预防虐待复发、提高家长技能和促进积极的亲子互动方面的潜力。它还强调了治疗师与家长合作在降低退出风险和促进治疗依从性方面的重要性。
