Effect of Home based Parent Child Interaction Therapy for families Having Children with Disruptive Behavior Problems at Selected Community of Khurda, Odisha, India

Author(s):  
Mariëlle E. Abrahamse ◽  
Vionna M. W. Tsang ◽  
Ramón J. L. Lindauer

High treatment attrition and limited reach of mental health services for at-risk families remains an important problem in order to effectively address the global concern of child maltreatment and child disruptive behavior problems. This study evaluated the effectiveness of a home-based and time-limited adaptation of Parent–Child Interaction Therapy (PCIT). Twenty families with children (70% boys) aged between three and seven years were randomly assigned to an immediate treatment group (IT, n = 10) or a waitlist control group (WL, n = 10). After receiving treatment and compared to mothers in the WL group, mothers in the IT group reported fewer child behavior problems and more improved parenting skills. Although initial analyses revealed no significant differences, additional analyses showed a significant decrease in the primary outcome of the study, namely child abuse potential, between the baseline and follow-up assessment for the total treated sample. A low treatment attrition rate (15%) was found, indicating higher accessibility of treatment for families. Findings suggest that the brief home-based PCIT is a potentially effective intervention to prevent child maltreatment and disruptive behavior problems in at-risk families. Results also reinforce the importance of addressing the specific needs of these families to increase treatment effectiveness.


2010 ◽  
Vol 25 (4) ◽  
pp. 486-503 ◽  
Author(s):  
Susan G. Timmer ◽  
Lisa M. Ware ◽  
Anthony J. Urquiza ◽  
Nancy M. Zebell

This study compares the effectiveness of Parent–Child Interaction Therapy (PCIT) in reducing behavior problems (e.g., aggression, defiance, anxiety) of 62 clinic-referred, 2- to 7-year-old, maltreated children exposed to interparental violence (IPV) with a group of similar children with no exposure to IPV (N = 67). Preliminary analyses showed that IPV-exposed dyads were no more likely to terminate treatment prematurely than non IPV-exposed dyads. Results of repeated-measures MANCOVAs showed significant decreases in child behavior problems and caregivers’ psychological distress from pre- to posttreatment for IPV-exposed and IPV nonexposed groups, and no significant variation by exposure to IPV. Stress in the parent role related to children’s difficult behaviors and the parent–child relationship decreased from pre- to posttreatment, but parental distress did not decrease significantly over the course of PCIT. Results of an analysis testing the benefits of a full course of treatment over the first phase of treatment showed that dyads completing the full course of treatment reported significantly greater improvements in children’s behavior problems than those receiving only the first phase of treatment.


2015 ◽  
pp. 343-356
Author(s):  
Lauren Borduin Quetsch ◽  
Nancy Wallace ◽  
Meredith Norman ◽  
Ria Travers ◽  
Cheryl McNeil

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