Abstract
Parent–child interaction therapy (PCIT) is one of the strongest evidence-based treatments for young children with behavior problems. Despite the efficacy of PCIT, many families fail to complete treatment, with attrition rates ranging from 30 to 69 percent. Preliminary research on attrition in PCIT treatment studies has linked maternal distress, negative verbal behavior (critical and sarcastic comments towards the child), lower socioeconomic status (SES), and fewer child major depressive disorder (MDD) diagnoses with premature termination from PCIT. However, more research is still needed to identify the range of reasons for treatment discontinuation. The purpose of the present study was to explore the range of reasons for premature termination from PCIT by conducting in-depth interviews with parents who discontinued PCIT using a qualitative design methodology. Results yielded eight themes, which were organized into three constructs: child-directed interaction (CDI) successes, difficulties with treatment, and the need for more clarity and orientation. Several existing treatment strategies that emerged from the data could be applied to PCIT to further enhance it and potentially reduce dropout (e.g., reconceptualizing dropout from PCIT, micro-orienting strategies used in other cognitive and behavioral therapies and dialectical behavior therapy). Understanding the reasons why parents drop out of PCIT and exploring different adaptations that can be made can further enhance this evidence-based treatment and increase its accessibility.
Subject
Health, Toxicology and Mutagenesis,Public Health, Environmental and Occupational Health
Reference50 articles.
1. The development and ecology of antisocial behavior in children and adolescents;Cicchetti;Developmental Psychopathology: Risk, Disorder, and Adaptation,2006
2. Oppositional defiant and conduct disorder: A review of the past 10 years, part I;Loeber;J. Am. Acad. Child Adolesc. Psychiatry,2000
3. Russell, G.W. Developmental determinants of male-to-female aggression. Violence in Intimate Relationships, 1988.
4. Early externalizing behavior problems: Toddlers and preschoolers at risk for later maladjustment;Campbell;Dev. Psychopathol.,2000
5. National estimates of health services expenditures for children with behavioral disorders: An analysis of the medical expenditure panel survey;Guevara;Pediatrics,2003
Cited by
3 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献