Parent-child interaction therapy: application to maltreating parent-child dyads

Child Abuse Negl. 2005 Jul;29(7):825-42. doi: 10.1016/j.chiabu.2005.01.003.

Abstract

Objective: Parent-Child Interaction Training (PCIT), which uses a social learning framework, is a dyadic intervention that is designed to alter specific patterns of interaction found in parent-child relationships. Previous research suggests that maladaptive and high-risk characteristics found in maltreating parent-child dyads may be responsive to PCIT. The primary focus of this study is to examine the effectiveness of PCIT with maltreating parent-child dyads.

Methodology: This study describes the effectiveness of PCIT with 136 biological parent-child dyads in which 66.9% (N=91) of the children had been maltreated. Of the 91 maltreated children, 64.8% (N=59) of the parents had maltreated their children, and were thus considered to be at high risk of repeating the abuse.

Results: Primary outcomes of this study show the following: (1) a decrease in child behavior problems, (2) a decrease in parental stress, and (3) a decrease in abuse risk from pre- to post-treatment for dyads with and without a history of maltreatment.

Conclusions: Our results add to the body of research supporting PCIT as a promising intervention and as a means to aid both children and parents in high-risk families for maltreatment.

MeSH terms

  • Adult
  • California
  • Child
  • Child Abuse / prevention & control*
  • Child Abuse / psychology*
  • Child Behavior / psychology*
  • Child, Preschool
  • Family Therapy / methods*
  • Female
  • Humans
  • Male
  • Parent-Child Relations*
  • Parenting / psychology
  • Parents / education
  • Parents / psychology*
  • Play Therapy
  • Reinforcement, Social*
  • Reward
  • Risk Assessment
  • Treatment Outcome