PCIT engagement and persistence among child welfare-involved families: Associations with harsh parenting, physiological reactivity, and social cognitive processes at intake.
PCIT engagement and persistence among child welfare-involved families: Associations with harsh parenting, physiological reactivity, and social cognitive processes at intake.
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DOI：
10.1017/s0954579421000031
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发表时间：
2022-10
影响因子：
3.3
通讯作者：
DeGarmo DS
中科院分区：
文献类型：
--
作者：
Skoranski AM;Skowron EA;Nekkanti AK;Scholtes CM;Lyons ER;DeGarmo DS
亲子互动治疗（PCIT）已被证明可改善积极、有回应的养育方式，并降低儿童受虐（CM）的风险，包括在那些已涉及儿童福利系统的家庭中也是如此。然而，高风险家庭的治疗脱落率更高，这限制了治疗效果。在120个被随机分配接受PCIT的儿童福利家庭中，我们测试了在干预前评估的父母自我调节的行为和生理标记以及社会认知过程，将其作为PCIT治疗保持率的预测因素。多项逻辑回归的结果表明，拒绝治疗的父母表现出更多的消极养育行为，在成人 - 儿童互动中对儿童责任和控制有更强的认知，在积极的二元互动任务中呼吸性窦性心律不齐（RSA）增加，以及在具有挑战性的二元玩具清理任务中RSA减弱。在PCIT的儿童主导互动阶段，辍学几率增加与父母在情绪性的“做/不做”任务中对愤怒面部线索的注意力偏差更大有关。对自己孩子的敌意归因可预测在父母主导互动阶段辍学的风险，而改变准备程度的分数可预测完成治疗的更高几率。我们讨论了对涉及儿童福利的家庭进行干预的意义以及研究的局限性。
Parent-Child interaction therapy (PCIT) has been shown to improve positive, responsive parenting and lower risk for child maltreatment (CM), including among families who are already involved in the child welfare system. However, higher risk families show higher rates of treatment attrition, limiting effectiveness. In N = 120 child welfare families randomized to PCIT, we tested behavioral and physiological markers of parent self-regulation and socio-cognitive processes assessed at pre-intervention as predictors of retention in PCIT. Results of multinomial logistic regressions indicate that parents who declined treatment displayed more negative parenting, greater perceptions of child responsibility and control in adult–child transactions, respiratory sinus arrhythmia (RSA) increases to a positive dyadic interaction task, and RSA withdrawal to a challenging, dyadic toy clean-up task. Increased odds of dropout during PCIT’s child-directed interaction phase were associated with greater parent attentional bias to angry facial cues on an emotional go/no-go task. Hostile attributions about one’s child predicted risk for dropout during the parent-directed interaction phase, and readiness for change scores predicted higher odds of treatment completion. Implications for intervening with child welfare-involved families are discussed along with study limitations.
影响因子：
2.9
作者：
Bagner DM;Sheinkopf SJ;Miller-Loncar CL;Vohr BR;Hinckley M;Eyberg SM;Lester BM
通讯作者：
Lester BM