A Community Mental Health Implementation of Parent-Child Interaction Therapy (PCIT).
A Community Mental Health Implementation of Parent-Child Interaction Therapy (PCIT).
复制标题
亲子互动疗法（PCIT）的社区心理健康实施。
DOI：
10.1007/s10826-010-9353-z
复制
发表时间：
2010
影响因子：
2.1
通讯作者：
Budd,KarenS
中科院分区：
文献类型：
--
作者：
Lyon,AaronR;Budd,KarenS
亲子互动疗法（PCIT）已被确定为一种基于证据的做法，在治疗学龄前青少年的外化行为。虽然相当多的研究已经确立了其疗效，很少有人知道PCIT的有效性时，在社区精神卫生设置与服务不足的青年。目前的试点研究调查了PCIT的实施情况，主要是低社会经济地位，城市，少数民族青年和家庭。14名2-7岁的临床转诊儿童的家庭完成了PCIT初步评估，12名儿童开始治疗。使用标准PCIT完成标准，4个家庭完成治疗，这些家庭表现出临床上显着的变化，父母的行为，养育压力和儿童功能的观察和自我报告的措施。虽然治疗脱落显示出更多的衰减变化，但观察数据和家长报告的问题表明，干预剂量较低时，情况有所改善。出勤率和依从性数据，转诊来源，治疗参与的障碍，治疗满意度完成者和辍学者进行了讨论，突出当前的样本和以前的PCIT研究之间的差异。研究结果表明，PCIT可以成功地提供在服务不足的社区样本时，家庭仍然在治疗，但过早辍学限制治疗效果。研究结果表明，潜在的研究方向，以提高摄取PCIT在社区服务环境。
Parent–Child Interaction Therapy (PCIT) has been identified as an evidence-based practice in the treatment of externalizing behavior among preschool-aged youth. Although considerable research has established its efficacy, little is known about the effectiveness of PCIT when delivered in a community mental health setting with underserved youth. The current pilot study investigated an implementation of PCIT with primarily low-socioeconomic status, urban, ethnic minority youth and families. The families of 14 clinically referred children aged 2–7 years and demonstrating externalizing behavior completed PCIT initial assessment, and 12 began treatment. Using standard PCIT completion criteria, 4 families completed treatment; and these families demonstrated clinically significant change on observational and self-report measures of parent behavior, parenting stress, and child functioning. Although treatment dropouts demonstrated more attenuated changes, observational data and parent-reported problems across sessions indicated some improvements with lower doses of intervention. Attendance and adherence data, referral source, barriers to treatment participation, and treatment satisfaction across completers and dropouts are discussed to highlight differences between the current sample and prior PCIT research. The findings suggest that PCIT can be delivered successfully in an underserved community sample when families remain in treatment, but that premature dropout limits treatment effectiveness. The findings suggest potential directions for research to improve uptake of PCIT in a community service setting.