Parent–Child Interaction Therapy for Children with Disruptive Behaviors and Autism: A Randomized Clinical Trial

Allen, Korrie; Harrington, John W.; Quetsch, Lauren B.; Masse, Joshua J.; Cooke, Cathy G.; Paulson, James F.

doi:10.1007/s10803-022-05428-y

Cited by 10 publications

(10 citation statements)

References 70 publications

(98 reference statements)

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“…Although a breadth of treatment modalities are available which focus on reducing disruptive behaviors in young autistic children, few mandate parental involvement. PCIT is one evidence‐based treatment where parents engage in play with their young children (2–7 years) to reduce child aggression and improve the parent–child relationship, stress, and family functioning (Allen et al, 2022; McNeil et al, 2019; Scudder et al, 2019). In turn, there remains a high, unmet need for empirically‐supported treatments for older autistic youths and adolescents who experience aggression and disruptive behaviors (Matson & Jang, 2014).…”

Section: Discussionmentioning

confidence: 99%

Understanding aggression in autism across childhood: Comparisons with a non‐autistic sample

et al. 2023

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As many as half of all autistic youth face challenges with aggression. And while research in this area is growing, the prevalence and characterization of aggressive behaviors across autistic development remains poorly understood. This lack of knowledge on the autistic experience is further clouded as aggression is rarely compared against non‐autistic youth samples. To address this gap in the literature, the present study compared autistic children (N = 450) to non‐autistic children (N = 432) on multiple caregiver‐report measures of aggressive behavior and associated constructs (i.e., anger, disruptive behavior) across key developmental periods (<6, 6–12, 13–17 years) via a cross‐sectional design. Outcomes indicated higher levels of verbal aggression and behavioral intensity for autistic youth across development. Further, autistic children under age 6 had more significant levels of physical aggression than non‐autistic peers; however, these levels became equal to non‐autistic peers as the youths aged. Implications for differences in the presence of aggressive behavior as well as possible treatment options for aggression are discussed.

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Section: Discussionmentioning

confidence: 99%

Understanding aggression in autism across childhood: Comparisons with a non‐autistic sample

et al. 2023

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“…In two RCTs of carers of children with ASD combined with disruptive behavior, standard PCIT was reported as effective in reducing children’s externalizing symptoms and improving observed positive parenting skills (children ages 4 to 10; 60 children ages 3 to 7 61 ). Notably, the effect sizes for children’s externalizing/disruptive behavior improvements were comparable to effect sizes in studies of children not diagnosed with ASD, 62 , 63 with the effects moderate to large.…”

Section: Current Research On Standard Pcit Generalizability and Mecha...mentioning

confidence: 99%

Evidence-Based Treatment in Practice: PCIT Research on Addressing Individual Differences and Diversity Through the Lens of 20 Years of Service

Campbell¹,

Hawes²,

Swan³

et al. 2023

PRBM

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Parent–Child Interaction Therapy (PCIT) is an intensive parent support program for caregivers and their children who exhibit difficult-to-manage disruptive behaviors. After more than four decades of research supporting its efficacy for reducing children’s disruptive behaviors and improving parent–child relationships, PCIT has become one of the most popular and widely disseminated parenting support programs in the world. The evidence for the efficacy of PCIT can be found in many reviews of randomized clinical trials and other rigorous studies. To add to those reviews, our aim was to provide practical guidance on how PCIT can be part of an evidence-based program for families that depends on practitioner expertise, as well as attention to families’ diverse needs. To do this, we describe the evolution of PCIT as practiced in a university-community partnership that has continued for over 20 years, alongside a narrative description of selected and recent findings on PCIT and its use in specific client presentations across four themes. These themes include studies of 1) whether the standard manualized form of PCIT is efficacious across a selection of diverse family situations and child diagnoses, 2) the mechanisms of change that explain why some parents and some children might benefit more or less from PCIT, 3) whether treatment content modifications make PCIT more feasible to implement or acceptable to some families, at the same time as achieving the same or better outcomes, and 4) whether PCIT with structural modifications to the delivery, such as online or intensive delivery, yields similar outcomes as standard PCIT. Finally, we discuss how these directions in research have influenced research and practice, and end with a summary of how the growing attention on parent and child emotion regulation and parents’ responses to (and coaching of) their children’s emotions has become important to PCIT theory and our practice.

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“…Attachment-based intervention Allen et al, 2022;Bagner & Eyberg, 2007;Furukawa et al, 2018;Ginn et al, 2017;Greathouse, 2021 a ;Quetsch, 2019 a ;Scudder et al, 2019;Solomon et al, 2008 Parent-child interaction therapy (PCIT)…”

Section: Study Id Intervention Name Description Of Interventionmentioning

confidence: 99%

The effectiveness of parent-Child observation in parent-Mediated programmes for children with developmental disabilities and externalizing disorders: A systematic review and meta-analysis

Kei,

Hassiotis,

Royston

2023

Clin Child Psychol Psychiatry

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This systematic review evaluated the treatment effects of communication-focused parent-mediated interventions (CF-PMT), a form of intervention that involves therapists observing parent-child interactions and giving feedback to parents on how they can practice positive parenting strategies to prevent or reduce externalizing behaviours in children with developmental disabilities. A literature search was conducted on three electronic databases. To be included in the review, studies had to: evaluate CF-PMT where therapists give feedback after observing parent-child interactions; examine changes in externalizing behaviours amongst children with any forms of developmental disability; and adopt a randomised controlled trial study design. Fifteen studies met eligible criteria for the literature review, of those, 13 studies had available data on changes in the primary (child externalizing behaviours) and secondary outcomes (parental stress, child linguistic abilities and child social responsiveness). We found significant treatment effects for CF-PMT in reducing child externalizing behaviours (d = −.60) but not for any of the secondary outcomes. A sensitivity analysis showed a small but significant treatment effect for parental stress (d = −.18). Considerable bias was observed due to the lack of available information reported by studies on aspects measured by the Mixed Methods Appraisal Tool. Overall, we found evidence to support the benefits of complex interventions which incorporate direct parent-child observations and feedback to improve behavioural outcomes amongst children with developmental disabilities.

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Parent–Child Interaction Therapy for Children with Disruptive Behaviors and Autism: A Randomized Clinical Trial

Cited by 10 publications

References 70 publications

Understanding aggression in autism across childhood: Comparisons with a non‐autistic sample

Understanding aggression in autism across childhood: Comparisons with a non‐autistic sample

Evidence-Based Treatment in Practice: PCIT Research on Addressing Individual Differences and Diversity Through the Lens of 20 Years of Service

The effectiveness of parent-Child observation in parent-Mediated programmes for children with developmental disabilities and externalizing disorders: A systematic review and meta-analysis

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