The Effectiveness of Parent-Child Interaction Therapy (PCIT)
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Purpose
The purpose of this study was to investigate whether a type of parent-based intervention, Parent-Child Interaction Therapy will lower symptoms of behavior problems in young children more than treatment as usual.
| Condition | Intervention |
|---|---|
|
Behavior Problems Oppositional Defiant Disorder Conduct Disorder |
Behavioral: Parent-Child Interaction Therapy Behavioral: TAU |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Effectiveness of Parent-Child Interaction Therapy (PCIT) in Treating Behavior Problems in Young Children |
- Eyberg Child Behavior Inventory (ECBI) [ Time Frame: Pre intervention, 6 months, 18 months ] [ Designated as safety issue: No ]ECBI is taken at study entry, after 6 months and after 18 months
- Dyadic Parent-Child Interaction Coding System (DPICS) [ Time Frame: Pre intervention, 6 months, 18 months ] [ Designated as safety issue: No ]Parent-child interaction coded from standardized situations
- Parenting Stress Index [ Time Frame: Pre intervention, 6 months, 18 months ] [ Designated as safety issue: No ]Number and degree of perceived stresses by parents
- Working Model of the Child Interview (WMCI) [ Time Frame: Pre intervention, 6 months, 18 months ] [ Designated as safety issue: No ]Parents' attachment to the child
- Child Behavior Check List (CBCL)/Teacher Report Form (TRF) [ Time Frame: Pre intervention, 6 months, 18 months ] [ Designated as safety issue: No ]Psychiatric symptoms as rated by parents and teachers, respectively
- Beck Depression Inventory (BDI) [ Time Frame: Pre intervention, 6 months, 18 months ] [ Designated as safety issue: No ]Depressive symptoms in parents
- Parental Locus of Control - Short Form (PLOC-SF) [ Time Frame: Pre intervention, 6 months, 18 months ] [ Designated as safety issue: No ]Parents' perceptions of internal versus external locus of control
| Estimated Enrollment: | 70 |
| Study Start Date: | September 2006 |
| Estimated Study Completion Date: | March 2013 |
| Estimated Primary Completion Date: | January 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: PCIT
Provision of Parent-Child Interaction Therapy
|
Behavioral: Parent-Child Interaction Therapy
Parents will be trained in interaction with their children in ways which foster non-hostility and cooperation in their children. By means of an ear-plug they will receive instruction on how to play and set limits for their child from their therapist who watches the interaction through a one-way mirror. Treatment is given until the parent masters these skill, which commonly takes 15-20 session of 1 hour.
|
|
Active Comparator: TAU
Treatment as usual from other therapists in the same clinics
|
Behavioral: TAU
Usual treatment for behavioral disorders
|
Detailed Description:
Behaviour problems, i.e. symptoms of oppositional defiant disorder (ODD) and conduct disorder (CD) are among the prevalent psychiatric disorders in children and one of the leading causes of help-seeking for mental health problems in children. There are several efficacious treatments for such problems in young children. However, most of these require that parents meet in groups. This is not always feasible. It is therefore a need to develop treatments that can deal with parents and families individually. Parent-Child Interaction Therapy (PCIT) is such an individually based treatment. Efficacy studies indicate symptom reduction greater that in treatment as usual (TAU). However, there is a need to study its effectiveness in ordinary clinical practise. This trial will study its effect in ordinary psychiatric clinics in the middle of Norway and compare it to the regular treatment (TAU) provided to young children with behavior problems in these clinics.
Eligibility| Ages Eligible for Study: | 2 Years to 7 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Referred to Child mental health specialty clinic for behavioral or attentional/hyperactive problems
- ECBI score of > 120
- 2 to 7 years of age
- Parental consent to the study
Exclusion Criteria:
- Psychosis or serious drug abuse in parents
- Lack of sufficient proficiency in Norwegian to fill in the questionnaires
- Mental retardation or pervasive developmental disorder in the child
- Suspicion of parental neglect or abuse of the child warranting a report to the child protection services
Contacts and Locations| Norway | |
| barne- og ungdomspsykiatrisk klinikk, Helse Midt-Norge | |
| Trondheim, Sør-trøndelag, Norway | |
| Barne- og ungdomspsykiatrisk klinikk, Sør-Trøndelag | |
| Trondheim, Norway, 7057 | |
| Study Director: | Lars Wichstrøm, prof | Norwegian University of Science and Technology |
More Information
No publications provided
| Responsible Party: | Norwegian University of Science and Technology |
| ClinicalTrials.gov Identifier: | NCT01085305 History of Changes |
| Other Study ID Numbers: | 4.2006.789 |
| Study First Received: | March 10, 2010 |
| Last Updated: | April 25, 2012 |
| Health Authority: | Norway: Data Protection Authority |
Keywords provided by Norwegian University of Science and Technology:
|
Behavior problems Parent-Child Interaction Locus of control |
Psychiatric symptoms Depressive symptoms Attachment |
Additional relevant MeSH terms:
|
Attention Deficit and Disruptive Behavior Disorders Conduct Disorder Mental Disorders Diagnosed in Childhood Mental Disorders |
ClinicalTrials.gov processed this record on May 19, 2013