Parent-Child Interaction Therapy with Toddlers in a community-based setting: Improvements in parenting behavior,

Jane Kohlhoff1,2, Susan Morgan2, Nancy Briggs3

  • 1School of Psychiatry, University of New South Wales, Sydney, New South Wales, Australia.

Insights

Parent-Child Interaction Therapy with Toddlers (PCIT-T) effectively improved toddler behavior and parenting skills. This attachment-based intervention showed lasting positive outcomes 4 months post-treatment for challenging behaviors.

Area of Science:

  • Child Psychology
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Challenging toddler behaviors require effective interventions.
  • Attachment-based parenting programs offer a promising approach.
  • Parent-Child Interaction Therapy with Toddlers (PCIT-T) targets this need.

Purpose of the Study:

  • To evaluate the outcomes of the Child Directed Interaction-Toddler (CDI-T) phase of PCIT-T.
  • To assess changes in parenting skills, child behavior, and parent well-being.
  • To examine the intervention's effectiveness 4 months post-treatment.

Main Methods:

  • A sample of 56 toddlers (mean age 19.13 months) with behavioral issues received 8-week CDI-T.
  • Data collected via questionnaires and observational measures at baseline, post-treatment, and 4-month follow-up.
  • Statistical analyses examined changes in parenting, child behavior, and attachment.

Main Results:

  • Significant increases in positive parenting and emotional availability observed.
  • Significant decreases in negative parenting behaviors and child noncompliance.
  • Improvements noted in child externalizing/internalizing behaviors, parental stress, and maternal depression, with a shift from attachment insecurity.

Conclusions:

  • The CDI-T phase of PCIT-T shows promise for treating toddlers with behavioral issues.
  • The intervention demonstrates sustained positive effects on parenting and child outcomes.
  • Further research with larger, randomized samples is recommended to confirm efficacy.

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