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Parent-Child Interaction Therapy for Disruptive Behavior: A Systematic Review of Effectiveness in Different Settings

Andrea Calderone1, Adriana Piccolo2, Desirèe Latella2

  • 1Department of Clinical and Experimental Medicine, University of Messina, 98100 Messina, Italy.

Journal of Clinical Medicine
|February 13, 2025
PubMed

Insights

Parent-child interaction therapy (PCIT) effectively reduces disruptive behavior problems in children and lessens parenting stress. This evidence-based approach shows promise across various populations and settings.

Area of Science:

  • Child Psychology
  • Behavioral Therapy
  • Systematic Review

Background:

  • Parent-child interaction therapy (PCIT) is an established intervention for pediatric behavioral issues.
  • Disruptive behavior problems (DBPs) significantly impact child development and family well-being.
  • Evidence-based interventions are crucial for addressing childhood behavioral challenges.

Purpose of the Study:

  • To systematically review the efficacy of PCIT in mitigating disruptive behavior problems (DBPs) in children.
  • To analyze PCIT outcomes across diverse demographic groups and clinical/community settings.
  • To synthesize current evidence on PCIT's effectiveness in improving parent-child interactions.

Main Methods:

  • Systematic literature search conducted across major scientific databases (PubMed, Web of Science, Cochrane Library, Embase) from 2014 to 2024.
  • Inclusion of studies assessing PCIT's impact on child disruptive behaviors and parenting stress.
  • Registered systematic review protocol (Open OSF TVFQ5) ensuring methodological rigor.

Main Results:

  • PCIT demonstrated significant reductions in child disruptive behavior problems across various conditions.
  • Studies confirmed decreased parenting stress levels following PCIT intervention.
  • PCIT's adaptability and effectiveness were validated in both specialized and community-based settings.
  • Positive outcomes were observed in diverse and high-risk populations.

Conclusions:

  • PCIT is a highly effective intervention for reducing disruptive behaviors and enhancing parent-child relationships.
  • The review underscores PCIT's broad applicability across different cultural contexts and settings.
  • Further research is recommended to explore long-term PCIT efficacy and technological integration for wider dissemination.

Keywords:
disruptive behaviorparent–child interaction therapyrehabilitation

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