Journal of Abnormal Child Psychology

, Volume 34, Issue 3, pp 323–335

Child-Directed Interaction: Prediction of Change in Impaired Mother–Child Functioning

Article

The first phase of parent–child interaction therapy (PCIT), called child-directed interaction, teaches parents to use positive and differential social attention to improve the parent–child relationship. This study examined predictors of change in mother and child functioning during the child-directed interaction for 100 mother–child dyads. The children were 3–6-years-old and diagnosed with oppositional defiant disorder. After establishing that significant improvements occurred in mother report of child disruptive behavior, parenting stress, and parenting practices, these three variables were combined to form a latent impaired mother–child functioning construct. Structural equation models were examined using maternal demographic and psychosocial variables as predictors of impaired mother–child functioning before and after the child-directed interaction. Mothers’ self-reported daily hassles and depressive symptomatology predicted 74% of variance in impaired mother–child functioning before treatment. Mothers’ report of social support predicted impaired mother–child functioning after the child-directed interaction, with 57% of the variance accounted for in this longitudinal model. These findings suggest the importance of improving maternal social support during the initial phase of PCIT.

KEY WORDS:

parent–child interaction therapy disruptive behavior parent–child interaction social support oppositional defiant disorder parent training prediction 

REFERENCES

  1. Abidin, R. (1995). Parenting stress index—manual (3rd ed.). Odessa, FL: Psychological Assessment Resources.Google Scholar
  2. Achenbach, T. M. (1991). Manual for the child behavior checklist/4-18 and 1991 profile. Burlington, VT: University of Vermont Department of Psychiatry.Google Scholar
  3. Achenbach, T. M. (1992). Manual for the child behavior checklist/2-3 and 1992 profile. Burlington, VT: University of Vermont Department of Psychiatry.Google Scholar
  4. Bagner, D., & Eyberg, S. M. (2003). Father involvement in parent training: When does it matter? Journal of Clinical Child and Adolescent Psychology, 32, 599–605.PubMedCrossRefGoogle Scholar
  5. Baumrind, D. (1966). Effects of authoritative control on child behavior. Child Development, 37, 887–907.CrossRefGoogle Scholar
  6. Baumrind, D. (1991). The influence of parenting style on adolescent competence and substance use. Journal of Early Adolescence, 11, 56–95.Google Scholar
  7. Beck, A. T., Steer, R. A., & Brown, G. K. (1996). Manual for the Beck depression inventory-II, San Antonio, TX: Psychological Corp.Google Scholar
  8. Beck, A. T., Steer, R. A., Ball, R., & Ranieri, W. F. (1996). Comparison of the Beck Depression Inventories-IA and –II in psychiatric outpatients. Journal of Personality Assessment, 67, 588–597.PubMedCrossRefGoogle Scholar
  9. Bor, W., Sanders, M. R., & Markie-Dadds, C. (2002). The effects of the triple p-positive parenting program on preschool children with co-occurring disruptive behavior and attentional/hyperactive difficulties. Journal of Abnormal Child Psychology, 30, 571–587.PubMedCrossRefGoogle Scholar
  10. Brestan, E., & Eyberg, S.M. (1998). Effective psychosocial treatments for conduct-disordered children and adolescents: 29 years, 82 studies, and 5272 kids. Journal of Clinical Child Psychology, 27, 179–188.CrossRefGoogle Scholar
  11. Brestan, E. V., Eyberg, S. M., Boggs, S., & Algina, J. (1997). Parent–child interaction therapy: Parent perceptions of untreated siblings. Child and Family Behavior Therapy, 19, 13–28.CrossRefGoogle Scholar
  12. Calzada, E. J., Eyberg, S. M., Rich, B., & Querido, J. G. (2004). Parenting disruptive preschoolers: Experiences of mothers and fathers. Journal of Abnormal Child Psychology, 32, 203–213.PubMedCrossRefGoogle Scholar
  13. Cecil, H., Stanley, M. A., Carrion, P. G., & Swann, A. (1995). Psychometric properties of the MSPSS and NOS in psychiatric outpatients. Journal of Clinical Psychology, 51, 593–602.PubMedGoogle Scholar
  14. Chaffin, M., Silovsky, J. F., Funderburk, B. W., Valle, L. A., Brestan, E. V., Balachova, T., et al. (2004). Parent–child interaction therapy with physically abusive parents: Efficacy for reducing future abuse reports. Journal of Consulting and Clinical Psychology. 72, 500–510.PubMedCrossRefGoogle Scholar
  15. Charlebois, P., Vitaro, F., Normandeau, S., & Rondeau, N. (2001). Predictors of persistence in a longitudinal preventive intervention program for young disruptive boys. Prevention Science, 2, 133–143.PubMedCrossRefGoogle Scholar
  16. Choate, M. L., Pincus, D. B., Eyberg, S. M., & Barlow, D. H. (2005). Treatment of young children with separation anxiety disorder using parent–child interaction therapy. Cognitive and Behavioral Practice, 12, 126–135.CrossRefGoogle Scholar
  17. Conduct Problems Prevention Research Group. (2002). Predictor variables associated with positive fast track outcomes at the end of third grade. Journal of Abnormal Child Psychology, 30, 37–52.CrossRefGoogle Scholar
  18. Crnic, K. A., & Greenberg, M. T. (1990). Minor parenting stresses with young children. Child Development, 61, 1628–1637.PubMedCrossRefGoogle Scholar
  19. Dadds, M. R., & McHugh, T. A. (1992). Social support and treatment outcome in behavioral family therapy for child conduct problems. Journal of Consulting and Clinical Psychology, 60, 252–259.PubMedCrossRefGoogle Scholar
  20. DeGarmo, D. S., & Forgatch, M. S. (1997). Confidant support and maternal distress: Predictors of parenting practices for divorced mothers. Personal Relationships, 4, 305–317.CrossRefGoogle Scholar
  21. DeGarmo, D. S., & Forgatch, M. S. (1999). Contexts as predictors of changing maternal parenting practices in diverse family structures: A social interactional perspective of risk and resilience. In E. M. Hetherington (Ed.), Coping with divorce, single parenting, and remarriage: A risk and resiliency perspective (pp. 227–252). Hillsdale, NJ: Erlbaum.Google Scholar
  22. Dodrill, C. B. (1981). An economical method for the evaluation of general intelligence in adults. Journal of Consulting and Clinical Psychology, 49, 668–673.PubMedCrossRefGoogle Scholar
  23. Dumas, J. E., & Wahler, R. G. (1985). Indiscriminate mothering as a contextual factor in aggressive-oppositional child behavior: “Damned if you do and damned if you don’t.” Journal of Abnormal Child Psychology, 13, 1–17.PubMedCrossRefGoogle Scholar
  24. Dunn, L. M., & Dunn, L. M. (1997). Examiner's manual for the PPVT-III: Peabody picture vocabulary test (3rd ed.). Circle Pines, MN: American Guidance Services.Google Scholar
  25. Eisenstadt, T. H., Eyberg, S. M., McNeil, S. B., Newcomb, K., & Funderburk, B. (1993). Parent–child Interaction therapy with behavior problem children: Relative effectiveness of two stages and overall treatment outcome. Journal of Clinical Child Psychology, 22, 42–51.CrossRefGoogle Scholar
  26. Eyberg, S. M. (1979). A parent–child interaction model for the treatment of psychological disorders in young children. Paper presented at the meeting of the Western Psychological Association, San Diego.Google Scholar
  27. Eyberg, S. M. (1988). Parent-child interaction therapy: Integration of traditional and behavioral concerns. Child & Family Behavior Therapy, 10, 33–46.Google Scholar
  28. Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory: Professional manual, Odessa, FL: Psychological Assessment Resources.Google Scholar
  29. Floyd, E. M., & Eyberg, S. M. (2003). Testing the attachment theory of parent–child interaction therapy. Poster session presented at the annual meeting of the American Psychological Association, Toronto.Google Scholar
  30. Funderburk, B. W., Eyberg, S. M., Rich, B. A., & Behar, L. (2003). Further psychometric evaluation of the Eyberg and Behar rating scales for parents and teachers of preschoolers. Early Education and Development, 14, 67–81.CrossRefGoogle Scholar
  31. Gallagher, N. (2003). Effects of parent–child interaction therapy on young children with disruptive behavior disorders. Bridges Practice-Based Research Syntheses, 1, 1–17. Retrieved July 28, 2005 from http://www.evidencebasedpractices.org/bridges/ bridges_vol1_no4.pdf.Google Scholar
  32. Harwood, M. D., & Eyberg, S. M. (2004). Therapist verbal behavior early in treatment: Relation to successful completion of parent–child interaction therapy. Journal of Clinical Child and Adolescent Psychology, 33, 601–612.PubMedCrossRefGoogle Scholar
  33. Hollingshead, A. B. (1975). Four-factor index of social status.Unpublished manuscript, Yale University, New Haven, CT.Google Scholar
  34. Hood, K. K., & Eyberg, S. M. (2003). Outcomes of parent–child interaction therapy: Mothers’ reports of maintenance 3–6 years after treatment. Journal of Clinical Child and Adolescent Psychology, 32, 419–429.PubMedCrossRefGoogle Scholar
  35. Hutchings, J., Midence, K., & Nash, S. (1997). Assessing social isolation among mothers of conduct problem children: Preliminary findings from the community contacts questionnaire. Clinical Psychology Forum, 108, 24–27.Google Scholar
  36. Jensen, P. S., Watanabe, H. K., Richters, J. E., Roper, M., Hibbs, E. D., Salzberg, A. D., et al. (1996). Scales, diagnoses, and child psychopathology II: Comparing the CBCL and the DISC against external validators. Journal of Abnormal Child Psychology, 24, 151–168.PubMedCrossRefGoogle Scholar
  37. Kochanska, G. (1997). Mutually responsive orientation between mothers and their young children: Implications for early socialization. Child Development, 68, 94–112.PubMedCrossRefGoogle Scholar
  38. Kochanska, G., Forman, D. R., Aksan, N., & Dunbar, S. B. (2005). Pathways to conscience: Early mother–child mutually responsive orientation and children's moral emotion, conduct, and cognition. Journal of Child Psychology and Psychiatry, 46, 19–34.PubMedCrossRefGoogle Scholar
  39. McNeil, C. B., Capage, L. C., Bahl, A., & Blanc, H. (1999). Importance of early intervention for disruptive behavior problems: Comparison of treatment and waitlist-control groups. Early Education and Development, 10, 445–454.Google Scholar
  40. Parpal, M., & Maccoby, E. E. (1985). Maternal responsiveness and subsequent child compliance. Child Development, 56, 1326–1334.CrossRefGoogle Scholar
  41. Prinz, R. J., & Miller, G. E. (1994). Family-based treatment for childhood antisocial behavior: Experimental influences on dropoupt and engagement. Journal Of Councilting and Clinical Psychology, 62, 645–650.Google Scholar
  42. Schuhman, E., Foote, R., Eyberg, S. M., Boggs, S., & Algina, J. (1998). Parent-child interaction therapy: Interim report of a randomized trial with short-term maintenance. Journal of Clinical Child Psychology, 27, 34–45.Google Scholar
  43. Shaffer, D., Fisher, P., Lucas, C. P., Dulcan, M. K., & Schwab-Stone, M. E. (2000). NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.PubMedCrossRefGoogle Scholar
  44. Simons, R. L., & Johnson, C. (1996). The impact of marital and social network support on quality of parenting. In G. R. Pierce, B. R. Sarason & I. G. Sarason (Eds.), Handbook of social support and the family (pp. 269–287). New York: Plenum.Google Scholar
  45. Strayhorn, J. M., & Weidman, C. S. (1988). A parenting practices scale and its relation to child and parent mental health. Journal of the American Academy of Child and Adolescent Psychiatry, 27, 613–618.PubMedGoogle Scholar
  46. Taylor, T. K., Schmidt, F., Pepler, D., & Hodgins, C. (1998). A comparison of eclectic treatment with Webster-Stratton's parents and children series in a children's mental health center: A randomized controlled trial. Behavior Therapy, 29, 221–240.CrossRefGoogle Scholar
  47. Tynan, W. D., Schuman, W., & Lampert, N. (1999). Concurrent parent and child therapy groups for externalizing disorders: From the laboratory to the world of managed care. Cognitive and Behavioral Practice, 6, 3–9.CrossRefGoogle Scholar
  48. Timmer, S. G., Urquiza, A. J., Zebell, N. M., & McGrath, J. M. (in press). Parent–child interaction therapy: Applications to maltreating parent-child dyads–child dyads. Child Abuse and Neglect. Google Scholar
  49. Wahler, R. G. (1980). The insular mother: Her problems in parent–child treatment. Journal of Applied Behavior Analysis, 13, 207–219.PubMedCrossRefGoogle Scholar
  50. Wakschlag, L. S., & Keenan, K. (2001) Clinical significance and correlates of disruptive behavior in environmentally at-risk preschoolers. Journal of Clinical Child Psychology, 30, 262–275.PubMedCrossRefGoogle Scholar
  51. Webster-Stratton, C., & Hammond, M. (1997). Treating children with early-onset conduct problems: A comparison of child and parent training interventions. Journal of Consulting and Clinical Psychology, 65, 93–109.PubMedCrossRefGoogle Scholar
  52. Werba, B., Eyberg, S. M., Boggs, S. R., & Algina, J. (in press). Predicting the outcome of parent–child interaction therapy: Success and Attrition. Behavior Modification. Google Scholar
  53. Wothke, W. (2000). Longitudinal and multi-group modeling with missing data. In T. D. Little, K. U. Schnabel, & J. Baumert (Eds.), Modeling longitudinal and multiple group data: Practical issues, applied approaches and specific examples (pp. 269–281). Mahwah, NJ: Erlbaum.Google Scholar
  54. Zimet, G. D., Dahlem, N. W., Zimet, S. G., & Farley, G. K. (1998). The Multidimensional Scale of Perceived Social Support. Journal of Personality Assessment, 52, 30–41.CrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  1. 1.Department of Clinical and Health Psychology, University of FloridaGainesvilleUSA
  2. 2.Department of Clinical and Health PsychologyUniversity of FloridaGainesvilleUSA

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