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Improving Child Emotion Regulation: Effects of Parent–Child Interaction-therapy and Emotion Socialization Strategies

  • W. Andrew Rothenberg
  • Allison Weinstein
  • Erin A. Dandes
  • Jason F. Jent
Original Paper

Abstract

Emotion regulation is a mechanism that, when targeted in treatment, can ameliorate heterogeneous psychopathology across ontogeny. Parent-Child Interaction Therapy (PCIT) is one evidence-based intervention hypothesized to improve child emotion regulation. Building on this hypothesis, the present study examined three objectives. First, it examined whether child behavior improvement or parent positive parenting skill use during PCIT predicted improvements in post-treatment child emotion regulation. Second, it measured whether these associations persisted after controlling for baseline child emotion regulation, as well as positive and negative parent emotion socialization strategies. Third, it evaluated whether positive parenting skill use and child behavior improvement mediated associations between pre- and post-treatment child emotion regulation. PCIT participants were 86 2–8 year-olds and their caregivers. Child behavior improvement during PCIT (β = −0.65, p < 0.01) and positive pre-treatment parent emotion socialization strategies (β = −0.33, p = 0.05) were associated with improvements in post-treatment child emotion regulation. Additionally, improvements in child behavior during PCIT (β = −0.29, p < 0.01) but not mid-treatment positive parenting skill use (β = 0.00, p = 0.98) mediated the association between pre- and post-treatment emotion regulation. For children with clinically-elevated emotion regulation scores pre-treatment, over 80% of such scores fell to the normative range post-treatment. These preliminary results indicate PCIT may be effective in improving children’s emotion regulation, such effectiveness may persist even when treatment coincides with parent negative emotion socialization strategy use, and such effectiveness appears attributable to child behavior improvements over treatment. Additionally, parent positive emotion socialization strategies appear to be promising targets for future interventions.

Keywords

Parent-Child Interaction Therapy Emotion regulation Externalizing behavior Emotion socialization Emotion development 

Notes

Acknowledgements

We gratefully thank the therapists, support staff, and most importantly, the children and families that made this work possible.

Author Contributions

W.A.R.: Developed study hypotheses, conducted analyses, and wrote the final manuscript. A.W.: Collaborated with the design, execution, and writing of the study. E.A.D.: Collaborated in the writing and editing of the final manuscript. J.F.J.: Obtained study funding, designed the study, and assisted in writing the final manuscript.

Funding

This work was made possible by generous funding provided by the Children’s Trust of Miami, Florida.

Compliance with Ethical Standards

Conflict of Interest

The authors declare that they have no conflict of interest.

Ethics Statement

All research reported here was conducted in accordance with American Psychological Association ethical standards for research involving human participants. All study procedures were approved by the University of Miami, Florida IRB.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

References

  1. Aldao, A., Gee, D. G., De Los Reyes, A., & Seager, I. (2016). Emotion regulation as a transdiagnostic factor in the development of internalizing and externalizing psychopathology: current and future directions. Development and Psychopathology, 28(4), 927–946.CrossRefPubMedCentralGoogle Scholar
  2. Bagner, D. M., Graziano, P. A., Jaccard, J., Sheinkopf, S. J., Vohr, B. R., & Lester, B. M. (2012). An initial investigation of baseline respiratory sinus arrhythmia as a moderator of treatment outcome for young children born premature with externalizing behavior problems. Behavior Therapy, 43(3), 652–665.CrossRefPubMedCentralGoogle Scholar
  3. Chronis-Tuscano, A., Lewis-Morrarty, E., Woods, K. E., O’Brien, K. A., Mazursky-Horowitz, H., & Thomas, S. R. (2016). Parent–child interaction therapy with emotion coaching for preschoolers with attention-deficit/hyperactivity disorder. Cognitive and Behavioral Practice, 23(1), 62–78.CrossRefGoogle Scholar
  4. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (2nd edn) Hillsdale: Lawrence Earlbaum Associates.Google Scholar
  5. Dunsmore, J. C., Booker, J. A., & Ollendick, T. H. (2013). Parental emotion coaching and child emotion regulation as protective factors for children with oppositional defiant disorder. Social Development, 22(3), 444–466.CrossRefGoogle Scholar
  6. Eyberg, S. M., & Funderburk, B. (2011). Parent-Child Interaction Therapy protocol. Gainesville: PCIT International.Google Scholar
  7. Eyberg, S. M., Nelson, M. M., Duke, M., & Boggs, S. R. (2005). Manual for the dyadic parent-child interaction coding system. (3rd edn) Thousand Oaks: Sage Publications.Google Scholar
  8. Eyberg, S., & Pincus, D. (1999). Eyberg Child Behavior Inventory & Sutter-Eyberg Student Behavior Inventory-Revised: Professional Manual. Odessa: Psychological Assessment Resources.Google Scholar
  9. Fabes, R. A., Eisenberg, N., & Bernzweig, J. (1990). The Coping with Children’s Negative Emotions Scale: Procedures and scoring. Arizona State University.Google Scholar
  10. Gioia, G. A., Isquith, P. K., Guy, S. C., & Kenworthy, L. (2000). Behavior Rating Inventory of Executive Function: Professional manual. Lutz: Psychological Assessment Resources.Google Scholar
  11. Gottman, J. M., Katz, L. F., & Hooven, C. (1997). Meta-emotion: How families communicate emotionally. Hillsdale: Lawrence Erlbaum Associates, Inc.Google Scholar
  12. Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36(4), 567–589.CrossRefGoogle Scholar
  13. Kline, R. B. (2005). Principles and practices of structural equation modeling. (2nd edn) New York: Guilford Press.Google Scholar
  14. Luby, J., Lenze, S., & Tillman, R. (2012). A novel early intervention for preschool depression: findings from a pilot randomized controlled trial. Journal of Child Psychology and Psychiatry, 53(3), 313–322.CrossRefPubMedCentralGoogle Scholar
  15. Lugo-Candelas, C. I., Harvey, E. A., & Breaux, R. P. (2015). Emotion socialization practices in Latina and European-American mothers of preschoolers with behavior problems. Journal of Family Studies, 21(2), 144–162.CrossRefPubMedCentralGoogle Scholar
  16. Maliken, A. C., & Katz, L. F. (2013). Exploring the impact of parental psychopathology and emotion regulation on evidence-based parenting interventions: a transdiagnostic approach to improving treatment effectiveness. Clinical Child and Family Psychology Review, 16(2), 173–186.CrossRefPubMedCentralGoogle Scholar
  17. McNeil, C. B., Hembree-Kigin, T. L., Anhalt, K., Bjørseth, Å., Borrego, J., & Chen, Y., et al. (2010). Parent–Child Interaction Therapy. (2nd ed) New York: Springer Science + Business Media.Google Scholar
  18. Reynolds, C. R., & Kamphaus, R. W. (2006). BASC-2: Behavior Assessment System for Children. (2nd edn) Upper Saddle River: Pearson Education, Inc.Google Scholar
  19. Rodríguez, G. M., Bagner, D. M., & Graziano, P. A. (2014). Parent training for children born premature: a pilot study examining the moderating role of emotion regulation. Child Psychiatry and Human Development, 45(2), 143–152.CrossRefPubMedCentralGoogle Scholar
  20. Shields, A., & Cicchetti, D. (1998). Reactive aggression among maltreated children: the contributions of attention and emotion dysregulation. Journal of Clinical Child Psychology, 27(4), 381–395.CrossRefPubMedCentralGoogle Scholar
  21. Thomas, R., Abell, B., Webb, H. J., Avdagic, E., & Zimmer-Gembeck, M. J. (2017). Parent-child interaction therapy: a meta-analysis. Pediatrics, 140(3), 1–2.CrossRefGoogle Scholar
  22. Webster-Stratton, C. H., Reid, M. J., & Beauchaine, T. (2011). Combining parent and child training for young children with ADHD. Journal of Clinical Child and Adolescent Psychology, 40(2), 191–203.CrossRefPubMedCentralGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC, part of Springer Nature 2018

Authors and Affiliations

  • W. Andrew Rothenberg
    • 1
    • 2
  • Allison Weinstein
    • 1
  • Erin A. Dandes
    • 1
  • Jason F. Jent
    • 1
  1. 1.University of Miami Miller School of MedicineMiamiUSA
  2. 2.Center for Child & Family PolicyDuke UniversityDurhamUSA

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