Improving Child Emotion Regulation: Effects of Parent–Child Interaction-therapy and Emotion Socialization Strategies
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.
KeywordsParent-Child Interaction Therapy Emotion regulation Externalizing behavior Emotion socialization Emotion development
We gratefully thank the therapists, support staff, and most importantly, the children and families that made this work possible.
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.
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.
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 was obtained from all individual participants included in the study.
- 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
- 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
- Cohen, J. (1988). Statistical power analysis for the behavioral sciences. (2nd edn) Hillsdale: Lawrence Earlbaum Associates.Google Scholar
- Eyberg, S. M., & Funderburk, B. (2011). Parent-Child Interaction Therapy protocol. Gainesville: PCIT International.Google Scholar
- 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
- Eyberg, S., & Pincus, D. (1999). Eyberg Child Behavior Inventory & Sutter-Eyberg Student Behavior Inventory-Revised: Professional Manual. Odessa: Psychological Assessment Resources.Google Scholar
- Fabes, R. A., Eisenberg, N., & Bernzweig, J. (1990). The Coping with Children’s Negative Emotions Scale: Procedures and scoring. Arizona State University.Google Scholar
- 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
- Gottman, J. M., Katz, L. F., & Hooven, C. (1997). Meta-emotion: How families communicate emotionally. Hillsdale: Lawrence Erlbaum Associates, Inc.Google Scholar
- Kline, R. B. (2005). Principles and practices of structural equation modeling. (2nd edn) New York: Guilford Press.Google Scholar
- 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
- 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
- National Institute of Mental Health. (2015). Priorities for strategy 3.2. http://www.nimh.nih.gov/about/strategic-planning-reports/strategic-researchpriorities/srp-objective-3/priorities-for-strategy-32.shtml.
- Reynolds, C. R., & Kamphaus, R. W. (2006). BASC-2: Behavior Assessment System for Children. (2nd edn) Upper Saddle River: Pearson Education, Inc.Google Scholar