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PCIT for Children with Severe Behavior Problems and Autism Spectrum Disorder

  • Korrie Allen
  • John W. Harrington
  • Cathy Cooke
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Abstract

Several evidence-based therapies are available for children with disruptive behavior; however, few have been studied among children with ASD and co-occurring behavioral difficulties. The purpose of this chapter is to review the effectiveness of Parent-Child Interaction Therapy (PCIT) in reducing disruptive behaviors among school-age children (4–12 years) with ASD. Forty-four children were enrolled in the study: 19 in the control group and 25 in the PCIT treatment group. Participants in the intervention group received the manual-based PCIT treatment weekly (60–90 min) for approximately 14–16 weeks. Control group participants maintained community treatment for the duration of the study. Parent-reported and observational measures of child behavior and compliance, parental distress, and parental mental health were administered at baseline, interim treatment (10 weeks), and posttreatment (14 weeks). The results indicated that children in the treatment group demonstrated a significant reduction in disruptive behaviors and improvement in compliance compared to children in the control group. Exploratory analyses revealed a differential treatment response based on ASD severity. These results demonstrate that PCIT can be effectively translated to children with ASD and disruptive behavior.

Keywords

Parent Child Interaction Therapy Autism spectrum disorder Children Disruptive behavior 
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References

  1. Abidin, R. R. (1995). Parenting sress index, professional manual, 3rd ed. Odessa, FL: Psychological Assessment Resources.Google Scholar
  2. Aman, M. G., McDougle, C. J., Scahill, L., Handen, B., Arnold, L. E., Johnson, C., & Wagner, A. (2009). Medication and parent training in children with pervasive developmental disorders and serious behavior problems: Results from a randomized clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 1143–1154.CrossRefGoogle Scholar
  3. American Academy of Child and Adolescent Psychiatry. (2007). Practice parameter for the assessment and treatment of children and adolescents with oppositional defiant disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 126–141.CrossRefGoogle Scholar
  4. American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.—text rev.). Washington, DC: American Psychiatric Association.Google Scholar
  5. Bagner, D. M., & Eyberg, S. M. (2007). Parent-Child Interaction Therapy for disruptive behavior in children with mental retardation: A randomized controlled trial. Journal of Clinical Child and Adolescent Psychology, 36, 418–429.CrossRefGoogle Scholar
  6. Baker, B. L., Blacher, J., Crnic, K. A., & Edelbrock, C. (2002). Behavior problems and parenting stress in families of three-year-old children with and without developmental delays. American Journal of Mental Retardation, 107, 433–444.CrossRefGoogle Scholar
  7. Bauminger, N., Solomon, M., & Rogers, S. J. (2010). Externalizing and internalizing behaviors in ASD. Autism Research, 3, 101–112.CrossRefGoogle Scholar
  8. Beck, A. T., Ward, C. H., Mendelson, M., Mock, J., & Erbaugh, J. (1961). An inventory for measuring depression. Archives of General Psychiatry, 4, 561–571.CrossRefGoogle Scholar
  9. Berkovits, M. D., O’Brien, K. A., Carter, C. G., & Eyberg, S. M. (2010). Early identification and intervention for behavior problems in primary care: A comparison of two abbreviated versions of Parent–Child Interaction Therapy. Behavior Therapy, 41, 375–387.CrossRefGoogle Scholar
  10. Boggs, S. R., Eyberg, S. M., Edwards, D., Rayfield, A., Jacobs, J., Bagner, D., & Hood, K. (2004). Outcomes of Parent-Child Interaction Therapy: A comparison of dropouts and treatment completers one to three years after treatment. Child & Family Behavior Therapy, 26, 1–22.CrossRefGoogle Scholar
  11. Brereton, A. V., Tonge, B. J., & Einfeld, S. L. (2006). Psychopathology in children and adolescents with autism compared to young people with intellectual disability. Journal of Autism and Developmental Disorders, 36, 863–870.CrossRefGoogle Scholar
  12. Brestan, E. V., & Eyberg, S. M. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kids. Journal of Clinical Child Psychology, 27, 180–189.CrossRefGoogle Scholar
  13. Campis, L. K., Lyman, R. D., & Prentice-Dunn, S. (1986). The parental locus of control scale: Development and validation. Journal of Clinical Child & Adolescent Psychology, 15, 260–267.CrossRefGoogle Scholar
  14. Centers for Disease Control and Prevention, Autism and Developmental Disabilities Monitoring Network. (2012). Identified prevalence of autism spectrum disorders. Retrieved from http://www.cdc.gov/ncbddd/autism/data.html.
  15. Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report. (2007). Prevalence of autism spectrum disorders - Autism and developmental disabilities monitoring network, 14 sites, United States, 2002. Surveillance Summaries, 56, 12–28 Retrieved from http://www.cdc.gov/mmwr/pdf/ss/ss5601.pdf Google Scholar
  16. Centers for Disease Control and Prevention, Morbidity and Mortality Weekly Report. (2009). Prevalence of autism spectrum disorders—Autism and developmental disabilities monitoring network, United States, 2006. Surveillance Summaries, 58, 1–20 Retrieved from http://www.cdc.gov/mmwr/preview/mmwrhtml/ss5810a1.htm Google Scholar
  17. Chalfant, A. M., Rapee, R., & Caroll, L. (2007). Treating anxiety disorders in children with high functioning autism spectrum disorders: A controlled trial. Journal of Autism and Developmental Disorders, 37, 1842–1857.CrossRefGoogle Scholar
  18. Chase, R. M., & Eyberg, S. M. (2008). Clinical presentation and treatment outcome for children with comorbid externalizing and internalizing symptoms. Journal of Anxiety Disorders, 22, 273–282.CrossRefGoogle Scholar
  19. Dunn, D. M., & Dunn, L. M. (2007). Peabody picture vocabulary test, fourth edition, manual. Minneapolis, MN: NCS Pearson.Google Scholar
  20. Eisenstadt, T. H., Eyberg, S. M., McNeil, C. 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
  21. Esser, G., Schmidt, M. H., & Woerner, W. (1990). Epidemiology and course of psychiatric disorders in school-age children: Results of a longitudinal study. Journal of Child Psychology and Psychiatry, 31, 243–263.CrossRefGoogle Scholar
  22. Eyberg, S. M. (1993). Consumer satisfaction measures for assessing parent training programs. In L. VandeCreek, S. Knapp, & T. L. Jackson (Eds.), Innovations in clinical practice: A source book (Vol. 12). Sarasota, FL: Professional Resource Press.Google Scholar
  23. Eyberg, S. M. (2005). Tailoring and adapting Parent-Child Interaction Therapy to new populations. Education and Treatment of Children, 28, 197–201.Google Scholar
  24. Eyberg, S. M., Boggs, S., & Algina, J. (1995). Parent-Child Interaction Therapy: A psychosocial model for the treatment of young children with conduct problem behavior and their families. Psychopharmacology Bulletin, 31, 83–91.Google Scholar
  25. Eyberg, S. M., & Boggs, S. R. (1989). Parent training for oppositional preschoolers. In C. E. Schaefer & J. M. Briesmeister (Eds.), Handbook of parent training: Parents as cotherapists for children’s behavior problems. New York: Wiley.Google Scholar
  26. Eyberg, S. M., & Funderburk, B. W. (2010). Parent–Child Interaction Therapy protocol (Version 1.0): The empirically supported protocol. Gainesville, FL: PCIT International.Google Scholar
  27. Eyberg, S. M., Nelson, M. M., Duke, M., & Boggs, S. R. (2004). Manual for the dyadic parent-child interaction coding system. Gainesville, FL: University of Florida.Google Scholar
  28. Eyberg, S. M., & Pincus, D. (1999). Eyberg Child Behavior Inventory and Sutter-Eyberg Behavior Inventory-Revised: Professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
  29. Farmer, C. A., & Aman, M. G. (2011a). Aggressive behavior in a sample of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 5, 317–323.CrossRefGoogle Scholar
  30. Farmer, C. A., & Aman, M. G. (2011b). Aripiprazole for the treatment of irritability associated with autism. Expert Opinions in Pharmacotherapy, 12, 635–640.CrossRefGoogle Scholar
  31. Frazier, T. W., Youngstrom, E. A., Haycook, T., Sinoff, A., Dimitrious, F., Knapp, J., & Sinclair, L. (2010). Effectiveness of medication combined with intensive behavioral intervention for reducing aggression in youth with autism spectrum disorder. Journal of Child and Adolescent Psychopharmacology, 20, 167–177.CrossRefGoogle Scholar
  32. Frick, P. J. (1991). The Alabama Parenting Questionnaire. Unpublished rating scale, University of Alabama.Google Scholar
  33. Gadow, K. D., DeVincent, C. J., Pomeroy, J., & Azizan, A. (2004). Psychiatric symptoms in preschool children with PDD and clinic and comparison samples. Journal of Autism and Developmental Disorders, 34, 379–393.CrossRefGoogle Scholar
  34. Gadow, K. D., DeVincent, C. J., Pomeroy, J., & Azizian, A. (2005). Comparison of DSM-IV symptoms in elementary school-age children with PDD versus clinic and community samples. Autism, 9, 392–415.CrossRefGoogle Scholar
  35. Guttmann-Steinmetz, S., Gadow, K. D., & DeVincent, C. J. (2009). Oppositional defiant and conduct disorder behaviors in boys with autism spectrum disorder with and without attention-deficit hyperactivity disorder versus several comparison samples. Journal of Autism and Developmental Disorders, 39, 976–985.CrossRefGoogle Scholar
  36. Hamilton, S. B., & MacQuiddy, S. L. (1984). Self-administered behavioral parent training: Enhancement of treatment efficacy using a time-out signal seat. Journal of Clinical Child Psychology, 13, 61–69.CrossRefGoogle Scholar
  37. Hanf, C. (1969). A two stage program for modifying maternal controlling during mother-child (M-C) interactions. Paper presented at the meeting of the Western Psychological Association. Vancouver, BC.Google Scholar
  38. Horner, R. H., Carr, E. G., Strain, P. S., Todd, A. W., & Reed, H. K. (2002). Problem behavior interventions for young children with autism: A research synthesis. Journal of Autism and Developmental Disorders, 32, 423–446.CrossRefGoogle Scholar
  39. Horner, R. H., Diemer, S. M., & Brazeau, K. C. (1992). Educational support for students with severe problem behaviors in Oregon: A descriptive analysis from the 1987–88 school years. Journal of the Association for Persons with Severe Handicaps, 17, 154–169.CrossRefGoogle Scholar
  40. Jacobs, R. H., Becker-Weidman, E. G., Reinecke, M. A., & Jordan, N. (2010). Treating depression and oppositional behavior in adolescents. Journal of Clinical Child & Adolescent Psychology, 39, 559–567.CrossRefGoogle Scholar
  41. Jang, J., Dixon, D. R., Tarbox, J., & Granpeesheh, D. (2011). Symptom severity and challenging behavior in children with ASD. Research in Autism Spectrum Disorders, 5, 1028–1032.CrossRefGoogle Scholar
  42. Kanne, S. M., & Mazurek, M. O. (2011). Aggression in children and adolescents with ASD: Prevalence and risk factors. Journal of Autism and Developmental Disorders, 41, 926–937.CrossRefGoogle Scholar
  43. Kashani, J. D., Beck, N., Hoeper, E., Fallahi, C., Corcoran, C., McAllister, J., et al. (1987). Psychiatric disorders in a community sample of adolescents. American Journal of Psychiatry, 144, 584–589.CrossRefGoogle Scholar
  44. Kashani, J. D., Carlson, G., Beck, N., Hoeper, E., Corcoran, C., McAllister, J., … Reid, J. C. (1987). Depression, depressive symptoms, and depressed mood among a community sample of adolescents. American Journal of Psychiatry, 144, 931–934.CrossRefGoogle Scholar
  45. Kazdin, A. E. (1996). Dropping out of child psychotherapy: Issues for research and implications for practice. Clinical Child Psychology and Psychiatry, 1, 133–156.CrossRefGoogle Scholar
  46. Loeber, R., Burke, J. D., Lahey, B. B., Winters, A., & Zera, M. (2000). Oppositional defiant and conduct disorder: A review of the past 10 years, part I. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 1468–1484.CrossRefGoogle Scholar
  47. Lord, C., & McGee, J. P. (2001). Educating children with autism. Washington, DC: National Academy Press.Google Scholar
  48. Masse, J. J., McNeil, C. B., Wagner, S. M., & Chorney, D. B. (2007). Parent-Child Interaction Therapy and high functioning autism: A conceptual overview. Journal of Early and Intensive Behavior Intervention, 4, 714–735.CrossRefGoogle Scholar
  49. Matson, J. L., Wilkins, J., & Macken, J. (2009). The relationship of challenging behaviors to severity and symptoms of autism spectrum disorders. Journal of Mental Health Research in Intellectual Disabilities, 2, 29–44.CrossRefGoogle Scholar
  50. McCabe, K. M., Yeh, M., Garland, A. F., Lau, A. S., & Chavez, G. (2005). The GANA program: A tailoring approach to adapting parent-child interaction therapy for Mexican Americans. Education and Treatment of Children, 28, 111–129.Google Scholar
  51. McClintock, K., Hall, S., & Oliver, C. (2003). Risk markers associated with challenging behaviors in people with intellectual disabilities: A meta-analytic study. Journal of Intellectual Disability Research, 47, 405–416.CrossRefGoogle Scholar
  52. McDiarmid, M. D., & Bagner, D. M. (2005). Parent-Child Interaction Therapy for children with disruptive behavior and developmental disabilities. Education and Treatment of Children, 28, 130–141.Google Scholar
  53. McEachin, J. J., Smith, T., & Lovaas, O. I. (1993). Long-term outcome for children with autism who received early intensive behavioral treatment. American Journal of Mental Retardation, 97, 359–391.Google Scholar
  54. McNeil, C. B., Eyberg, S., Eisenstadt, T. H., Newcomb, K., & Funderburk, B. W. (1991). Parent-Child Interaction Therapy with behavior problem children: Generalization of treatment effects to the school setting. Journal of Clinical Child Psychology, 20, 140–151.CrossRefGoogle Scholar
  55. Newschaffer, C. J., Falb, M. D., & Gurney, J. G. (2005). National autism prevalence trends from United States special education data. Pediatrics, 115, 277–282.CrossRefGoogle Scholar
  56. Oliver, C., Murphy, G. H., & Corbett, J. A. (1987). Self-injurious behavior in people with mental handicap: A total population study. Journal of Mental Deficiency Research, 31, 147–162.PubMedGoogle Scholar
  57. Peed, S., Roberts, M., & Forehand, R. (1977). Evaluation of the effectiveness of a standardized parent training program in altering the interaction of mothers and their noncompliant children. Behavioral Modification, 1, 323–350.CrossRefGoogle Scholar
  58. Reichle, J. (1990). National working conference on positive approaches to the management of excess behavior: Final report and recommendations. Minneapolis, MN: Institute on Community Integration, University of Minnesota.Google Scholar
  59. Research Units of Pediatric Psychopharmacology (RUPP) Autism Network. (2002). Risperidone in children with autism and serious behavioral problems. New England Journal of Medicine, 247, 314–321.Google Scholar
  60. Research Units of Pediatric Psychopharmacology (RUPP) Autism Network. (2005). Risperidone treatment of autistic disorder: Longer-term benefits and blinded discontinuation after 6 months. American Journal of Psychiatry, 162, 1361–1369.CrossRefGoogle Scholar
  61. Reynolds, C. R., & Kamphaus, R. W. (1992). Behavioral assessment system for children. Circle Pines, MN: American Guidance Service.Google Scholar
  62. Rogers, S. J., & Vismara, L. A. (2008). Evidence-based comprehensive treatments for early autism. Journal of Clinical Child and Adolescent Psychology, 37, 8–38.CrossRefGoogle Scholar
  63. Rojahn, J. (1994). Epidemiology and topographic taxonomy of self-injurious behavior. In T. Thompson & D. Gray (Eds.), Destructive behavior in developmental disabilities: Diagnosis and treatment (2nd ed., pp. 49–67). Thousand Oaks, CA: Sage.Google Scholar
  64. Schopler, E., Reichler, R., & DeVellis, R. (1980). Toward objective classification of childhood autism: Childhood autism rating scale (CARS). Journal of Autism and Development Disorders, 10, 91–103.CrossRefGoogle Scholar
  65. Schuhmann, E. M., Foote, R. C., Eyberg, S. M., Boggs, S. R., & Algina, J. (1998). Efficacy of Parent-Child Interaction Therapy: Interim report of a randomized trial with short-term maintenance. Journal of Clinical Child Psychology, 27, 34–45.CrossRefGoogle Scholar
  66. Shelton, K. K., Frick, P. J., & Wootton, J. (1996). The assessment of parenting practices in families of elementary school-age children. Journal of Clinical Child Psychology, 25, 317–327.CrossRefGoogle Scholar
  67. Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Odom, S., … Wagner, A. (2007). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37, 354–366.CrossRefGoogle Scholar
  68. Solomon, M., Ono, M., Timmer, S., & Goodlin-Jones, B. (2008). The effectiveness of Parent-Child Interaction Therapy for families of children on the autism spectrum. Journal of Autism and Developmental Disorders, 38, 1767–1776.CrossRefGoogle Scholar
  69. Solomon, R., Necheles, J., French, C., & Bruckman, D. (2007). Pilot study of a parent training program for young children with autism: The PLAY Project Home Consultation program. Autism, 11, 205–224.CrossRefGoogle Scholar
  70. Volkmar, F. R. (2001). Pharmacological interventions in autism: theoretical and practical issues. Journal of Clinical Child Psychology, 30, 80–87.CrossRefGoogle Scholar
  71. Wells, K. C., & Egan, J. (1988). Social learning and system family therapy for childhood oppositional disorder: Comparative treatment outcome. Comprehensive psychiatry, 29, 138–416.CrossRefGoogle Scholar
  72. Werba, B., Bearss, K., Rayfield, A., Eyberg, S., Monaco, L., Boggs, S., & Roberts, M. (2000). Development and validation of the parenting locus of control-short form. Poster presented at the annual meeting of the American Psychological Association. Washington, DC.Google Scholar
  73. Zangwill, W. M. (1983). An evaluation of a parent training program. Child & Family Behavior Therapy, 5, 1–6.CrossRefGoogle Scholar

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© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Korrie Allen
    • 1
  • John W. Harrington
    • 2
    • 3
  • Cathy Cooke
    • 4
  1. 1.Innovative Psychological SolutionsFairfaxUSA
  2. 2.Children’s Hospital of The King’s DaughtersNorfolkUSA
  3. 3.Eastern Virginia Medical SchoolNorfolkUSA
  4. 4.Clinical Associates of TidewaterNewport NewsUSA

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