Th. Eisenstadt et al., PARENT-CHILD INTERACTION THERAPY WITH BEHAVIOR PROBLEM CHILDREN - RELATIVE EFFECTIVENESS OF 2 STAGES AND OVERALL TREATMENT OUTCOME, Journal of clinical child psychology, 22(1), 1993, pp. 42-51
Evaluated the effectiveness of Parent-Child Interaction Therapy (PCIT)
for 24 mother-child dyads. Families received 14 weekly sessions of PC
IT, with half receiving Child-Directed Interaction training first (CDI
-First group) and half receiving Parent-Directed Interaction training
first (PDI-First group). At midtreatment, the PDI training stage was m
ore effective than the CDI stage for reducing noncompliance and disrup
tiveness. The groups were also compared at posttreatment to examine th
e impact of stage sequence. The PDI-First group was more improved on p
arent report of conduct problems, and mothers were more satisfied with
therapy. The two groups were combined to examine overall treatment ou
tcome. Families moved from outside normal limits to within normal limi
ts on compliance, conduct problems, activity level, and maternal stres
s, and showed improvement in internalizing problems and child self-est
eem. Gains were maintained at 6-week follow-up.