Citation

Skoranski AM, Skowron EA, Nekkanti AK, Scholtes CM, Lyons ER, DeGarmo DS. Dev. Psychopathol. 2021; ePub(ePub): ePub.

Copyright

(Copyright © 2021, Cambridge University Press)

DOI

10.1017/S0954579421000031

PMID

unavailable

Abstract

Parent-Child interaction therapy (PCIT) has been shown to improve positive, responsive parenting and lower risk for child maltreatment (CM), including among families who are already involved in the child welfare system. However, higher risk families show higher rates of treatment attrition, limiting effectiveness. In N = 120 child welfare families randomized to PCIT, we tested behavioral and physiological markers of parent self-regulation and socio-cognitive processes assessed at pre-intervention as predictors of retention in PCIT.

RESULTS of multinomial logistic regressions indicate that parents who declined treatment displayed more negative parenting, greater perceptions of child responsibility and control in adult-child transactions, respiratory sinus arrhythmia (RSA) increases to a positive dyadic interaction task, and RSA withdrawal to a challenging, dyadic toy clean-up task. Increased odds of dropout during PCIT's child-directed interaction phase were associated with greater parent attentional bias to angry facial cues on an emotional go/no-go task. Hostile attributions about one's child predicted risk for dropout during the parent-directed interaction phase, and readiness for change scores predicted higher odds of treatment completion. Implications for intervening with child welfare-involved families are discussed along with study limitations.

Language: en

Keywords

child welfare; emotion regulation; parent attributions; Parent×Child interaction therapy; respiratory sinus arrhythmia