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Efficacy of parent–child interaction therapy for children born premature
Pediatrics International ( IF 1.4 ) Pub Date : 2024-02-27 , DOI: 10.1111/ped.15742
Miyuki Matano 1 , Koyuru Kurane 1 , Kei Wakabayashi 1 , Yukari Yada 1 , Yumi Kono 1 , Toshihiro Tajima 1 , Hitoshi Osaka 1 , Yukifumi Monden 1
Affiliation  

BackgroundPremature children are known to be at a high risk of developing behavioral problems. This study examined the effectiveness of parent–child interaction therapy (PCIT) in reducing behavioral problems in young children born premature.MethodsThe study included 18 child–parent pairs with children born at less than 35 weeks of gestation (range: 23–34 weeks, median: 31.0 weeks) and aged 27–52 months (median: 38.0 months). They were assigned to either the PCIT group (n = 7) or the non‐PCIT group (n = 11) based on maternal desire for treatment. The study was designed to examine the effects of PCIT. Specifically, the Eyberg Child Behavior Inventory (ECBI) intensity score, ECBI problem score, and Parenting Stress Index Short Form (PSI‐SF) scores were compared before treatment and after 6 months.ResultsIn the PCIT group, the mean ECBI intensity score was 135.7 (SD = 13.5; T‐score = 64) at baseline and 90.1 (SD = 15.5; T‐score = 46) at post‐assessment, the mean ECBI problem score was 9.8 (SD = 1.9; T‐score = 54) at baseline and 4.4 (SD = 3.1; T‐score = 44) at post‐assessment, the mean PSI‐SF total score was 60.1 (SD = 4.8; 95%tile) at baseline and 49.6 (SD = 5.6; 85%tile) at post‐assessment, showing a significant improvement (ECBI intensity scores: p < 0.001, d = 2.03; ECBI problem scores: p < 0.001, d = 1.94; PSI‐SF total scores: p = 0.004, d = 0.86). On the other hand, none of the scores showed significant change in the non‐PCIT group.ConclusionsThe PCIT can be considered as a potential treatment option for behavioral problems in young children born premature.

中文翻译:

亲子互动疗法对早产儿的疗效

背景众所周知,早产儿出现行为问题的风险很高。这项研究检验了亲子互动疗法(PCIT)在减少早产儿行为问题方面的有效性。方法该研究包括 18 组儿童与父母对,其中婴儿的妊娠期小于 35 周(范围:23-34 周,中位数:31.0 周),年龄 27-52 个月(中位数:38.0 个月)。他们被分配到 PCIT 组(n= 7) 或非 PCIT 组 (n= 11) 基于母亲对治疗的渴望。该研究旨在检验 PCIT 的效果。具体来说,比较治疗前和6个月后的艾伯格儿童行为量表(ECBI)强度评分、ECBI问题评分和育儿压力指数简表(PSI-SF)评分。结果在PCIT组中,平均ECBI强度评分为135.7基线时为(SD = 13.5;T 分数 = 64),后评估时为 90.1(SD = 15.5;T 分数 = 46),平均 ECBI 问题分数为 9.8(SD = 1.9;T 分数 = 54)基线时为 60.1(SD = 4.8;95%tile),评估后为 4.4(SD = 3.1;T 分数 = 44),基线时平均 PSI-SF 总分为 60.1(SD = 4.8;95%tile),49.6(SD = 5.6;85%tile)在后评估中,显示出显着的改善(ECBI 强度评分:p< 0.001,d= 2.03; ECBI 问题评分:p< 0.001,d= 1.94;PSI-SF 总分:p= 0.004,d= 0.86)。另一方面,非 PCIT 组的评分均未显示出显着变化。结论 PCIT 可以被视为早产儿行为问题的潜在治疗选择。
更新日期:2024-02-27
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