Changes in self-reported and observed parenting following a randomized control trial of parent-child interaction therapy for the treatment of preschool depression / Diana J. WHALEN in Journal of Child Psychology and Psychiatry, 62-1 (January 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-1 (January 2021) . - p.86-96 Titre : Changes in self-reported and observed parenting following a randomized control trial of parent-child interaction therapy for the treatment of preschool depression Type de document : Texte imprimé et/ou numérique Auteurs : Diana J. WHALEN, Auteur ; Kirsten E. GILBERT, Auteur ; Joan L. LUBY, Auteur Article en page(s) : p.86-96 Langues : Anglais (eng) Mots-clés : Parenting practices  observational  parent-child interaction  parent-child interaction therapy  preschool depression Index. décimale : PER Périodiques Résumé : BACKGROUND: Parenting in early childhood exerts substantial influence over children's emotional health and development. Using data from a randomized controlled trial of a novel treatment for early childhood depression, Parent-Child Interaction Therapy Emotion Development (PCIT-ED), we explored two broad dimensions of parenting (behavior and affect) to determine whether any changes could be detected following treatment when compared to those in a waitlist control condition. METHOD: 229 caregiver-child dyads, 114 randomly assigned to PCIT-ED for preschool-onset depression, and 115 assigned to a waitlist completed two structured interaction tasks at baseline and post-treatment. Interactions were later coded by observer's blind to diagnostic and treatment status. RESULTS: Greater reductions were found in self-reported negative parenting behaviors and observed negative affect and greater increases in self-reported positive parenting behaviors and observed positive affect among the caregivers in the treatment group. Increases in the overall positivity of the observed interactional style of caregivers, but no observed parenting behavior change was found following treatment. Discrepancies between self-reported and observed parenting were greater among caregivers on the waitlist. CONCLUSIONS: Following PCIT-ED treatment, caregivers self-reported improvements in parenting practices and declines in punitive practices along with observed increases in positive affect and decreases in negative affect when interacting with their child. Moreover, coherence between self-reported and observed parenting was higher in the treatment group. These findings highlight the efficacy of PCIT-ED in improving parenting behaviors and the need to use multiple methods to assess parenting in treatment studies. En ligne : http://dx.doi.org/10.1111/jcpp.13263 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=435 [article] Changes in self-reported and observed parenting following a randomized control trial of parent-child interaction therapy for the treatment of preschool depression [Texte imprimé et/ou numérique] / Diana J. WHALEN, Auteur ; Kirsten E. GILBERT, Auteur ; Joan L. LUBY, Auteur . - p.86-96. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-1 (January 2021) . - p.86-96 Mots-clés : Parenting practices  observational  parent-child interaction  parent-child interaction therapy  preschool depression Index. décimale : PER Périodiques Résumé : BACKGROUND: Parenting in early childhood exerts substantial influence over children's emotional health and development. Using data from a randomized controlled trial of a novel treatment for early childhood depression, Parent-Child Interaction Therapy Emotion Development (PCIT-ED), we explored two broad dimensions of parenting (behavior and affect) to determine whether any changes could be detected following treatment when compared to those in a waitlist control condition. METHOD: 229 caregiver-child dyads, 114 randomly assigned to PCIT-ED for preschool-onset depression, and 115 assigned to a waitlist completed two structured interaction tasks at baseline and post-treatment. Interactions were later coded by observer's blind to diagnostic and treatment status. RESULTS: Greater reductions were found in self-reported negative parenting behaviors and observed negative affect and greater increases in self-reported positive parenting behaviors and observed positive affect among the caregivers in the treatment group. Increases in the overall positivity of the observed interactional style of caregivers, but no observed parenting behavior change was found following treatment. Discrepancies between self-reported and observed parenting were greater among caregivers on the waitlist. CONCLUSIONS: Following PCIT-ED treatment, caregivers self-reported improvements in parenting practices and declines in punitive practices along with observed increases in positive affect and decreases in negative affect when interacting with their child. Moreover, coherence between self-reported and observed parenting was higher in the treatment group. These findings highlight the efficacy of PCIT-ED in improving parenting behaviors and the need to use multiple methods to assess parenting in treatment studies. En ligne : http://dx.doi.org/10.1111/jcpp.13263 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=435

Editorial: Standardizing methods and measures in randomized controlled trials: a necessary catalyst for clinical translation / Joan L. LUBY in Journal of Child Psychology and Psychiatry, 62-3 (March 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-3 (March 2021) . - p.253-254 Titre : Editorial: Standardizing methods and measures in randomized controlled trials: a necessary catalyst for clinical translation Type de document : Texte imprimé et/ou numérique Auteurs : Joan L. LUBY, Auteur Article en page(s) : p.253-254 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : The pressing need for more randomized controlled trials (RCTs) of treatments for childhood mental disorders has been emphasized by researchers and clinicians as well as in recent commentaries in JCPP (e.g. Stringaris, 2014). Despite the significant increase in research on aetiology, course and antecedents of developmental psychopathology more generally, and the numerous important discoveries that have been made in this domain in the last two decades, the translation of these findings into clinical practice has lagged behind (Insel and Gotay, 2014). Currently, based on limitations in the extant literature, treatment decisions by child mental health clinicians are still made largely based on personal anecdotal experience. Consistent with this, wide variation in prescribing practices have been found by region internationally (Steinhausen, 2015). When it comes to psychotherapeutic interventions, these clinical strategies are often driven by the limited availability of empirically supported treatments in any given community. In the case of psychopharmacologic treatments, while some clinical guidelines are now available, much more definitive data are needed to inform indications, optimal dosing and duration of treatment, uses of polypharmacy, as well as more nuanced information about differential developmental effects. Therefore, a significant gap still exists between clinical practice and the empirical database in the treatment of child mental disorders. Further, the available database is also limited by small sample sizes and mixed findings, making it much less straightforward to coherently guide clinical treatment of childhood psychopathology. En ligne : http://dx.doi.org/10.1111/jcpp.13388 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443 [article] Editorial: Standardizing methods and measures in randomized controlled trials: a necessary catalyst for clinical translation [Texte imprimé et/ou numérique] / Joan L. LUBY, Auteur . - p.253-254. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-3 (March 2021) . - p.253-254 Index. décimale : PER Périodiques Résumé : The pressing need for more randomized controlled trials (RCTs) of treatments for childhood mental disorders has been emphasized by researchers and clinicians as well as in recent commentaries in JCPP (e.g. Stringaris, 2014). Despite the significant increase in research on aetiology, course and antecedents of developmental psychopathology more generally, and the numerous important discoveries that have been made in this domain in the last two decades, the translation of these findings into clinical practice has lagged behind (Insel and Gotay, 2014). Currently, based on limitations in the extant literature, treatment decisions by child mental health clinicians are still made largely based on personal anecdotal experience. Consistent with this, wide variation in prescribing practices have been found by region internationally (Steinhausen, 2015). When it comes to psychotherapeutic interventions, these clinical strategies are often driven by the limited availability of empirically supported treatments in any given community. In the case of psychopharmacologic treatments, while some clinical guidelines are now available, much more definitive data are needed to inform indications, optimal dosing and duration of treatment, uses of polypharmacy, as well as more nuanced information about differential developmental effects. Therefore, a significant gap still exists between clinical practice and the empirical database in the treatment of child mental disorders. Further, the available database is also limited by small sample sizes and mixed findings, making it much less straightforward to coherently guide clinical treatment of childhood psychopathology. En ligne : http://dx.doi.org/10.1111/jcpp.13388 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443

Editorial: The primacy of parenting / Joan L. LUBY in Journal of Child Psychology and Psychiatry, 61-4 (April 2020)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 61-4 (April 2020) . - p.399-400 Titre : Editorial: The primacy of parenting Type de document : Texte imprimé et/ou numérique Auteurs : Joan L. LUBY, Auteur Article en page(s) : p.399-400 Langues : Anglais (eng) Mots-clés : Parenting  emotion development  sensitive periods Index. décimale : PER Périodiques Résumé : The contention that supportive and sensitive parenting is important to healthy emotional and behavioral development of children is a widely accepted maxim. There is also increasing consensus among developmentalists about the nature of optimal parenting practices. However, what remains under appreciated is just how powerful an influence these positive elements of caregiving have in shaping, driving, and fortifying a healthy developmental trajectory across multiple domains of function. The notion that positive caregiving is an 'essential ingredient' necessary for healthy human development has become increasingly evident. Importantly, both animal and human data have established that there are early sensitive periods, representing windows of opportunity, during which optimal caregiving has its most powerful effects (Curley & Champagne, Frontiers in neuroendocrinology, 40, 52, 2016; Nelson et al., Science, 318, 1937, 2007). These points are underscored by papers in this volume showing the sustained effects of early parenting interventions focused on enhancing attachment relationship (Zajac, Raby, & Dozier, Journal of Child Psychology and Psychiatry, 57, 1099, 2019). Using another parenting program, Brody, Yu, Miller, and Chen (Journal of Child Psychology and Psychiatry, 2019) report longitudinal data showing mechanistic pathways by which the effects of enhanced caregiving impact later adaptive functioning in a high risk sample. These findings suggest that early parenting interventions may have uniquely positive and enduring effects highlighting their unique importance as a focus for developmental enhancement. En ligne : http://dx.doi.org/10.1111/jcpp.13236 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421 [article] Editorial: The primacy of parenting [Texte imprimé et/ou numérique] / Joan L. LUBY, Auteur . - p.399-400. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 61-4 (April 2020) . - p.399-400 Mots-clés : Parenting  emotion development  sensitive periods Index. décimale : PER Périodiques Résumé : The contention that supportive and sensitive parenting is important to healthy emotional and behavioral development of children is a widely accepted maxim. There is also increasing consensus among developmentalists about the nature of optimal parenting practices. However, what remains under appreciated is just how powerful an influence these positive elements of caregiving have in shaping, driving, and fortifying a healthy developmental trajectory across multiple domains of function. The notion that positive caregiving is an 'essential ingredient' necessary for healthy human development has become increasingly evident. Importantly, both animal and human data have established that there are early sensitive periods, representing windows of opportunity, during which optimal caregiving has its most powerful effects (Curley & Champagne, Frontiers in neuroendocrinology, 40, 52, 2016; Nelson et al., Science, 318, 1937, 2007). These points are underscored by papers in this volume showing the sustained effects of early parenting interventions focused on enhancing attachment relationship (Zajac, Raby, & Dozier, Journal of Child Psychology and Psychiatry, 57, 1099, 2019). Using another parenting program, Brody, Yu, Miller, and Chen (Journal of Child Psychology and Psychiatry, 2019) report longitudinal data showing mechanistic pathways by which the effects of enhanced caregiving impact later adaptive functioning in a high risk sample. These findings suggest that early parenting interventions may have uniquely positive and enduring effects highlighting their unique importance as a focus for developmental enhancement. En ligne : http://dx.doi.org/10.1111/jcpp.13236 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=421

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