Effectiveness of Parent-Child Interaction Therapy on overprotection, mothers’ anxiety symptoms and children’s separation anxiety’s symptoms

Authors
Department of Psychology, University of Zanjan
Abstract
The present study aimed to investigate the effect of Parent-Child Interaction (PCIT) Therapy of mothers on children with separation anxiety disorder, on reducing over protection, parenting anxiety and anxiety symptoms of their 3-6 years old children. The research design was quasi-experimental with pre-test and post-test and control groups. To do so, 30 mothers of children with SAD (separation anxiety disorder) were selected using at-hand sampling and, then, they were replaced into two experimental and control groups after being matched. The research tools were included CSI-4 questionnaire (Sprafikin & Gadow, 1994), MCRE questionnaire (ROBERT, 1961), and State-trait Anxiety Inventory (STAI) (Spielberger, 1960). The parental behavior training was performed in ten 90-minute sessions in experimental group. Data were analyzed using analysis of covariance, gain score, and T-test. The results show the effectiveness of experimental treatment on reduced scores of anxiety in children of mothers in the experimental group compared with the control group. The results also showed decrease in over protection and anxiety in mothers in the experimental group. Generally speaking, the findings demonstrated that parent-child interaction education causes to reduce the separation anxiety disorder signs, parental anxiety symptoms, and over protection. Moreover, it constructs secure attachment between child and parents.
Keywords

Roye SS. “Assessment of Separation Anxiety Disorder: A Review of Evidence Based Approaches, Child and Adolescent”. Social Work Journal.2014; (4):19-50.
Lavallee K, Herron C, Blatter-Meniere J, Amoretto C, In-Alban T, & Schneider S. Early predictors of separation anxiety disorder: early stranger anxiety, parental pathology and prenatal factors. Psychopathology. 2011; 44(6): 354-361.
Rapee RM, Bagels SM, van der Slues CM. Crake MG. & Ollendick T. Annual research review: conceptualizing functional impairment in children and adolescents. Journal of Child Psychology and Psychiatry. 2012; 53(5): 454-468.
Timmer SG. & Urquiza AJ. Empirically based treatments for maltreated children: a developmental perspective. In Handbook of Child Maltreatment (pp. 351-376). Springer, Dordrecht. 2014.
McLeod BD, Wood JJ, Weisz JR. Examining the association between parenting and childhood anxiety: A meta-analysis. Clinical psychology review. 2007; 27(2): 155-172.
Murray, L. Creswell, C. & Cooper, P. J. The development of anxiety disorders in childhood: an integrative review. Psychological medicine. 2009; 39(9): 1413-1423.
Rapee RM, Schniering CA & Hudson JL. Anxiety disorders during childhood and adolescence: Origins and treatment. Annual review of clinical psychology. 2009; 5: 311-341.
Lindsey, E. W. & Mize, J. Contextual differences in parent–child play: Implications for children's gender role development. Sex Roles. 2001; 44(3-4): 155-176.
Paquette D, & Bigras M. The risky situation: A procedure for assessing the father–child activation relationship. Early Child Development and Care. 2010; 180(1-2): 33-50.
Pincus DB, Eyberg, SM, & Choate ML. Adapting parent-child interaction therapy for young children
with separation anxiety disorder, Education and Treatment of Children. 2005; 28(2): PP.163-181.
Brumariu LE, & Kerns KA. Mother–child attachment and social anxiety symptoms in middle childhood. Journal of applied developmental psychology 2008; 29(5): 393-402.
Wood JJ, McLeod BD, Sigman M, Hwang W C, & Chu BC. Parenting and childhood anxiety: Theory, empirical findings, and future directions. Journal of child psychology and psychiatry. 2003; 44(1): 134-151.
Rapee RM. The development of generalized anxiety. The developmental psychopathology of anxiety. 2001; 481-503
Bögels SM, & Brechman-Toussaint, ML. Family issues in child anxiety: Attachment, family functioning, parental rearing and beliefs. Clinical psychology review. 2006; 26(7): 834-856.
Cartwright‐Hatton S, Roberts C, Chitsabesan P, Fothergill C, & Harrington R. Systematic review of the efficacy of cognitive behaviour therapies for childhood and adolescent anxiety disorders. British journal of clinical psychology 2004; 43(4): 421-436.
Krebs G, & Heyman I. Treatment‐resistant Obsessive‐compulsive Disorder in Young People: Assessment and Treatment Strategies. Child and Adolescent Mental Health. 2010; 15(1): 2-11.
Lebowitz ER, Omer H, Hermes H, & Scahill L. Parent training for childhood anxiety disorders: the SPACE program. Cognitive and Behavioral Practice. 2014; 21(4): 456-469.
Affrunti NW, Ginsburg GS. Maternal overcontrol and child anxiety: The mediating role of perceived competence. Child Psychiatry & Human Development. 2012; 43(1): 102-112.
Eyberg SM, Funderburk B. Parent-child interaction therapy protocol. Gainesville, FL: PCIT International. 2011.
Fischer DJ, Himle JA, Thyer BA. Separation anxiety disorder. In R. T. Ammerman, M. Hersen & C. Last (Eds.), Handbook of prescriptive
treatments for children and adolescents. Boston: Allyn & Bacon. 1999.
Cooley ME. Veldorale-Griffin, A. Petren, R E. Mullis Ak. Parent-child interaction therapy: A Meta analysis of child behavior outcome and parent stress. Journal of family social work, 2014; 7: 191-208.
Woodfield MJ, Cartwright C. Parent-Child Interaction Therapy from the Parents’ Perspective. Journal of Child and Family Studies. 2020; 29: 632–647.
Bodiford mcneil ch, hembree kigin t Parent-child interaction therapy. 2016.
Robert MRoth. Manual the Mother-Child Relationship Evaluation. Published by A Division of Manson Western Corporation. 1996.
Rahbar KF. The effect of stress management training based on cognitive-behavioral approach on improving the parent-child relationship and psychological well-being of mothers of mental retarded children. Journal of Child Mental Health. 2016; 3(3): 59-71.
Popov LM, Ilesanmi RA. Parent-child relationship: Peculiarities and outcome. Review of European studies. 2015; 7(5): 253.
Schofield TJ, Holst ME, Murphy SK. Associations between Parenting and Mental Health. Associations between Parenting and Mental Health. Pp: 98-104.2016.
Choate ML, Pincus DB, Eyberg SM, Barlow D. H. Parent-child interaction therapy for treatment of separation anxiety disorder in young children: A pilot study. Cognitive and Behavioral Practice. 2005; 12(1): 126-135.
Thomas R, Abell B, Webb HJ, Avdagic E, Zimmer-Gembeck MJ. Parent-child interaction therapy: A meta-analysis. Pediatrics. 2017; 140(3): e20170352.
Thomas R, Zimmer-Gembeck MJ. Behavioral outcomes of parent-child interaction therapy and Triple P—Positive Parenting Program: A review and meta-analysis. Journal of abnormal child psychology. 2007; 35(3): 475-495.
Puliafico AC, Comer JS, Pincus DB. Adapting parent-child interaction therapy to treat anxiety disorders in young children. Child and Adolescent Psychiatric Clinics. 2012; 21(3): 607-619.
Carpenter AL, Puliafico AC, Kurtz SM, Pincus DB, Comer JS. Extending parent–child interaction therapy for early childhood internalizing problems: New advances for an overlooked population. Clinical child and family psychology review. 2014; 17(4): 340-356.
Bagner DM, Coxe S, Hungerford GM, Garcia D, Barroso NE, Hernandez J, Rosa-Olivares J. Behavioral parent training in infancy: A window of opportunity for high-risk families. Journal of abnormal child psychology. 2016; 44(5): 901-912.
Kohlhoff J, Morgan S. Parent-Child Interaction Therapy for toddlers: a pilot study. Child & Family Behavior Therapy. 2014; 36(2): 121-139.
Damodaran D. Parent Child Interaction Therapy (PCIT): Child Well-being through an effective Parenting Intervention. 2015.
May AC. The Effects of Parent Factors on Children's Separation Anxiety. 2013.
Ray DC, Blanco PJ, Sullivan JM, Holliman R. An exploratory study of child-centered play therapy with aggressive children. International Journal of Play Therapy. 2009; 18 (3): 162.
Kidron M, Landreth G. Intensive child parent relationship therapy with Israeli parents in Israel. International Journal of Play Therapy. 2010; 19(2): 64.
Lindsey EW, Cremeens PR, Colwell MJ, Caldera YM. The structure of parent–child dyadic synchrony in toddlerhood and children's communication competence and Self‐control. Social Development. 2009; 18(2): 375-396.
Enten RS, Golan M. Parenting styles and eating disorder pathology. Appetite. 2009; 52(3): 784-787.
Lazarus RS, Dodd HF, Majdandžić M, de Vente W, Morris T, Byrow Y, Hudson JL. The relationship between challenging parenting behaviour and childhood anxiety disorders. Journal of affective disorders. 2016; 190: 784-791.
Boggs SR, Eyberg SM, Edwards DL, Rayfield A, Jacobs J, Bagner D, Hood KK. Outcomes of parent-child interaction therapy: A comparison of treatment completers and study dropouts one to three years later. Child & Family Behavior Therapy. 2005; 26(4): 1-22.