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Summary of Lessons Learned from Two Studies: An Open Clinical Trial and a Randomized Controlled Trial of PCIT and Young Children with Autism Spectrum Disorders

  • Ashley Tempel ScudderEmail author
  • Cassandra Brenner Wong
  • Marissa Mendoza-Burcham
  • Benjamin Handen
Chapter

Abstract

Recently, there has been a growing interest in the use of Parent-Child Interaction Therapy (PCIT) among preschoolers and school-age children with autism spectrum disorder (ASD). In this chapter, we describe two studies of PCIT and ASD: an open clinical trial and a randomized controlled trial. In both evaluations, we used the standard PCIT protocol to examine treatment efficacy with children 3–7 years of age and tested the traditional PCIT model without adaptations. However, tailoring the model to meet the unique needs of individual children was necessary. In a few cases, adapting the model was required to address persistent aggression in CDI and difficulty sitting for a length of 3 min during the discipline sequence. We discuss the considerable promise of PCIT as a treatment for children with ASD to reduce disruptive behavior severity and we highlight particular lessons learned through our clinical work with children with ASD and their families.

Keywords

Randomized-controlled trial open-clinical trial Parent-Child Interaction Therapy Parent-Directed Interaction Child-Directed Interaction preschool early school age 

References

  1. Abidin, R. (2012). Parenting stress index manual (4th ed.). Torrance, CA: Western Psychological Services.Google Scholar
  2. American Psychiatric Association [APA]. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.CrossRefGoogle Scholar
  3. Baden, A. D., & Howe, G. W. (1992). Mothers’ attributions and expectancies regarding their conduct disordered children. Journal of Abnormal Child Psychology, 20, 467–485.CrossRefGoogle Scholar
  4. Bagner, D., & Eyberg, S. M. (2007). Parent-child interaction therapy for disruptive behavior in children with mental retardation: A randomized controlled trial. Journal of Clinical Child & Adolescent Psychology, 36(3), 418–429.CrossRefGoogle Scholar
  5. Boggs, S. R., Eyberg, S. M., & Reynolds, L. (1990). Concurrent validity of the Eyberg child behavior inventory. Journal of Clinical Child Psychology, 19, 75–78.CrossRefGoogle Scholar
  6. Brestan, E., Jacobs, J., Rayfield, A., & Eyberg, S. M. (1999). A consumer satisfaction measure for parent-child treatments and its relationship to measures of child behavior change. Behavior Therapy, 30, 17–30.CrossRefGoogle Scholar
  7. Constantino, J. N., & Gruber, C. P. (2012). The social responsiveness scale-2 (SRS-2). Los Angeles, CA: Western Psychological Services.Google Scholar
  8. Dombrowski, S. C., Timmer, S. G., Blacker, D. B., & Urquiza, A. J. (2005). A positive behavioural intervention for toddlers: Parent-child attunement therapy. Child Abuse Review, 14, 132–151.CrossRefGoogle Scholar
  9. Dunn, L. M., & Dunn, D. M. (2007). Peabody picture vocabulary test-IV (PPVT-IV). Circle Pines, MN: American Guidance Service.Google Scholar
  10. Eyberg, S. M. (2005). Tailoring and adapting parent-child interaction therapy for new populations. Education and Treatment of Children, 28, 197–201.Google Scholar
  11. Eyberg, S. M., & Funderburk, B. (2011). Parent-child interaction therapy protocol. Gainesville, FL: PCIT International Publishing. Retrieved from pcit.orgGoogle Scholar
  12. Eyberg, S. M., Nelson, M. M., Ginn, N. C., Bhuiyan, N., & Boggs, S. R. (2013). Dyadic Parent-Child Interaction Coding System (DPICS): Comprehensive manual for research and training (4th ed.). PCIT International: Gainesville, FL.Google Scholar
  13. Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and Sutter-Eyberg student behavior inventory: Professional manual. Odessa, FL: Psychological Assessment Resources.Google Scholar
  14. Fischetti, A. T., Wilder, D. A., Myers, K., Leon-Enriquez, Y., Sinn, S., & Rodriguez, R. (2012). An evaluation of evidence-based interventions to increase compliance among children with autism. Journal of Applied Behavior Analysis, 45, 859–863.PubMedPubMedCentralGoogle Scholar
  15. Freeman, S., & Kasari, C. (2013). Parent-child interactions in autism: Characteristics of play. Autism, 17, 147–161.CrossRefGoogle Scholar
  16. Funderburk, B. W., Eyberg, S. M., Rich, B., & Behar, L. (2003). Further psychometric evaluation of the Eyberg and Behar rating scales for parents and teachers of preschoolers. Early Education and Development, 14, 67–81.CrossRefGoogle Scholar
  17. Haven, E. L., Manangan, C. N., Sparrow, J. K., & Wilson, B. J. (2014). The relation of parent-child interaction qualities to social skills in children with and without autism spectrum disorders. Autism, 18, 292–300.CrossRefGoogle Scholar
  18. Hoffman, M., Wong, C., & Handen, B.L. (2017, September). Parent Child Interaction Therapy in children with autism spectrum disorder. Presented at the annual PCIT International Convention, Traverse City, MI.Google Scholar
  19. Joosten, B.L., Bundy, A.C., & Einfeld, B.S. (2009). Journal of Autisn and Developmental Disorder, https//doi-org/10.1007/510803-008-0454-7.Google Scholar
  20. Krasny, L., Williams, B. J., Provencal, S., & Ozonoff, S. (2003). Social skills interventions for the autism spectrum: Essential ingredients and a model curriculum. Child and Adolescent Psychiatric Clinics in North America, 12(1), 107–122.CrossRefGoogle Scholar
  21. Lord, C., Rutter, M., DeLavore, P. C., & Risi, S. (2012). Autism diagnostic observation Schedule-2. Los Angeles: Western Psychological Services.Google Scholar
  22. Maljaars, J., Boonen, H., Lambrechts, G., Van Leeuwen, K., & Noens, I. (2013). Maternal parenting behavior and child behavior problems in families of children and adolescents with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44, 501–512.CrossRefGoogle Scholar
  23. Masse, J., McNeil, C. B., Wagner, D., & Chorney, D. (2007). Parent-child interaction therapy and high functioning autism: A conceptual overview. Journal of Early and Intensive Behavior Intervention, 4(4), 714–735.CrossRefGoogle Scholar
  24. Mayes, S. D., Calhoun, S. L., Aggarwal, R., Baker, C., Mathapati, S., Anderson, R., & Petersen, C. (2012). Explosive, oppositional, and aggressive behavior in children with autism compared to other clinical disorders and typical children. Research in Autism Spectrum Disorders, 6, 1–10.CrossRefGoogle Scholar
  25. McNeil, C. B., & Hembree-Kigin, T. L. (2010). Parent-child interaction therapy (2nd ed.). New York: Springer.CrossRefGoogle Scholar
  26. Meek, S. E., Robinson, L. T., & Jahromi, L. B. (2012). Parent-child predictors of social competence with peers in children with and without autism. Research in Autism Spectrum Disorders, 6, 815–823.CrossRefGoogle Scholar
  27. Mullen, E. M. (1995). Mullen scales of early learning. Circle Pines, MN: American Guidance Service.Google Scholar
  28. Reese, R. M., Richman, D. M., & Belmont, J. M. (2005). Functional characteristics of disruptive behavior in developmentally disabled children with and without autism. Journal of Autism & Developmental Disorders, 35(4), 419–428.CrossRefGoogle Scholar
  29. Robinson, E. A., Eyberg, S. M., & Ross, A. W. (1980). The standardization of an inventory of child conduct problem behaviors. Journal of Clinical Child Psychology, 9, 22–28.CrossRefGoogle Scholar
  30. Roid, G. (2003). Stanford-Binet intelligence scales (5th ed.). Rolling Meadows, IL: Riverside Publishing.Google Scholar
  31. Samson, A. C., Phillips, J. M., Parker, K. J., Shah, S., Gross, J. J., & Hardan, A. Y. (2014). Emotion dysregulation and the core features of autism spectrum disorder. Journal of Autism and Developmental Disorders, 44, 1766–1772.CrossRefGoogle Scholar
  32. Scudder A.T., Wong, C. B., & Handen, B. L. (in press).Google Scholar
  33. Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of American Academy of Adolescent Psychiatry, 47(8), 921–929.CrossRefGoogle Scholar
  34. Solomon, M., Ono, M., Timmer, S. G., & Goodlin-Jones, B. (2008). The effectiveness of parent–child interaction therapy for families of children on the autism spectrum. Journal of Autism & Developmental Disorders, 38(1767–1776), 1767.CrossRefGoogle Scholar
  35. Strid, K., Heimann, M., & Tjus, T. (2013). Pretend play, deferred imitation and parent-child interaction in speaking and non-speaking children with autism. Scandinavian Journal of Psychology, 54, 26–32.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2018

Authors and Affiliations

  • Ashley Tempel Scudder
    • 1
    Email author
  • Cassandra Brenner Wong
    • 2
  • Marissa Mendoza-Burcham
    • 3
  • Benjamin Handen
    • 2
  1. 1.Chatham UniversityPittsburghUSA
  2. 2.University of PittsburghPittsburghUSA
  3. 3.Penn State University—BeaverMonacaUSA

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