Effectiveness of Parent-Child Interaction Therapy on Reduction of Symptoms in Separation Anxiety Disorder
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1 Journal of Clinical Psychology Vol. 2, No. 2 (6), Summer 200 Pages: (6) : - Effectiveness of Parent-Child Interaction Therapy on Reduction of Symptoms in Separation Anxiety Disorder 89/7/24 : 89/3/25 : Abbaasi, M. *M. A., Neshat-Dust, H. T. Ph.D., Aghamohammadian-Sharbaaf, H. R. Ph. D. Abstract Introduction: Separation anxiety disorder (SAD) is characterized by developmentally inappropriate and excessive anxiety concerning separation from home or those to whom the individual is attached. Parent-child interaction therapy (PCIT) is a treatment approach that integrates traditional and behavioral techniques in the treatment of behavior problems in young children. The purpose of this study was to investigate the effectiveness of parent-child interaction therapy (PCIT) in reducing of the separation anxiety of children. Method: This study was carried out as semi experimental and pre test-posttest doing with a comparison group. The Sampling was made using in available method. At first three regions (, 2 & 6) out of 2 regions in Mashad was chosen from which kindergartens were randomly selected. According to CSI-4 the children that had the symptoms of separation anxiety was 83. At the end, two groups of 2 children randomly selected and the mothers were also randomly assigned to two groups of experiment and comparison group. The experimental group had 5intervention sessions of parent-child interaction therapy (PCIT). The comparison group had no PCIT. At the end of treatment, a post test was taken from both groups. Results: The results of covariance analysis showed significant reduction in symptoms of separation anxiety in experimental group compared with control group (p<0.00). The effect size was 54%, which shows that 54% of variance or individual differences in separation anxiety symptoms, between experimental and control groups was due to PCIT. Conclusion: Parent-child interaction therapy on mothers can reduce the symptoms of separation anxiety in children. Keywords: Separation anxiety disorder, Treatment, Parent-child interaction. ** * *** : : (6 2 ). CSI : (p<0/00). - :. - : *Correspondence zohal8@gmail.com : * ** ***
2 ... - ٤٨.[0] ٣ ٤ : ٧ ٦ ٥ ٨.[] -. [3].[3] - (PCIT) [9] ٩ (PCIT) 3- coping self-talk 4- modeling 5- invivo exposure 6- role-play 7- relaxation 8- contingent reinforcement 9- Perent- Child Interaction Therapy. ( 24 8)...[] (SAD) 2.[2] - -.[3]..[4].[5] %5 %3.[6].[7].[8].[9] - separation anxiety 2- attachment figure
3 ٤٩ -. : -....[5] : (6 2 ) CSI ( ) 5 2 ) 24.(. -. [20]. (p<0/00) (PCIT) -. -.[2] ".[3] ".[4]. -.[] - 0- over controlling
4 ... - (J ).. (CSI-4). : ) - ( : : (CSI-4) - -A -B -C -D ٥٠ : :(CSI-4) - DSM-IV. 984 DSM- 8 SLUG III. 2 5 CSI-3R DSM-IIIR DSM-IV CSI (CSI-4)
5 ٥١. 0= 4 = = 0=. : ١١ (CSI) (PCIT) : ) -E -F -G (PDD) -H -I -J -K -L (997) r=0/072. r=0/05.[6 ] %92 %90 [6] CSI-4 ). (.. %68 CSI-4 (PIC) (CBCL) CSI-4. " ".[6 ] 0/9 "" 0/89 0/75.[7] 0/97 CSI-4.[6] - Child Symptoms Inventory
6 ( ) SPSS (). (0/86) 4/70 (0/9) 5/33 t.(t=/74&p>0/05) ٥٢ ( - : ( ( ( ( (... ( - - ) ( : : -
7 ٥٣..(F=0/88&P>0/05) 2..(F=2/5&P>0/05).. - (Z=0/5&P>0/05). (Z=0/7&P>0/05) ( 54/5 6 45/ /3 8/ /45 9/ / /4 63/ /35 27/ /3 4 33/3 4 66/7 8 66/7 8 (2 F 0/9 0/45 0/003 2/69 60/85 ( ) 0/05 0/005 0/77 0/08 0/38 0/05 /00 0/89 0/0 0/08 0/06 0/008 0/74 0/ 0/54 0/ 0/03 0/45 0/59 2/83 0/97 0/54 0/00 7/77 85/70
8 ].[22 2..[23].. PCIT.. PCIT. 2.(p<0/0) 54.(F=7/77&P<0/00) / /97. 0/00.. ( ۵۴.
9 ۵۵ PCIT PCIT PCIT. PCIT.[20] -.[24] : -. (CSI-4) JCP, Vol. 2, No 2 (6), Summer 200
10 : ۵۶ : CSI-4 CSI-4 CSI-4. - ( )
11 ۵٧. -6 (CSI-4) :.[ ]. -7 ].375 :.[ SPSS :.. 9- Pincus DB, Eyberg SM, Choate ML. Adapting parent-child interaction therapy for young children with separation anxiety disorder. Child Adolesc Fear Anxi Tre Prog. 2005; 28(2): :2(3) :4(3) Mofrad S, Rohani A, Bahaman AS, Mariani BM, Maznah, BB. Maternal psychological distress and separation anxiety disorder in children. J Soci Sci. 2009; 8(3): Wood JJ. Parental intrusiveness and children s separation anxiety in a clinical sample. Child Psychiatry Hum Dev. 2006; (37): :(3) :. 2- American Psychiatric Association. Diagnostic and statistical manual of mental disorder (4th.ed). Washington, DC: American Psychiatric Association; Choate ML, Pincuse DB, Eyberg SM, Barlow DH. Parent child interaction therapy for young children. A pilot study. Cogn Behav Pract. 2005; (2): : Last C, Francis G, Strauss C. Comorbidity among childhood anxiety disorders. J Nerv Ment Disord. 987; (75): Andreson JC,Wiliiams S, McGee R, Silva PA. DSM-III disorders in pre-adolescent children: Prevalence in a large sample from the general population. Arch Gen Psychiatry. 987; (44): Keller M, Beardslee W, Lavori P, Wunder J, Roth J, Schwartz C. Chronic course of anxiety disorders in children and adolescents. J Am Acad Child Adolesc Psychiatry. 992; (36): Katiz M, Maytal H. Interactions between anxious mother and their infants: an integration of theory and research findings. J Infant Ment Health. 2005; (26): Bayer JK, Sanson AV, Hemphill SA. Parental influences on early childhood internalizing difficulties. J Appl Dev Psychol. 2006; (27): Marvin R, Cooper G, Hoffman K, Powell B. The circle of security project: Attachment-based intervention whit caregiver-preschool child dyads. J Attac Hum Dev. 2002; (4): : Hood KK, Eyberg SM. Outcomes of parentchild interaction therapy: Mothers reports of maintenance three to six years after treatment. J Clin Child Adolesc Psychol. 2003; (32): Chorpita BF, Brown, TA, Barlow DH. Perceived control as a mediator of family environment in etiological models of childhood anxiety. Behav Ther. 998; (29): Siqueland L, Kendall P, Steinberg L, Anxiety on children: Perceived family environments and observed family interaction. J Clin Child Psychol. 995; (25): :. JCP, Vol. 2, No 2 (6), Summer 200
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