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The purpose of this study is to test causal links between dimensions of positive and harsh parenting and children's brain responses to rewards and errors, using a parenting intervention.
Depression and anxiety are among the most frequently diagnosed psychological disorders, with persistent patterns of impairment evident from childhood through adulthood. Impaired functioning of core brain systems that respond to reward and errors may increase risk for depression and anxiety. Importantly, these neural risk markers for depression and anxiety appear to be shaped, at least in part, by environmental input. Problematic parenting is a key environmental factor involved in the intergenerational transmission of depression and anxiety. Low positive parenting is associated with blunted brain responses to reward and harsh parenting is associated with heightened brain responses to errors. This study uses an evidence-based parenting program to test causal links between dimensions of positive and harsh parenting and children's brain responses to rewards and errors. Participants will include 80 6- to 7-year-old children and their mothers who will be randomly assigned to participate in a parenting program (Parent Child Interaction Therapy: PCIT) or to a waitlist control group, and brain responses to rewards and errors will be assessed pre- and post-intervention.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Parenting Intervention | Experimental | Parenting Intervention: Parent-Child Interaction Therapy (PCIT) |
|
| Waitlist Control | No Intervention | Waitlist Control Condition |
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Parent Child Interaction Therapy (PCIT) | Behavioral | PCIT includes 12-16 sessions across two phases: the first focused on enhancing positive parenting during child-directed interactions, and the second focused on reducing harsh parenting during parent-directed interactions. Parents receive feedback and coaching on their interactions with the child during sessions. |
| Measure | Description | Time Frame |
|---|---|---|
| Event-Related Potentials (ERP) | ERP responses to reward (i.e., feedback negativity) and errors (i.e., error-related negativity) | On average, 1 month after intervention |
| Measure | Description | Time Frame |
|---|---|---|
| Parenting quality | Observational assessments of positive and harsh parenting | On average, 1 month after intervention |
| Child anxiety symptoms | Parent Questionnaire |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Kristin Bernard | Contact | 6316327576 | kristin.bernard@stonybrook.edu |
| Name | Affiliation | Role |
|---|---|---|
| Kristin Bernard | Stony Brook University | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Stony Brook University | Recruiting | Stony Brook | New York | 11794 | United States |
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| ID | Term |
|---|---|
| D003863 | Depression |
| D001008 | Anxiety Disorders |
| ID | Term |
|---|---|
| D001526 | Behavioral Symptoms |
| D001519 | Behavior |
| D001523 | Mental Disorders |
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|
| On average, 1 month after intervention |
| Child depressive symptoms | Parent Questionnaire | On average, 1 month after intervention |
| Child anxiety | Structured diagnostic interview | On average, 1 month after intervention |
| Child depression | Structured diagnostic interview | On average, 1 month after intervention |