Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
The goal of this study is to explore possible benefits of Parent-Child Interaction Therapy (PCIT). The main goals of the study are:
Participants will:
It is the specific intent of this proposal to experimentally explore the possible benefits and mechanisms through which PCIT can influence self-reported stress and autonomic and neuroendocrine functioning in parents. This will be accomplished by our team by using well-validated self-report measures of mental health, autonomic reactivity, parental stress and attachment, and non-invasive measurements of levels of oxytocin.
Specific Aim 1: To investigate whether pre-intervention measures of ANS reactivity and the neuropeptides oxytocin relate to the overall functioning of the participants.
Specific Aim 2: To investigate the impact of PCIT
Specific Aim 3: To identify individual characteristics that influence the effectiveness of PCIT.
Not provided
Not provided
Not provided
Not provided
Not provided
| Label | Type | Description | Intervention Names |
|---|---|---|---|
| PCIT Group | All participants will complete the five online surveys and provide two saliva samples. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Parent-Child Interaction Therapy (PCIT) | Behavioral | Participants will undergo the standard PCIT program, which consists of two phases: Child-Directed Interaction (CDI) and Parent-Directed Interaction (PDI).
|
| Measure | Description | Time Frame |
|---|---|---|
| Measuring Change in Autonomic Reactivity using the Body Perceptions Inventory Short Form | This 20-item measure is scored on a 5-point Likert scale (never = 1, occasionally = 2, sometimes = 3, usually = 4, always = 5). Items are summed to determine total autonomic reactivity score, with the higher scores indicating greater autonomic reactivity | Through study completion, an average of 20 weeks |
| Assessing the Impact of Adversity History | This measure assesses the impact of six types of traumatic experiences (childhood adverse experiences, childhood maltreatment, intimate partner maltreatment, other person maltreatment, life-threatening situations, sudden losses, and person health situations). Each item is scored on a 5-point Likert scale (did not occur = 0, occurred and no impact on my life = 1 to big impact on my life = 4). Items are summed to determine total impact scores. | Up to 1 week |
| Measuring change in oxytocin Levels | Oxytocin levels will be assessed using salivary samples. Increased salivary oxytocin indicates improvement. | Up to 4 weeks |
| Measuring change in parental stress using the parental stress scale | This 18-item questionnaire assesses parents' feelings about their parenting role via a 5-point Likert scale (Strongly disagree = 1 to Strongly agree = 5). Lower scores indicate lower levels of parental stress. | Through study completion, an average of 20 weeks |
| Measuring change in parental attachment using the Child-Parent Relationship Scale | This 30-item questionnaire assesses parents' views of their relationship with their child via a 5-point Likert scale (1 = definitely does not apply to 5 = definitively applies). The scores for the subscales (e.g., closeness, conflict, dependency) are calculated by summing the relevant items, with higher scores indicating more positive views of the relationship. |
Not provided
Not provided
Inclusion Criteria:
Exclusion Criteria:
Not provided
Not provided
The investigators intend to recruit parents of children aged 2-7 with behavioral issues who are eligible for the PCIT program at two university clinics (UF Health Jacksonville and Shands Gainesville) specializing in child psychology and parent training. This population represents those most likely to experience stress and benefit from improved parent-child interactions and stress regulation
| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Britney Duner, LCSW | Contact | (904) 383-1038 | Britney.Duner@jax.ufl.edu | |
| Kourtney Schroeder, PsyD | Contact | (904) 383-1038 | Kourtney.Schroeder@jax.ufl.edu |
| Name | Affiliation | Role |
|---|---|---|
| Britney N. Duner, LCSW | University of Florida College of Medicine Jacksonville | Principal Investigator |
| Liliana L. Acosta, PhD | University of Florida | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| UF Health Child Psychiatry | Recruiting | Gainesville | Florida | 32606 | United States |
Not provided
Not provided
Not provided
Not provided
Not provided
Not provided
| ID | Term |
|---|---|
| D054969 | Primary Dysautonomias |
| D001008 | Anxiety Disorders |
| D003863 | Depression |
| ID | Term |
|---|---|
| D001342 | Autonomic Nervous System Diseases |
| D009422 | Nervous System Diseases |
| D001523 | Mental Disorders |
| D001526 | Behavioral Symptoms |
Not provided
Not provided
Not provided
Not provided
Not provided
Saliva samples will be collected at two timepoints (pre PCIT and during PCIT). Salivary samples will be used to measure oxytocin levels.
|
| Through study completion, an average of 20 weeks |
| Measuring change in child behavior using the parent-report Eyberg Child Behavior Inventory | This 36-item measure assesses the frequency and severity of disruptive behaviors, as well as the extent to which parents find the behaviors troublesome via a 7-point Likert scale (1 Never Occurs to 7 = Always Occurs) and a binary Problem scale. Total Intensity Scale scores range from 36 to 352, with clinical cut-off scores of 131-133. | Through study completion, an average of 20 weeks |
| Measuring change in anxiety using the General Anxiety Disorder-7 | This 7-item measure assesses anxiety via a 4-point Likert scale (0 = Not at all to 3 = Nearly every day) with higher scores reflecting more symptoms of anxiety. | Through study completion, an average of 20 weeks |
| Measuring change in depression using the Patient Health Questionnaire-8 | This 8-item measure assesses depression via a 4-point Likert scale (0 = Not at all to 3 = Nearly every day) with higher scores reflecting more symptoms of depression. | Through study completion, an average of 20 weeks |
| Measuring change in post-traumatic stress symptoms using the PTSD Checklist for DSM-5 | This 20-item measure assesses PTSD symptoms via a 5-point Likert (0 = Not at all to 4 = Extremely) with higher scores reflecting more symptoms of PTSD. | Up to 1 week |
| UF Health Psychiatry San Jose | Recruiting | Jacksonville | Florida | 32217 | United States |
|
| D001519 | Behavior |