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Full-Text Articles in Medicine and Health Sciences

Parent–Child Interaction Therapy: An Evidence-Based Treatment For Child Maltreatment, Rae Thomas, Melanie J. Zimmer-Gembeck May 2014

Parent–Child Interaction Therapy: An Evidence-Based Treatment For Child Maltreatment, Rae Thomas, Melanie J. Zimmer-Gembeck

Rae Thomas

It is common practice to augment efficacious treatment protocols for special populations (Durlak & DuPre, 2008), but this is often done before establishing that standard services are not appropriate. In this randomized controlled trial with families at risk or with a history of maltreatment (N = 151), we investigated the effectiveness of standard 12-session Parent–Child Interaction Therapy (PCIT). This is in contrast to other PCIT studies with similar parents, which have allowed for longer and sometimes variable treatment length and with modifications to PCIT protocol. After treatment and compared to Waitlist, mothers reported fewer child externalizing and internalizing behaviors, decreased …


Abc Tv's 'Kids On Speed?' Shows Drugs Are Not The Answer, Rae Thomas Feb 2014

Abc Tv's 'Kids On Speed?' Shows Drugs Are Not The Answer, Rae Thomas

Rae Thomas

A recent Australian study found one in five consultations to paediatricians was for attention deficit hyperactivity disorder, with an average diagnostic consultation time of 48 minutes. That doesn’t seem like enough time to comply with the National Health and Medical Research Council’s new Clinical Practice Points on the Diagnosis, Assessment and Management of ADHD in Children and Adolescents.


Moving The Diagnostic Goalposts: Medicalising Adhd, Rae Thomas Sep 2012

Moving The Diagnostic Goalposts: Medicalising Adhd, Rae Thomas

Rae Thomas

Does your five-year-old have difficulty sustaining attention? What about organising tasks or waiting her turn? How was she as a four-year-old? These are three of the 18 criteria (here’s the whole lot) used to differentiate children with attention deficit hyperactivity disorder (ADHD). There are other questions, such as how often does your child do this? Does it impact him socially or academically? Who is reporting such behaviour? These are critical diagnostic questions that can differentiate problematic and normal behaviour. But they’re not always asked. And not asking these questions results in two outcomes – the medicalisation of normal behaviour and …


Parents, Parenting And Toddler Adaptation: Evidence From A National Longitudinal Study Of Australian Children, Melanie Zimmer-Gembeck, Rae Thomas Dec 2009

Parents, Parenting And Toddler Adaptation: Evidence From A National Longitudinal Study Of Australian Children, Melanie Zimmer-Gembeck, Rae Thomas

Rae Thomas

Because infants and toddlers are particularly susceptible to parents’ socialization efforts, the purpose of this 2-year longitudinal study (N= 4271 infants) was to forecast toddlers’ competence and problems (adaptational outcomes, ageM= 30 months) from parenting experiences when they were infants (age M= 9 months). Using structural equation modeling and data from a nationally representative sample, parenting during infancy was important to toddlers’ adaptational outcomes, with parenting warmth most strongly connected to toddler competence and parenting hostility most strongly connected to toddler problems. Additionally, toddlers’ outcomes were associated with their parents’ mental health symptoms, life difficulty, coping and self-efficacy when measured …


Can Caregiver Depression Bring A Good Parenting Intervention Down?: The Case Of Parent-Child Interaction Therapy, Mark Scholes, Melanie Zimmer-Gembeck, Rae Thomas Dec 2008

Can Caregiver Depression Bring A Good Parenting Intervention Down?: The Case Of Parent-Child Interaction Therapy, Mark Scholes, Melanie Zimmer-Gembeck, Rae Thomas

Rae Thomas

Depressed caregivers who present for parenting assistance often display excess difficulties with maintaining positive parent-child interactions and report that they cannot manage their children’s problem behaviours. In addition to this, they often report other life stressors such as marital distress, lack of social support and/or socioeconomic disadvantage. This confluence of problems means that engaging depressed caregivers in parenting services can be challenging and depression is believed to impede successful intervention outcomes. For example, research has shown that depressed participants are at increased risk of intervention dropout and that they more often fail to maintain positive parenting behaviours (Assemany & McIntosh, …


Behavioral Outcomes Of Parent-Child Interaction Therapy And Triple P – Positive Parenting Program: A Review And Meta-Analysis, Rae Thomas, Melanie Zimmer-Gembeck Dec 2006

Behavioral Outcomes Of Parent-Child Interaction Therapy And Triple P – Positive Parenting Program: A Review And Meta-Analysis, Rae Thomas, Melanie Zimmer-Gembeck

Rae Thomas

We conducted a review and meta-analyses of 24 studies to evaluate and compare the outcomes of two widely disseminated parenting interventions—Parent-Child Interaction Therapy and Triple P-Positive Parenting Program. Participants in all studies were caregivers and 3- to 12-year-old children. In general, our analyses revealed positive effects of both interventions, but effects varied depending on intervention length, components, and source of outcome data. Both interventions reduced parent-reported child behavior and parenting problems. The effect sizes for PCIT were large when outcomes of child and parent behaviors were assessed with parent-report, with the exclusion of Abbreviated PCIT, which had moderate effect sizes. …