대한감각통합치료학회지 (The Journal of Korean Academy of Sensory Integration)

  • 제16권2호
  • /
  • Pages.50-63
  • /
  • 2018
  • /
  • 1738-0405(pISSN)
  • /
  • 2384-115X(eISSN)
대한감각통합치료학회 (Korean Academy of Sensory Integration)
권호 표지
DOI QR코드

DOI QR Code

부모-아동 상호작용치료가 양육기술과 아동의 문제행동에 미치는 영향: 메타분석

Effects of Parent-Child Interaction Therapy on Parenting Skill and Children's Problem Behaviors: Meta-Analysis

  • 박민경 (건양대학교 일반대학원 의과학과 작업치료학전공) ;
  • 박아름 (건양대학교 일반대학원 의과학과 작업치료학전공) ;
  • 유두한 (건양대학교 의과학대학 작업치료학과)
  • Park, Min-Kyoung (Dept, of Occupational Therapy, Graduate School Konyang University) ;
  • Bak, Ah-Ream (Dept, of Occupational Therapy, Graduate School Konyang University) ;
  • Yoo, Doo-Han (Dept, of Occupational Therapy, Konyang University)
  • 투고 : 2018.07.30
  • 심사 : 2018.09.17
  • 발행 : 2018.09.30
PDF 다운로드
⟨ 이전 논문 다음 논문 ⟩

초록

목적 : 본 연구는 부모-아동 상호작용치료가 장애아동 부모의 양육기술과 아동의 문제행동에 미치는 영향을 메타분석으로 검증하여 중재 방법의 근거를 제공하고자 한다. 연구방법 : 본 연구는 2007년 1월부터 2018년 3월까지 출판된 연구 중 장애아동을 대상으로 부모-아동 상호작용 프로그램을 사용한 연구를 대상으로 하였다. 논문 검색은 PubMed, CINAHL, EBSCOhost, Science Direct를 이용하였고, 이차적으로 검색논문의 참고문헌을 추가 검색하였다. 총 7편의 연구가 선정기준에 적합하였고, 최종 논문에 대해 Jadad scale를 이용하여 질적 평가를 수행하였다. R-meta 분석프로그램을 사용하여 통계적 검정을 실시하였다. 결과 : 부모-아동 상호작용치료의 양육기술 효과크기는 큰 효과크기를 나타냈으며, 양육 스트레스 효과크기는 중간크기를 나타냈다. 아동의 문제행동 또한 중간 효과크기를 나타냈으며 모든 p값은 통계적으로 유의하였다(p<.0001). 결론 : 본 연구는 부모-아동 상호작용치료가 부모의 양육기술과, 양육 스트레스, 아동의 문제행동에 미치는 영향을 살펴보았다. 앞으로 아동작업치료에서 가족참여 중재에 대한 근거 마련을 위한 연구가 필요하다.

Objective : The purpose of this study is to examine the effects of parent - child interaction therapy on parenting skills and children's problem behaviors by meta - analysis and to provide a basis for intervention methods. Methods : This study was conducted from January 2007 to March 2018 and the study was conducted using the parent-child interaction program for children with disabilities. PubMed and CINAHL, EBSCOhost, Science Direct were used to search for studies, and reference searching was also conducted as a secondary search option. A total of 7 studies was selected to meet the selection criteria, and the final 7 studies were assessed by using the Jadad scale. Statistical tests were performed using the R-meta-analysis program. Results : The effect size of parenting skill was large and the size of the effect of parenting stress was moderate. The children's problem behaviors also showed moderate effect sizes and all p-values were statistically significant (p < .0001). Conclusion : This study examined the effects of parent-child interaction therapy on parenting skills, parenting stress, and children's problem behaviors. Future research is needed to establish the basis for intervention for family involvement in pediatric occupational therapy.

키워드

참고문헌

  1. Abidin, R. R., & Abidin, R. R. (1990). Parenting Stress Index (PSI). Charlottesville, VA: Pediatric Psychology Press. http://dx.doi.org/10.1016/0163-6383(92)80011-I
  2. Bagner, D. M., & Eyberg, S. M. (2007). Parent-child interaction therapy for disruptive behavior in children with mental retardation: A randomized controlled trial. Journal of Clinical Child and Adolescent Psychology, 36(3), 418-429. http://dx.doi.org/10.1080/15374410701448448
  3. Baek, J. E. (2012). The effectiveness of group parent child interaction therapy of children with behavior problems. Korean Journal of Play Therapy, 15(1), 93-110.
  4. Berk, L. E. (2014). Child Development. Seoul: Sigmapress.
  5. Bjorseth, A., & Wichstrom, L. (2016). Effectiveness of Parent-Child Interaction Therapy (PCIT) in the treatment of young children's behavior problems. A randomized controlled study. PloS one, 11(9), e0159845. https//dx.doi.org/10.1371/journal.pone.0159845
  6. Borenstein, M., Hedges, L., & Rothstein, H. (2009). Introduction to meta-analysis. West Sussex: Wiley and sons, Ltd.
  7. Brinkmeyer, M. Y., & Eyberg, S. M. (2003). Parent-Child Interaction Therapy for Oppositional Children. In A. E. Kazdin Psychotherapies for Children and adolescents (pp. 204-223). New York: Guilford Press.
  8. Cohen, J. (1988). Statistical power analysis for the social sciences. Hillsdale, NJ: Lawrence Earlbaum.
  9. Comer, J. S., Chow, C., Chan, P. T., Cooper-Vince, C., Wilson, L. A. S., (2013). Psychosocial treatment efficacy for disruptive behavior problems in very young children: A meta-analytic examination. Journal of the American Academy of Child and Adolescent Psychiatry, 52(1), 26-10. https://doi.org/10.1016/j.jaac.2012.10.001
  10. Case-Smith, J., Allen, A. S., & Pratt, P. N. (2001). Occupational therapy for children. Toronto: Mosby.
  11. Doo, J. I. (2010). Effectiveness of group parent-child interaction therapy for children with disruptive behavioral problems and their mothers. Doctoral dissertation, Hanyang University of Seoul, Gyeonggi-do.
  12. Eyberg, S. M. (1979). A parent-child interaction model for the treatment of psychological disorders in young children. Paper presented at the meeting of the Western Psychological Association; April 1979; San Diego, CA.
  13. Eyberg, S. M. (2005). Tailoring and adapting parent-child interaction therapy to new populations. Education and Treatment of Children, 28(2), 197-201.
  14. Foote, R., Eyberg, S., & Schuhmann, E. (1998). Parent-child interaction approaches to the treatment of child behavior problems. In Advances in clinical child psychology (pp. 125-151). Springer, Boston, MA.
  15. Ghanizadeh, A., Alishahi, M. J., & Ashkani, H. (2009). Helping families for caring children with autistic spectrum disorders. Archives of Iranian Medicine (AIM), 12(5), 478-482.
  16. Ginn, N. C., Clionsky, L. N., Eyberg, S. M., Warner-Metzger, C., & Abner, J. P. (2017). Child-directed interaction training for young children with autism spectrum disorders: Parent and child outcomes. Journal of Clinical Child & Adolescent Psychology, 46(1), 101-109. http://dx.doi.org/10.1080/15374416.2015.1015135
  17. Han. S. H. (2012). The Relationship of Parental Child-Rearing Attitude Perceived by University Students, Self-Efficacy and Social Problem Solving Ability. Masters' thesis, Seoul Theological University of Seoul, Gyeonggi-do.
  18. Harwood, M. D., & Eyberg, S. M. (2006). Child-directed interaction: Prediction of change in impaired mother-child functioning. Journal of Abnormal Child Psychology, 34, 335-347. http://dx.doi.org/10.1007/s10802-006-9025-z
  19. Herschell, A. D., Calzada, E. J., Eyberg, S. M., & McNeil, C. B. (2002). Clinical issues in parent-child interaction therapy. Cognitive and Behavioral Practice, 9(1), 16-27. http://dx.doi.org/10.1016/s1077-7229(02)80035-9
  20. Ingersoll, B. R., & Wainer, A. L. (2013). Pilot study of a school-based parent training program for preschoolers with ASD. Autism, 17, 434-448. http://dx.doi.org/10.1177/1362361311427155
  21. Jadad, A. R., Moore, R. A., Carroll, D., Jenkinson, C., Reynolds, D. J. M., Gavaghan, D. J., & McQuay, H. J. (1996). Assessing the quality of reports of randomized clinical trials: Is blinding necessary? Controlled Clinical Trials, 17(1), 1-12. https://doi.org/10.1016/0197-2456(95)00134-4
  22. Jung, D. Y., & Choi. J. A. (2010). A comparative study on psychological well-being of parent of children with and without disabilities. Korean Society of motional and Behavioral Disorders, 26(3), 319-343.
  23. Keef, S. P., & Roberts, L. A. (2004). The meta analysis of partial effect sizes. British Journal of Mathematical and Statistical Psychology, 57(1), 97-129. http://dx.doi.org/10.1348/000711004849303
  24. Kim, S. O., & Kim. S. H. (2014). Differences in childcare stress and coping behaviors of mothers of handicapped children and mothers of non-handicapped children. Korea Association for the Rights of Children with Disabilities, 5(1), 17-29.
  25. Lee, J. M. (2016). The relationship between Parenting attitude and self respect perception of children. Master's thesis, Daejin University of pocheon, Gyeonggi-do.
  26. Lee, M. R. (2016). The effect of mother's child-rearing attitude on children's emotional intelligence and empathic ability. Master's thesis, Dong-A University of Busan, Gyeongnam.
  27. Lee, S. H. (2009). The effects of parent education program types on the interaction patterns of child-mother, on the hyperactivity & delinquency, and on the parenting stresses. Korean Association of Psychological Rehabilitation for Children, 13(1), 75-94.
  28. Lee, W. N. (2016). The caregiving stress and life satisfaction of parents of adult children with developmental disabilities: The mediating effects of social support, family resilience and coping style. Doctoral dissertation, Chonnam National University of Gwangju, Jeonnam.
  29. Leung, C., Tsang, S., & Heung, K. (2009). Effectiveness of parent-child interaction therapy (PCIT) among chinese families. Research on Social Work Practice, 19(3), 304-313. https://doi.org/10.1177/1049731508321713
  30. Leung, C., Tsang, S., Ng, G. S., & Choi, S. Y. (2017). Efficacy of parent-child interaction therapy with Chinese ADHD children: Randomized controlled trial. Research on Social Work Practice, 27(1), 36-47. https://doi.org/10.1177/1049731516643837
  31. Lieneman, C. C., Brabson, L. A., Highlander, A., Wallace, N. M., & McNeil, C. B. (2017). Parent- child interaction therapy: Current perspectives. Psychology research and behavior management, 10, 239-256. http://dx.doi.org/10.2147/prbm.s91200
  32. Lau, J., Ioannidis, J., & Schmid, C. H. (1997). Quantitative synthesis in systematic reviews. Annals of Internal Medicine, 127(9), 820-826. https://doi.org/10.7326/0003-4819-127-9-199711010-00008
  33. Masse, J. J., McNeil, C. B., Wagner, S., & Quetsch, L. B. (2016). Examining the efficacy of parent- child interaction therapy with children on the autism spectrum. Journal of Child and Family Studies, 25(8), 2508-2525. http://dx.doi.org/10.1007/s10826-016-0424-7
  34. Matos, M., Bauermeister, J. J., & Bernal, G. (2009). Parent-child interaction therapy for Puerto Rican preschool children with ADHD and behavior problems: A pilot efficacy study. Family process, 48(2), 232-252. https://doi.org/10.1111/j.1545-5300.2009.01279.x
  35. McNeil, C. B., Capage, L. C., Bahl, A., & Blanc, H. (1999). Importance of early intervention for disruptive behavior problems: Comparison of treatment and waitlist-control groups. Early Education and Development, 10(4), 445-454. https://doi.org/10.1207/s15566935eed1004_2
  36. McNeil, C. B. & Hembree-Kigin, T. L. (2013). Parent-Child Interaction Therapy. Seoul: Hakjisa.
  37. McMahon, R. J., & Estes, A. M. (1997). Conduct problems. In E. J. Mash & L. G. Terdal (Eds.), Assessment of childhood disorders (3rd ed., pp.130-193). New York: Guildford Press.
  38. Niec, L. N., Barnett, M. L., Prewett, M. S., & Shanley Chatham, J. R. (2016). Group parent- child interaction therapy: A randomized control trial for the treatment of conduct problems in young children. Journal of consulting and clinical psychology, 84(8), 682. https://doi.org/10.1037/a0040218
  39. Noddings, N., & Shore, P. J. (1984). Awakening the Inner Eye. Intuition in Education. Teachers College Press, Columbia University of New York, NY 10027.
  40. Olson, S. L., Bates. J. E., & Bayles. K. (1990). Early antecedents childhood impulsivity the role of parent child interaction, cognitive competence, and temperament. Journal of Abnormal Child Psychology, 8(3), 317-334.
  41. Osborne, L. A., McHugh, L., Saunders, J., & Reed, P. (2008). Parenting stress reduces the effectiveness of early teaching interventions for autistic spectrum disorders. Journal of Autism and Developmental Disorders, 38(6), 1092-1103. https://doi.org/10.1007/s10803-007-0497-7
  42. Perez, J. C. (2008). Predictors of patterns of change in child disruptive behavior and parenting stress during parent child interaction therapy and its relation to treatment outcome. Doctoral Dissertation, University of Florida, Florida
  43. Phillips, J., Morgan, S., Cawthorne, K., & Barnett, B. (2008). Pilot evaluation of Parent-Child Interaction Therapy delivered in an Australian community early childhood clinic setting. Australian and New Zealand Journal of Psychiatry, 42(8), 712-719. https://doi.org/10.1080/00048670802206320
  44. Rosenthal, R., & Rubin, D. B. (1982). Comparing effect sizes of independent studies. Psychological Bulletin, 92(2), 500-504. https://doi.org/10.1037/0033-2909.92.2.500
  45. Schuhmann, E. M., Foote, R. C., Eyberg, S. M., Boggs, S. R., & Algina, J. (1998). Efficacy of parent-child interaction therapy: Interaction report of a randomized trial with short-term maintenance. Journal of Clinical Child Psychology, 27(1), 34-45. https://doi.org/10.1207/s15374424jccp2701_4
  46. Simes, R. J. (1987). Confronting publication bias: A cohort design for meta analysis. Statistics in Medicine, 6(1), 11-29. https://doi.org/10.1002/sim.4780060104
  47. Thomas, R., & Zimmer-Gembeck, M. J. (2007). Behavioral outcomes of parent-child interaction therapy and triple p-positive parentiong program: A review and meta-analysis. Journal of Abnormal Child Psychology, 35(3), 475-495. http://dx.doi.org/10.1007/s10802-007-9104-9
  48. Thomas, R., & Zimmer-Gembeck, M. J. (2011). Accumulating evidence for parent-child interaction therapy in the prevention of child maltreatment. Child development, 82(1), 177-192. http://dx.doi.org/10.1111/j.1467-8624.2010.01548.x
  49. Twoy, R., Connolly, P. M., & Novak, J. M. (2007). Coping strategies used by parents of children with autism. Journal of the American Association of Nurse Practitioners, 19(5), 251-260. http://dx.doi.org/10.1111/j.1745-7599.2007.00222.x
  50. Ward, M. A., Theule, J., & Cheung, K. (2016). Parent-child interaction therapy for child disruptive behaviour disorders: A meta-analysis. Child & Youth Care Forum, 45(5), 675-690. https://doi.org/10.1007/s10566-016-9350-5
  51. Williford, A. P., Calkins, S. D., & Keane, S. P. (2007). Predicting change in parenting stress across early childhood: Child and maternal factors. Journal of abnormal child psychology, 35(2), 251-263. http://dx.doi.org/10.1007/s10802-006-9082-3
  52. Yoen, H, M., & Hyun, E. J. (2016). Effects of parenting self-efficacy, reading attitude and reading guide of a mother on a young child's attitude towards reading. Korean Society for Early Childhood Education, 36(6), 497-523.
  53. Zaidman-Zait, A., & Jamieson, J. R. (2007). Providing web-based support for families of infants and young children with established disabilities. Infants & Young Children, 20(1), 11-25. http://dx.doi.org/10.1097/00001163-20071000-00003