Papers by Beverly Funderburk
Child & Family Behavior Therapy, Nov 20, 2001
... To be successful on parent report mea-sures, a family had to show clinically significant chan... more ... To be successful on parent report mea-sures, a family had to show clinically significant change on at least six of the nine measures. A family's success on observational measures was defined as clinically significant change on at least six of the eight variables. ...
Journal of Consulting and Clinical Psychology, Jun 1, 2004
A randomized trial was conducted to test the efficacy and sufficiency of parent-child interaction... more A randomized trial was conducted to test the efficacy and sufficiency of parent-child interaction therapy (PCIT) in preventing re-reports of physical abuse among abusive parents. Physically abusive parents (N ϭ 110) were randomly assigned to one of three intervention conditions: (a) PCIT, (b) PCIT plus individualized enhanced services, or (c) a standard community-based parenting group. Participants had multiple past child welfare reports, severe parent-to-child violence, low household income, and significant levels of depression, substance abuse, and antisocial behavior. At a median follow-up of 850 days, 19% of parents assigned to PCIT had a re-report for physical abuse compared with 49% of parents assigned to the standard community group. Additional enhanced services did not improve the efficacy of PCIT. The relative superiority of PCIT was mediated by greater reduction in negative parent-child interactions, consistent with the PCIT change model.
Objective: We conducted a large (N = 204) randomized, clinical trial to test the efficacy of Pare... more Objective: We conducted a large (N = 204) randomized, clinical trial to test the efficacy of Parent-Child Interaction Therapy (PCIT) on observed parenting and two key drivers of maladaptive parenting-selfregulation skills and harsh social cognitions-in a sample of child welfare-involved families. Method: Participants were randomly assigned to receive standard PCIT (n = 120) or services-as-usual (SAU; n = 84). The sample was characterized by low household income and significant exposures to adverse childhood experiences (ACEs) and substance abuse. Intention-to-treat analyses were conducted on multiply-imputed data followed by secondary per-protocol analyses. Results: Significant PCIT effects emerged on (a) increased positive parenting and reduced negative parenting (small-to-medium ITT effects and medium-to-large per-protocol effects); (b) gains in inhibitory control performance on the stop-signal task (small-to-medium ES); (c) gains in parent-reported emotion regulation and (d) positive, affirming self-perceptions (small-to-medium ES), relative to SAU control. The effects of PCIT on gains in parent emotion regulation were mediated by reductions in observed negative parenting. No main effects were observed on parent RSA scores or child attributions. Harsh child attributions moderated treatment response: PCIT parents who held the harshest child attributions displayed the greatest gains in labelled praises and declines in negative talk/criticism. Conclusions: This randomized trial presents the first evidence that PCIT improves inhibitory control and emotion regulation in child welfare-involved parents and provides independent replication of other published trials documenting gains in observed parenting.
Children and Youth Services Review, Sep 1, 2020
Abstract Children with prenatal substance exposure (PSE) often have behavior problems, but few st... more Abstract Children with prenatal substance exposure (PSE) often have behavior problems, but few studies have demonstrated that behavior therapy can be effective for these children. The current study evaluated the efficacy of Parent-Child Interaction Therapy (PCIT) for improving behavior problems in a sample of 116 children with PSE using archival data from a Midwestern PCIT clinic. Analyses included mean comparisons of pre- and post-treatment measures of child and parent behavior, prediction of drop-out from treatment, and evaluation of the potential complicating effects of PSE on treatment response. Results indicate that treatment effects of PCIT for children with PSE appear similar to the outcomes observed elsewhere in the PCIT literature. There was no indication that maternal polysubstance use alters child response to treatment. Attrition was high, but similar to other community trials of PCIT. The current study lends support to the use of PCIT for children with PSE who have behavior problems.
Behavior Therapy, 2000
The psychometric properties of a new observation coding system for children's di... more The psychometric properties of a new observation coding system for children's disruptive classroom behavior were evaluated. The Revised Edition of the School Observation Coding System (REDSOCS) was used to observe 51 young children clinic-referred for conduct-...
Child & Family Behavior Therapy, Jan 31, 1995
... CSRNER Assessment of a New Procedure to Prevent Timeout Escape in Preschoolers Cheryl Bodifor... more ... CSRNER Assessment of a New Procedure to Prevent Timeout Escape in Preschoolers Cheryl Bodiford McNeil Laurie Clemens-Mowrer Robin H. Gurwitch Beverly W. Funderburk ABSTRACT. Hanf-model parent training programs (eg, Forehand, Eyberg, Barkley) include a ...
American Psychological Association eBooks, Apr 11, 2011
Zero to Three, Mar 1, 2012
Child Abuse & Neglect, Jul 1, 2009
Journal of Psychoactive Drugs, Oct 1, 2011
The Indian Country Child Trauma Center, as part of the National Child Traumatic Stress Network, d... more The Indian Country Child Trauma Center, as part of the National Child Traumatic Stress Network, designed a series of American Indian and Alaska Native transformations of evidence-based treatment models. Parent-Child Interaction Therapy (PCIT) was culturally adapted/translated to provide an effective treatment model for parents who have difficulty with appropriate parenting skills or for their children who have problematic behavior. The model, Honoring Children-Making Relatives, embeds the basic tenets and procedures of PCIT in a framework that supports American Indian and Alaska Native traditional beliefs and parenting practices that regard children as being the center of the Circle. This article provides an overview of the Honoring Children-Making Relatives model, reviews cultural considerations incorporated into ICCTC's model transformation process, and discusses specific applications for Parent-Child Interaction Therapy within the model.
Child & Family Behavior Therapy, May 4, 1998
Journal of Clinical Child Psychology, Jun 1, 1991
ABSTRACT Evaluated generalization of treatment effects from home to school setting in ten 2to 7-y... more ABSTRACT Evaluated generalization of treatment effects from home to school setting in ten 2to 7-year-old children who were referred for treatment of severe conduct problem behaviors occurring both at home and in the classroom. Families received 14 weeks of parent-child interaction therapy. No direct classroom interventions were conducted. The treatment group displayed significantly greater improvements than two control groups on all measures of conduct problem behavior in the classroom. Results in the areas of hyperactivity/distractibility and social behavior were less supportive of generalization. Positive school generalization results contradict previous findings that children's behavior in the classroom either shows minimal improvement or worsens following parent training.
Journal of Clinical Child Psychology, Mar 1, 1993
... Cheryl Bodiford McNeil Department of Pediatrics University of Oklahoma Health Sciences Center... more ... Cheryl Bodiford McNeil Department of Pediatrics University of Oklahoma Health Sciences Center ... PCIT may be distinguished from other Hanf-model approaches in its emphasis on teaching parents (a) traditional play-therapy skills to improve the quality of the par-ent-child ...
Parent-Child Interaction Therapy (PCIT) was originally developed by Dr. Sheila Eyberg to address ... more Parent-Child Interaction Therapy (PCIT) was originally developed by Dr. Sheila Eyberg to address early childhood behavior problems and promote pro-social and emotional development in young children. PCIT is a two-stage, behavioral parent training program which guides caregivers to develop authoritative parenting skills that balance a warm relationship with the child and effective limit setting. PCIT targets patterns of parent-child interaction rather than focusing on specific target behaviors by having a therapist actively coach a caregiver during real-time interactions with the child. PCIT was designed to provide a developmentally sensitive treatment format for young children, featuring play-based learning opportunities as the primary medium to facilitate behavior change. PCIT has an extensive evidence base for a range of early childhood problems, and PCIT repeatedly receives the highest rankings among reviews of evidence-based treatments. This chapter is designed to provide information on the theoretical and historical underpinnings of PCIT, review the core features, describe the format of treatment, and illustrate how PCIT has been utilized in different settings to meet the needs of children and families.
Child maltreatment solutions network, Nov 29, 2016
Parent training programs are the most common type of service prescribed for parents in the child ... more Parent training programs are the most common type of service prescribed for parents in the child welfare system. Parent-Child Interaction Therapy (PCIT), an evidence-based model originally developed as a parent-mediated treatment for disruptive behavior problems in preschool-age children, has been adapted as an intervention for maltreating parents of preschool- and school-age children. PCIT uses behavioral principles to: (a) increase positive parenting skills; (b) enhance the parent-child relationship; (c) establish effective and consistent behavior management strategies; and (d) decrease child behavior problems. The adapted version of PCIT for child welfare populations includes a motivational enhancement component which has been found necessary for reducing child welfare recidivism. Additional PCIT research findings indicate significant improvements in mental health and behavior among children in the child welfare system. The PCIT model is flexible and has been extended to home-based services and foster care settings. The fact that PCIT robustly delivers two types of benefits (i.e. reduced recidivism risk among abusive parents and improved wellbeing and behavior among children) in one compact and focused intervention makes it particularly appealing for child welfare service systems. This chapter describes PCIT and the adaptations that have been made for use in child welfare. The chapter also addresses cross-cultural adaptations of PCIT and summarizes some barriers and related implementation strategies.
Children and Youth Services Review, 2018
Abstract Problematic Sexual Behavior (PSB) can be conceptualized as a distinct subset of external... more Abstract Problematic Sexual Behavior (PSB) can be conceptualized as a distinct subset of externalizing behavior problems. Preschool children with PSB commonly have co-occurring nonsexual behavior problems, including disruptive behavior disorders (DBD). Behavioral parent training is the core component of effective treatments for DBD (Kaminski, Valle, Filene, & Boyle, 2008) and for PSB (St. Amand, Bard, & Silovsky, 2008). Parent-Child Interaction Therapy (PCIT) is an empirically supported evidence-based behavioral parent treatment program for young children ages 2 to 7 with disruptive behavior problems (California Evidence-Based Clearinghouse, 2017; Eyberg & Funderburk, 2011; Funderburk & Eyberg, 2011). However, due to the taboo nature of the topic and the potential impact and harm to other children, unique clinical issues can arise when behaviors are classified as “sexual.” Adaptations to PCIT are recommended to address safety, physical boundaries, commonly held myths about the population, and other related issues. Conceptual background of PSB and the fit of behavioral parent training as a core intervention is provided, followed by details regarding augmentations to embed approaches to address PSB within PCIT.
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Papers by Beverly Funderburk