This meta-analysis evaluated the effectiveness of Parent–Child Interaction Therapy (PCIT) for maltreated families and examined potential moderators associated with the intervention. Seven English electronic databases (PubMed, PsycINFO, Web of Science, MEDLINE, Scopus, Cochrane Library, and ProQuest Dissertations and Theses Global) were systematically searched to identify randomized controlled trials (RCTs) published before January 20, 2023. Eleven studies involving 1,069 maltreated or high-risk families were included in the meta-analysis. Our results showed that PCIT significantly reduced child externalizing behaviors, improved parenting skills, and decreased parenting stress and child abuse potential in maltreated families. Additionally, families with confirmed maltreatment history reported larger effect sizes across all outcomes than those at high risk of maltreatment; parenting skills outcomes were more effective in adapted PCIT versions, using per-protocol analysis, and American caregivers, whereas none of the outcomes were related to the number of sessions. These findings provide encouraging evidence for the use of PCIT as an intervention for families with a history of maltreatment, although more high-quality RCTs are required to confirm its effects.

中文翻译：

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亲子互动疗法对受虐待家庭的有效性：随机对照试验的荟萃分析

这项荟萃分析评估了亲子互动疗法（PCIT）对受虐待家庭的有效性，并检查了与干预相关的潜在调节因素。系统地检索了 7 个英文电子数据库（PubMed、PsycINFO、Web of Science、MEDLINE、Scopus、Cochrane Library 和 ProQuest Dissertations andTheses Global），以识别 2023 年 1 月 20 日之前发表的随机对照试验 (RCT)。 11 项研究涉及 1,069 名虐待者或高风险家庭被纳入荟萃分析。我们的结果表明，PCIT 显着减少了儿童的外化行为，提高了养育技能，并减少了受虐待家庭的养育压力和虐待儿童的可能性。此外，与虐待高风险家庭相比，有明确虐待史的家庭报告的所有结果的影响更大；使用符合方案分析和美国护理人员，在改编的 PCIT 版本中，育儿技能结果更为有效，但没有一个结果与会议次数相关。这些发现为使用 PCIT 作为有虐待史家庭的干预措施提供了令人鼓舞的证据，尽管需要更多高质量的随机对照试验来证实其效果。