Parenting Skills Training Essay

2111 words - 9 pages

Parenting Skills Training: An Effective Intervention for Internalizing Symptoms in Younger Children?
Parenting O 2 182005 if know UK ©RIGINAL 1073-6077 Nursecom, Inc. Journal 2005 ARTICLE JCAP by Skills Training: Oxford, of Child and Adolescent Psychiatric Nursing Blackwell Publishing, Ltd. An Effective Intervention for Internalizing Symptoms in Younger Children?

Sam Cartwright-Hatton, D Phil, Clin PsyD, Deborah McNally, RMN, RGN, Clin PsyD, Caroline White, Clin PsyD, and Chrissie Verduyn, Msc, PhD

A number of interventions are effective

in treating older children with internalizing symptoms. However, little is known about the efficacy of psychological interventions in ...view middle of the document...

We also know that the symptoms of depression can manifest in very young children (Rutter, 1991), and there is evidence that depressive disorders in the young may be increasing (Fombonne, 1995). Moreover, it is clear that children do not simply grow out of depression. Harrington, Fudge, Rutter, Pickles, & Hill (1990) followed a group of depressed children and a matched sample of control children over an 18-year period. The sample who were depressed as children were more likely to be depressed as adults than those in the control group. The picture is similar for anxiety. Anxiety disorders are a very common form of psychological disturbance in childhood, and it is estimated that up to 17% of young people will meet criteria for an anxiety disorder (Costello & Angold, 1995). Again, these symptoms can manifest in very young children. Moreover, both anxiety and depression can lead to other serious problems. Children with depressive disorders are at an elevated risk of suicide and self-harm (Lewinsohn, Rohde, & Seeley, 1994). Children with anxiety disorders often go on to develop depression (Kovacs, Gatsonis, Paulauskas,

An intervention targeted towards

parenting may be efficacious in the treatment of children’s internalizing symptoms.
Search terms: Anxiety, childhood, depression,


Journal of Child and Adolescent Psychiatric Nursing, Volume 18, Number 2, pp. 4 5 – 52
JCAPN Volume 18, Number 2, April-June, 2005

Parenting Skills Training: An Effective Intervention for Internalizing Symptoms in Younger Children?

& Richards, 1989), and, if they attempt self-medication, may be at an increased risk of substance misuse (Kushner, Sher, & Beitman, 1990). With these concerns in mind, new treatments for childhood anxiety and depression have developed. In particular, cognitive behavior therapy (CBT) has been shown to be a promising intervention for both depression (Harrington, Whittaker, & Shoebridge, 1998), and anxiety (e.g., Barrett, 1998; Flannery-Schroeder & Kendall, 2000). The efficacy of CBT, however, is known only for older children. It is not thought to be as effective for children under the age of about 8 years. In a search of the literature to find interventions for internalizing disorders of younger children, the authors found very little empirical evidence for any treatment. Barrett (2000) also highlights this lacuna in her review of the anxiety literature. In fact, there is very little in the way of empirically validated treatments for any of the psychological disorders of early childhood. There is, however, one exception: in the past 20 years, a large body of literature has developed chronicling the success of behavioral parent skills training (BPST) for families of children with externalizing disorders (Scott, Spender, Doolan, Jacobs, & Aspland, 2001; Webster-Stratton, 1990). This approach teaches parents behavioral skills, which they then use to manage their children’s difficult behaviors. Broadly, the aim of this...

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