Table 20Results: Child-parent psychotherapy versus active control versus usual care

First Author et al., YearComparison GroupsHealthy Caregiver-Child Relationship
Toth et al, 200288G1: CPP
G2: Active control
G3: Usual care
Greater decline in negative self-representations
(MacArthur Story Stem Battery; Narrative Coding Manual-Rochester Revision)
G1+>G2ns, p<0.01
G1+>G3ns, p<0.01

Trend towards greater increase in positive self-representations
(MacArthur Story Stem Battery; Narrative Coding Manual-Rochester Revision)
G1+ >G2ns, p<0.10, trend

Trend towards greater decrease in maladaptive maternal representations
(MacArthur Story Stem Battery; Narrative Coding Manual-Rochester Revision)
G1+ >G3ns, p<0.10, trend

Changes in adaptive maternal representation and false self-representation
(MacArthur Story Stem Battery; Narrative Coding Manual-Rochester Revision)
No differences between G1, G2, and G3
p=NR (ns)
Cicchetti et al, 200687G1: CPP
G2: Active control
G3: Usual care
Higher rates of secure attachment*
(strange situation)
G1>G3, p=<0.01
G2>G3, p=<0.01
both, h=1.16 to 1.39
No difference between G1 and G2
p=NR (ns)

Higher rates of becoming securely attached*
(strange situation)
G1>G3, p<0.01, h=1.34
G2>G3, p<0.01, h=1.16
No difference between G1 and G2, p=ns (NR)

Lower rates of stable disorganized attachment*
(strange situation)
G1>G3, p=0.01, h=0.83
G2>G3, p=0.025, h=0.64
No difference between G1 and G2, p=NR (ns)

Change in maternal variables
(Perceptions of Adult Attachment Scale; Maternal Behavior Q-Set; Adult-Adolescent Parenting Inventory; Social Support Behaviors Scale; Parenting Stress Index)
No difference between G1 and G2; all p=ns (NR)
a

intention-to-treat (ITT) analysis

Note: Greater comparative benefit is denoted using a greater (“>“) sign. Cohen’s h is an effect size index of the difference between proportions: 0.20 = small; 0.50 = medium; 0.80 = large.176

Abbreviations: CPP = Child-Parent Psychotherapy; G = group; NR = not reported; NS = not significant; SOE = strength of evidence.

From: Results

Cover of Child Exposure to Trauma: Comparative Effectiveness of Interventions Addressing Maltreatment
Child Exposure to Trauma: Comparative Effectiveness of Interventions Addressing Maltreatment [Internet].
Comparative Effectiveness Reviews, No. 89.
Fraser JG, Lloyd SW, Murphy RA, et al.

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