Evidence for decreased maladaptive guilt following PCIT-ED for depression as measured by story stem narratives: a promising method for preschool self-disclosure of emotions and experiences of parenting.
Preschool-Onset Major Depressive Disorder (PO-MDD) has been validated in children as young as 3 years old. Guilt is a highly specific symptom of the disorder, and maladaptive parenting behaviors are a key risk factor. The purpose of this study is to investigate the utility of the MacArthur Story Ste...
| Publicado en: | European Child & Adolescent Psychiatry Vol. 35; no. 7; pp. 2129 - 2140 |
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| Autores principales: | , , , , , , , |
| Formato: | research tables/charts randomized controlled trial Journal Article |
| Publicado: |
Springer Nature
Jul2026
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=195843325&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 195843325 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 10188827 EJ3 jtl: European Child & Adolescent Psychiatry issn: 10188827 maglogo: N pubinfo: dt: Jul2026 vid: 35 iid: 7 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 195843325 192340472 195843325 195843325 10.1007/s00787-026-02996-7 195843325 ppf: 2129 ppct: 11 formats: tig: atl: Evidence for decreased maladaptive guilt following PCIT-ED for depression as measured by story stem narratives: a promising method for preschool self-disclosure of emotions and experiences of parenting. aug: au: Ellis, Judson Luby, Joan Agrawal, Annika Freeman, Anna Gilbert, Kirsten Whalen, Diana Tillman, Rebecca Donohue, Meghan Rose affil: https://ror.org/01yc7t268 Department of Psychiatry, Washington University School of Medicine, Saint Louis, USA sug: subj: Depression Therapy Patient Attitudes Evaluation Parent-Child Relations Evaluation Caregivers Psychosocial Factors Parenting Evaluation Guilt Evaluation Clinical Assessment Tools Utilization Narratives Self Disclosure United States Human Funding Source Female Male Child, Preschool Descriptive Statistics Pretest-Posttest Design Comparative Studies Thematic Analysis Correlational Studies Parental Behavior Validation Studies Psychotherapy Child Development Storytelling Adaptation, Psychological Odds Ratio Confidence Intervals Task Performance and Analysis Clinical Assessment Tools Questionnaires DSM Child Behavior Checklist Intelligence Tests T-Tests Chi Square Test Linear Regression Logistic Regression Randomized Controlled Trials Random Assignment Child, Preschool: 2-5 years Female Male ab: Preschool-Onset Major Depressive Disorder (PO-MDD) has been validated in children as young as 3 years old. Guilt is a highly specific symptom of the disorder, and maladaptive parenting behaviors are a key risk factor. The purpose of this study is to investigate the utility of the MacArthur Story Stem Battery (MSSB), a narrative technique, as a valid tool through which depressed preschoolers may express their own internal representations of their maladaptive guilt and their caregiver's parenting. MSSB narratives were coded for children's representations of their own guilt and their caregivers' parenting styles before and after an evidence-based dyadic therapy for PO-MDD—Parent-Child Interaction therapy-Emotional Development (PCIT-ED)—and compared to Waitlist controls. Results indicate that narrative guilt themes significantly decreased in children assigned to PCIT-ED compared to a Waitlist control group, and that parenting style themes correlated significantly with observed parenting behavior. These findings validate the use of MSSB narrative techniques to track changes in preschoolers' maladaptive guilt following treatment for depression. Findings also provide validation of this method to capture preschool children's experiences of parenting. pubtype: Academic Journal doctype: research tables/charts randomized controlled trial Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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