Is parent-child interaction therapy effective on aggression and biological indices in pre-school children with parents who use high-potency cannabis? A double-blind randomized controlled trial study in an Iranian sample

Authors

  • Bijan Pirnia Department of Psychology, Faculty of Humanities, University of Science and Culture, Tehran, Iran http://orcid.org/0000-0002-8349-5736
  • Masoumeh Mohamadi Department of Educational Psychology, Faculty of Psychology and Education, Kharazmi University, Tehran, Iran
  • Isar Abbasi Department of Psychology, Faculty of Humanities and Social Sciences, Islamic Azad University, Science and Research Branch, Tehran, Iran
  • Tayyebeh Kord-Ahmadi Department of Psychology, Faculty of Humanities, Islamic Azad University, Shahr-e-Qods Branch, Tehran, Iran
  • Farima Foroughi Department of Psychology, Faculty of Humanities, Islamic Azad University, Ahvaz Branch, Ahvaz, Iran

DOI:

https://doi.org/10.22122/cdj.v8i3.525

Keywords:

Aggression, Tetrahydrocannabinol, Addiction, Problem Behavior, Child, Preschool

Abstract

BACKGROUND: Improving interpersonal interactions between parents and the child can indirectly reduce the extrapolation behavioral problems, including aggression in children.

METHODS: Among parents who used high-potency cannabis (marijuana or ‘gol’ as it is called in Iran) and lived in Tehran, Iran, sixty four caregivers and an Iranian child were selected through respondent-driven sampling and studied in the form of a double-blind randomized controlled trial (RCT) (TCTR20180804001) with repeated measurements method and a 6-month follow-up. The changes in the aggression and cortisol levels were repeatedly evaluated during 12 weeks of interactive treatment and analyzed by Monte Carlo test, repeated measures correlation (rmcorr), and generalized estimating equation (GEE) via SPSS software. Statistical significance was accepted on the level of P < 0.010.

RESULTS: 12 weeks of Parent-Child Interaction Therapy (PCIT) had a significant effect on the reduction of aggression and the salivary cortisol level in children (P < 0.010). However, the results did not remain stable till the 6-month follow-up stage (P = 0.067). Also, results revealed a significant relationship between aggression index and the level of cortisol (P < 0.010).

CONCLUSION: Since the core of the damage resulted from illicit drug abuse is reflected in interactive activities, improving social interactions can be considered as the key to the treatment of addiction.

References

Pirnia B, Rasoulzadeh Tabatabaei SK, Pirkhaefi A, Soleimani A. Comparison of the effectiveness of two

cognitive-behavioral and mother-child interactive therapies on anxiety of children with under-methadone treatment mother. Iran J Psychiatry Clin Psychol 2017; 23(2): 136-47. [In Persian].

Ford TC, Hayley AC, Downey LA, Parrott AC. Cannabis: An overview of its adverse acute and chronic effects and its implications. Curr Drug Abuse Rev 2017; 10(1): 6-18.

Pirnia B, Janbozorg M, Pirnia K. Comparing the depression symptoms and gender differences in individuals dependent and independent to methamphetamine and the relation of these symptoms with plasma cortisol level, a cross-sectional study. Razi J Med Sci 2017; 24(159): 49-56. [In Persian].

Pirnia B, Soleimani A, Teimouri M, Najafi E. Psychotherapy in children, examining the effectiveness of parent-child interaction therapy on depression, anxiety and stress symptoms in children, a randomized clinical trial. International Journal of Psychology (IPA) 2017; 11(2): 5-25. [In Persian].

Graziano PA, Ros R, Hart KC, Slavec J. Summer Treatment Program for Preschoolers with Externalizing Behavior Problems: A Preliminary Examination of Parenting Outcomes. J Abnorm Child Psychol 2018; 46(6): 1253-65.

Thomas R, Abell B, Webb HJ, Avdagic E, Zimmer-Gembeck MJ. Parent-Child Interaction Therapy: A Meta-analysis. Pediatrics 2017; 140(3).

Herschell AD, Scudder AB, Schaffner KF, Slagel LA. Feasibility and effectiveness of parent-child interaction therapy with victims of domestic violence: A pilot study. J Child Fam Stud 2017; 26(1): 271-83.

Pirnia B, Soleymani A, Pirnia K. Behavioral problems and psychological treatments, the effectiveness of parent-child interaction therapy-based play therapy training on aggression in children, a pilot randomized controlled trial. Clinical Psychology Studies 2017; 7(27): 47-69. [In Persian].

Pirnia B, Kashani Khatib T, Nazari S, Haghiry S, Madadi Varzeghani S, Faryammanesh M. The effectiveness of parent-child interaction therapy on the improvement of affective index in children. J Shaheed Sadoughi Univ Med Sci 2019; 27(1): 1164-74. [In Persian].

Pirnia B, Givi F, Roshan R, Pirnia K, Soleimani AA. The cortisol level and its relationship with depression, stress and anxiety indices in chronic methamphetamine-dependent patients and normal individuals undergoing inguinal hernia surgery. Med J Islam Repub Iran 2016; 30: 395.

Downloads

Published

2020-08-23

How to Cite

1.
Pirnia B, Mohamadi M, Abbasi I, Kord-Ahmadi T, Foroughi F. Is parent-child interaction therapy effective on aggression and biological indices in pre-school children with parents who use high-potency cannabis? A double-blind randomized controlled trial study in an Iranian sample. Chron Dis J. 2020;8(3):152–155.

Issue

Section

Short Communication(s)