title: Maternal attachment status, psychosocial stressors and problem behaviour: follow-up after parent training courses for conduct disorder.
abstract: 37 Mothers of children with conduct disorder who had received Parent Management Training (PMT) were interviewed using the Adult Attachment Interview, 13-43 months after treatment. Child behaviour levels at follow-up were strongly associated with the scores at referral in the unresolved attachment group, but not in the resolved group. This was reflected in a statistical interaction between referral behaviour score and resolved/unresolved attachment status in a regression model. This model, which also included a strong independent contribution from a composite psychological stress index, explained 66% of the variance in follow-up behaviour scores. The implications of these results for predicting the outcome of PMT are discussed.
authors.affiliation: Academic Department of Child and Adolescent Psychiatry and Psychology, Royal Liverpool Children's Hospital, U.K.
authors.forename: C P
authors.initials: CP
authors.lastname: Routh
authors.forename: J W
authors.initials: JW
authors.lastname: Hill
authors.forename: H
authors.initials: H
authors.lastname: Steele
authors.forename: C E
authors.initials: CE
authors.lastname: Elliott
authors.forename: M E
authors.initials: ME
authors.lastname: Dewey
mesh_terms: D002648:Child; D002653:Child Behavior Disorders / Q000523:psychology / Q000628:therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D009034:Mother-Child Relations; D009769:Object Attachment; D016487:Parenting / Q000523:psychology; D010290:Parents / Q000193:education* / Q000523:psychology; D010552:Personality Assessment; D013315:Stress, Psychological / Q000150:complications*; D016896:Treatment Outcome