Parent training for young Norwegian children with ODD and CD problems: predictors and mediators of treatment outcome.
Participants were 121 children, aged 4-8 years referred for conduct problems, and their mothers. A parent training intervention was implemented in two outpatient clinics in Norway. Treatment responders were defined as children scoring below a cut-off on the Eyberg Child Behavior Inventory, a score below an optimal cut-off for children in day-care and school as reported by teachers, in addition to a 30% reduction or greater in observed negative parenting. Self-reported parenting practices were explored as potential mediators. The results of logistic regression analyses showed that high levels of maternal stress, clinical levels of ADHD, and being a girl predicted a poorer outcome in conduct problems at home, while pretreatment clinical levels of ADHD predicted a poorer outcome as perceived by the teachers. Harsh and inconsistent parental disciplining emerged as significant partial mediators of changes in conduct problems, highlighting the importance of altering parenting practices to modify young children's conduct problems.
Fossum
Sturla
S
Centre for Child and Adolescent Mental Health, Department of Clinical Medicine, University of Tromsø, Norway. sturla.fossum@fagmed.uit.no
Mørch
Willy-Tore
WT
Handegård
Bjørn H
BH
Drugli
May B
MB
Larsson
Bo
B
D001289:Attention Deficit Disorder with Hyperactivity / Q000453:epidemiology / Q000628:therapy; D019958:Attention Deficit and Disruptive Behavior Disorders / Q000453:epidemiology / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D019955:Conduct Disorder / Q000453:epidemiology / Q000628:therapy; D005260:Female; D006801:Humans; D008297:Male; D009034:Mother-Child Relations; D009035:Mothers / Q000523:psychology; D009664:Norway / Q000453:epidemiology; D010287:Parent-Child Relations; D016487:Parenting; D010290:Parents / Q000193:education* / Q000523:psychology; D017678:Sex Distribution; D013315:Stress, Psychological / Q000453:epidemiology / Q000523:psychology; D016896:Treatment Outcome