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Gepubliceerd in: Clinical Child and Family Psychology Review 4/2017

09-06-2017

A Systematic Review and Meta-analysis of Parent Training for Disruptive Behavior in Children with Autism Spectrum Disorder

Auteurs: Valentina Postorino, William G. Sharp, Courtney E. McCracken, Karen Bearss, T. Lindsey Burrell, A. Nichole Evans, Lawrence Scahill

Gepubliceerd in: Clinical Child and Family Psychology Review | Uitgave 4/2017

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Abstract

Parent training (PT) has emerged as a promising treatment for disruptive behavior in children with autism spectrum disorder (ASD). This review summarizes the essential elements of PT for disruptive behavior in children with ASD and evaluates the available evidence for PT using both descriptive and meta-analytic procedures. We searched Medline, PsycINFO, and PubMed databases (1980–2016) in peer-reviewed journals for randomized controlled trials (RCTs) of PT for disruptive behavior in children with ASD. The systematic search of 2023 publications yielded eight RCTs involving a total of 653 participants. We calculated effect sizes using either raw post-treatment means and standard deviations for each treatment group (PT and control) or group mean differences with associated 95% confidence intervals (CIs). Differences in post-treatment means were converted to a standardized difference in means (SMD) for each primary outcome. Results support the efficacy of PT for disruptive behavior in children with ASD, with a SMD of −0.59 [95% CI (−0.88, −0.30); p < 0.001]. Across these eight studies, there was significant heterogeneity in the effect of PT on disruptive behavior. This variability is likely due to differences in sample size, number of treatment sessions, study duration, and control condition employed. Current findings provide solid support for the efficacy of PT for disruptive behavior in children with ASD. Future studies should focus on effectiveness trials to promote wider implementation of PT in clinical settings.
Literatuur
go back to reference Aman, M. G., McDougle, C. J., Scahill, L., Handen, B., Arnold, L. E., Johnson, C., et al. (2009). Medication and parent training in children with pervasive developmental disorders and serious behavior problems: Results from a randomized clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 48(12), 1143–1154. CrossRefPubMed Aman, M. G., McDougle, C. J., Scahill, L., Handen, B., Arnold, L. E., Johnson, C., et al. (2009). Medication and parent training in children with pervasive developmental disorders and serious behavior problems: Results from a randomized clinical trial. Journal of the American Academy of Child and Adolescent Psychiatry, 48(12), 1143–1154. CrossRefPubMed
go back to reference Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985). The aberrant behavior checklist: A behavior rating scale for the assessment of treatment effects. American Journal of Mental Deficits, 89, 485–491. Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985). The aberrant behavior checklist: A behavior rating scale for the assessment of treatment effects. American Journal of Mental Deficits, 89, 485–491.
go back to reference American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association. American Psychiatric Association. (1994). Diagnostic and statistical manual of mental disorders (4th ed.). Washington, DC: American Psychiatric Association.
go back to reference American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, fourth edition, text revised. Washington, DC: American Psychiatric Association. CrossRef American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders, fourth edition, text revised. Washington, DC: American Psychiatric Association. CrossRef
go back to reference American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders-5. Washington, DC: American Psychiatric Association. CrossRef American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders-5. Washington, DC: American Psychiatric Association. CrossRef
go back to reference Bearss, K., Johnson, C., Handen, B., Butter, E., Smith, T., Lecavlier, L. T., et al. (2015a). Parent training for disruptive behaviors. Atlanta, GA: RUBI Autism Network. Bearss, K., Johnson, C., Handen, B., Butter, E., Smith, T., Lecavlier, L. T., et al. (2015a). Parent training for disruptive behaviors. Atlanta, GA: RUBI Autism Network.
go back to reference Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., et al. (2015b). Effect of parent training vs parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trial. JAMA, 313(15), 1524–1533. CrossRefPubMed Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., et al. (2015b). Effect of parent training vs parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trial. JAMA, 313(15), 1524–1533. CrossRefPubMed
go back to reference Bearss, K., Lecavalier, L., Minshawi, N., Johnson, C., Smith, T., Handen, B., et al. (2013). Toward an exportable parent training program for disruptive behaviors in autism spectrum disorders. Neuropsychiatry (London), 3(2), 169–180. CrossRef Bearss, K., Lecavalier, L., Minshawi, N., Johnson, C., Smith, T., Handen, B., et al. (2013). Toward an exportable parent training program for disruptive behaviors in autism spectrum disorders. Neuropsychiatry (London), 3(2), 169–180. CrossRef
go back to reference Beavers, G. A., Iwata, B. A., & Lerman, D. C. (2013). Thirty years of research on the functional analysis of problem behavior. Journal of Applied Behavior Analysis, 46, 1–21. CrossRefPubMed Beavers, G. A., Iwata, B. A., & Lerman, D. C. (2013). Thirty years of research on the functional analysis of problem behavior. Journal of Applied Behavior Analysis, 46, 1–21. CrossRefPubMed
go back to reference Brookman-Frazee, L. I., Drahota, A., & Stadnick, N. (2012). Training community mental health therapists to deliver a package of evidence-based practice strategies for school-age children with autism spectrum disorders: A pilot study. Journal of Autism and Developmental Disorders, 42(8), 1651–1661. CrossRefPubMedPubMedCentral Brookman-Frazee, L. I., Drahota, A., & Stadnick, N. (2012). Training community mental health therapists to deliver a package of evidence-based practice strategies for school-age children with autism spectrum disorders: A pilot study. Journal of Autism and Developmental Disorders, 42(8), 1651–1661. CrossRefPubMedPubMedCentral
go back to reference Campbell, J. M. (2003). Efficacy of behavioral interventions for reducing problem behavior in persons with autism: A quantitative synthesis of single-subject research. Research in Developmental Disabilities, 24(2), 120–138. CrossRefPubMed Campbell, J. M. (2003). Efficacy of behavioral interventions for reducing problem behavior in persons with autism: A quantitative synthesis of single-subject research. Research in Developmental Disabilities, 24(2), 120–138. CrossRefPubMed
go back to reference Dabrowska, A., & Pisula, E. (2010). Parenting stress and coping styles in mothers and fathers of pre-school children with autism and Down syndrome. Journal of Intellectual Disability Research, 54(3), 266–280. CrossRefPubMed Dabrowska, A., & Pisula, E. (2010). Parenting stress and coping styles in mothers and fathers of pre-school children with autism and Down syndrome. Journal of Intellectual Disability Research, 54(3), 266–280. CrossRefPubMed
go back to reference Dretzke, J., Davenport, C., Frew, E., Barlow, J., Stewart-Brown, S., Bayliss, S., et al. (2009). The clinical effectiveness of different parenting programmes for children with conduct problems: a systematic review of randomised controlled trials. Child and adolescent psychiatry mental health, 3(1), 7. CrossRef Dretzke, J., Davenport, C., Frew, E., Barlow, J., Stewart-Brown, S., Bayliss, S., et al. (2009). The clinical effectiveness of different parenting programmes for children with conduct problems: a systematic review of randomised controlled trials. Child and adolescent psychiatry mental health, 3(1), 7. CrossRef
go back to reference Einfeld, S. L., & Tonge, B. J. (2002). Manual for the developmental behavior checklist, primary carer version (DBC-P) and teacher version (DBC-T). Melbourne: Monash University center for Developmental Psychiatry. Einfeld, S. L., & Tonge, B. J. (2002). Manual for the developmental behavior checklist, primary carer version (DBC-P) and teacher version (DBC-T). Melbourne: Monash University center for Developmental Psychiatry.
go back to reference Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and sutter-eyberg student behaviour inventory-revised: Professional manual. Odessa, FL: Psychological Assessment Resources. Eyberg, S. M., & Pincus, D. (1999). Eyberg child behavior inventory and sutter-eyberg student behaviour inventory-revised: Professional manual. Odessa, FL: Psychological Assessment Resources.
go back to reference Ginn, N. C., Clionsky, L. N., Eyberg, S. M., Warner-Metzger, C., & Abner, J. P. (2015). Child-directed interaction training for young children with autism spectrum disorders: Parent and child outcomes. Journal of Clinical Child and Adolescent Psychology, 18, 1–9. Ginn, N. C., Clionsky, L. N., Eyberg, S. M., Warner-Metzger, C., & Abner, J. P. (2015). Child-directed interaction training for young children with autism spectrum disorders: Parent and child outcomes. Journal of Clinical Child and Adolescent Psychology, 18, 1–9.
go back to reference Handen, B. L., Aman, M. G., Arnold, L. E., Hyman, S. L., Tumuluru, R. V., Lecavalier, L., et al. (2015). Atomoxetine, parent training, and their combination in children with autism spectrum disorder and attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 54(11), 905–915. CrossRefPubMedPubMedCentral Handen, B. L., Aman, M. G., Arnold, L. E., Hyman, S. L., Tumuluru, R. V., Lecavalier, L., et al. (2015). Atomoxetine, parent training, and their combination in children with autism spectrum disorder and attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 54(11), 905–915. CrossRefPubMedPubMedCentral
go back to reference Huedo-Medina, T. B., Sánchez-Meca, J., Marín-Martínez, F., & Botella, J. (2006). Assessing heterogeneity in meta-analysis: Q statistic or I 2 index? Psychological Methods, 11(2), 193–206. CrossRefPubMed Huedo-Medina, T. B., Sánchez-Meca, J., Marín-Martínez, F., & Botella, J. (2006). Assessing heterogeneity in meta-analysis: Q statistic or I 2 index? Psychological Methods, 11(2), 193–206. CrossRefPubMed
go back to reference Kazdin, A. E. (2005). Parent management training: Treatment for oppositional, aggressive, and antisocial behavior in children and adolescents. Oxford, England: Oxford University Press. Kazdin, A. E. (2005). Parent management training: Treatment for oppositional, aggressive, and antisocial behavior in children and adolescents. Oxford, England: Oxford University Press.
go back to reference Lecavalier, L. (2006). Behavioral and emotional problems in young people with pervasive developmental disorders: Relative prevalence, effects of subject characteristics, and empirical classification. Journal of Autism and Developmental Disorders, 36, 1101–1114. CrossRefPubMed Lecavalier, L. (2006). Behavioral and emotional problems in young people with pervasive developmental disorders: Relative prevalence, effects of subject characteristics, and empirical classification. Journal of Autism and Developmental Disorders, 36, 1101–1114. CrossRefPubMed
go back to reference Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr., Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223. CrossRefPubMed Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Jr., Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule-generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30, 205–223. CrossRefPubMed
go back to reference Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685. CrossRefPubMed Lord, C., Rutter, M., & Le Couteur, A. (1994). Autism diagnostic interview-revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. Journal of Autism and Developmental Disorders, 24, 659–685. CrossRefPubMed
go back to reference Michelson, D., Davenport, C., Dretzke, J., Barlow, J., & Day, C. (2013). Do evidence-based interventions work when tested in the “real world?” A systematic review and meta-analysis of parent management training for the treatment of child disruptive behavior. Clinical and Child Family Psychology Review, 16(1), 18–34. CrossRef Michelson, D., Davenport, C., Dretzke, J., Barlow, J., & Day, C. (2013). Do evidence-based interventions work when tested in the “real world?” A systematic review and meta-analysis of parent management training for the treatment of child disruptive behavior. Clinical and Child Family Psychology Review, 16(1), 18–34. CrossRef
go back to reference Oono, I. P., Honey, E. J., & McConachie, H. (2013). Parent-mediated early intervention for young children with autism spectrum disorders (ASD). Cochrane Database Systematic Review, 30(4), CD009774. Oono, I. P., Honey, E. J., & McConachie, H. (2013). Parent-mediated early intervention for young children with autism spectrum disorders (ASD). Cochrane Database Systematic Review, 30(4), CD009774.
go back to reference Owen, R., Sikich, L., Marcus, R. N., Corey-Lisle, P., Manos, G., McQuade, R. D., et al. (2009). Aripiprazole in the treatment of irritability in children and adolescents with autistic disorder. Pediatrics, 124(6), 1533–1540. CrossRefPubMed Owen, R., Sikich, L., Marcus, R. N., Corey-Lisle, P., Manos, G., McQuade, R. D., et al. (2009). Aripiprazole in the treatment of irritability in children and adolescents with autistic disorder. Pediatrics, 124(6), 1533–1540. CrossRefPubMed
go back to reference Reitzel, J., Summers, J., Lorv, B., Szatmari, P., Zwaigenbaum, L., Georgiades, S., et al. (2013). Pilot randomized controlled trial of a functional behavior skills training program for young children with autism spectrum disorder who have significant early learning skill impairments and their families. Research in Autism Spectrum Disorders, 7(11), 1418–1432. CrossRef Reitzel, J., Summers, J., Lorv, B., Szatmari, P., Zwaigenbaum, L., Georgiades, S., et al. (2013). Pilot randomized controlled trial of a functional behavior skills training program for young children with autism spectrum disorder who have significant early learning skill impairments and their families. Research in Autism Spectrum Disorders, 7(11), 1418–1432. CrossRef
go back to reference Research Units on Pediatric Psychopharmacology Autism Network. (2002). Risperidone in children with autism and serious behavioral problems. New England Journal of Medicie, 347(5), 314–321. CrossRef Research Units on Pediatric Psychopharmacology Autism Network. (2002). Risperidone in children with autism and serious behavioral problems. New England Journal of Medicie, 347(5), 314–321. CrossRef
go back to reference Scahill, L., Jeon, S., Boorin, S. J., McDougle, C. J., Aman, M. G., Dziura, J., et al. (2016). Weight gain and metabolic consequences of risperidone in young children with autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 55(5), 415–423. CrossRefPubMedPubMedCentral Scahill, L., Jeon, S., Boorin, S. J., McDougle, C. J., Aman, M. G., Dziura, J., et al. (2016). Weight gain and metabolic consequences of risperidone in young children with autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 55(5), 415–423. CrossRefPubMedPubMedCentral
go back to reference Schopler, E., Van Bourgondien, M., Wellman, G., & Love, S. (2010). The child autism rating scale-second edition (CARS2). Los Angeles, CA: Western Psychological Services. Schopler, E., Van Bourgondien, M., Wellman, G., & Love, S. (2010). The child autism rating scale-second edition (CARS2). Los Angeles, CA: Western Psychological Services.
go back to reference Schreibman, L. (2000). Intensive behavioral/psychoeducational treatments for autism: Research needs and future directions. Journal of Autism and Developmental Disorders, 30, 373–378. CrossRefPubMed Schreibman, L. (2000). Intensive behavioral/psychoeducational treatments for autism: Research needs and future directions. Journal of Autism and Developmental Disorders, 30, 373–378. CrossRefPubMed
go back to reference Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Rogers, S., et al. (2007). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37, 354–366. CrossRefPubMed Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Rogers, S., et al. (2007). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37, 354–366. CrossRefPubMed
go back to reference Sofronoff, K., Leslie, A., & Brown, W. (2004). Parent management training and asperger syndrome: A randomized controlled trial to evaluate a parent based intervention. Autism, 8(3), 301–317. CrossRefPubMed Sofronoff, K., Leslie, A., & Brown, W. (2004). Parent management training and asperger syndrome: A randomized controlled trial to evaluate a parent based intervention. Autism, 8(3), 301–317. CrossRefPubMed
go back to reference Stadnick, N. A., Drahota, A., & Brookman-Frazee, L. (2013). parent perspectives of an evidence-based intervention for children with autism served in community mental health clinics. Journal of Child and Family Study, 22(3), 414–422. CrossRef Stadnick, N. A., Drahota, A., & Brookman-Frazee, L. (2013). parent perspectives of an evidence-based intervention for children with autism served in community mental health clinics. Journal of Child and Family Study, 22(3), 414–422. CrossRef
go back to reference Tellegen, C. L., & Sanders, M. R. (2014). A randomized controlled trial evaluating a brief parenting program with children with autism spectrum disorders. Journal of Consulting Clinical Psychology, 82(6), 1193–1200. CrossRefPubMed Tellegen, C. L., & Sanders, M. R. (2014). A randomized controlled trial evaluating a brief parenting program with children with autism spectrum disorders. Journal of Consulting Clinical Psychology, 82(6), 1193–1200. CrossRefPubMed
go back to reference Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., et al. (2017). What five decades of research tells us about the effects of youth psychological therapy: A multilevel meta-analysis and implications for science and practice. American Psychology, 72(2), 79–117. CrossRef Weisz, J. R., Kuppens, S., Ng, M. Y., Eckshtain, D., Ugueto, A. M., Vaughn-Coaxum, R., et al. (2017). What five decades of research tells us about the effects of youth psychological therapy: A multilevel meta-analysis and implications for science and practice. American Psychology, 72(2), 79–117. CrossRef
go back to reference Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. R. (2009). Stepping stones triple P: An RCT of a parenting program with parents of a child diagnosed with an autism spectrum disorder. Journal of Abnormal Child Psychology, 37(4), 469–480. CrossRefPubMed Whittingham, K., Sofronoff, K., Sheffield, J., & Sanders, M. R. (2009). Stepping stones triple P: An RCT of a parenting program with parents of a child diagnosed with an autism spectrum disorder. Journal of Abnormal Child Psychology, 37(4), 469–480. CrossRefPubMed
go back to reference Williams, S. K., Scahill, L., Vitiellio, B., Aman, M. G., Arnold, L. E., McDougle, C. J., et al. (2006). Risperidone and adaptive behavior in children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 45(4), 431–439. CrossRefPubMed Williams, S. K., Scahill, L., Vitiellio, B., Aman, M. G., Arnold, L. E., McDougle, C. J., et al. (2006). Risperidone and adaptive behavior in children with autism. Journal of the American Academy of Child and Adolescent Psychiatry, 45(4), 431–439. CrossRefPubMed
Metagegevens
Titel
A Systematic Review and Meta-analysis of Parent Training for Disruptive Behavior in Children with Autism Spectrum Disorder
Auteurs
Valentina Postorino
William G. Sharp
Courtney E. McCracken
Karen Bearss
T. Lindsey Burrell
A. Nichole Evans
Lawrence Scahill
Publicatiedatum
09-06-2017
Uitgeverij
Springer US
Gepubliceerd in
Clinical Child and Family Psychology Review / Uitgave 4/2017
Print ISSN: 1096-4037
Elektronisch ISSN: 1573-2827
DOI
https://doi.org/10.1007/s10567-017-0237-2