Skip to main content

Advertisement

Log in

Treatment Effectiveness of a Brief Behavioral Intervention for Preschool Disruptive Behavior

  • Published:
Journal of Clinical Psychology in Medical Settings Aims and scope Submit manuscript

Abstract

Parent management training is an evidence-based treatment for disruptive behavior. However, the number of treatment sessions can be high, contributing to high attrition rates. The purpose of this study was to examine post-treatment, 6-month, and 1-year treatment outcomes of the Brief Behavioral Intervention. One hundred twenty children aged 2–6.5 years demonstrating clinically significant disruptive behavior were referred to an outpatient clinic for treatment and participated in the study. Attrition was below reported rates in the literature. Significant decreases in child disruptive behavior and parent stress were found from pre-to-post intervention, and improvements were maintained at follow-ups. Significant pre-to-post intervention teacher reported decreases in behavior were reported.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1

Similar content being viewed by others

References

  • Abidin, R. R. (1995). Parenting stress index (3rd ed.). Charlottesville, VA: Pediatric Psychology Press.

    Google Scholar 

  • Anastopoulos, A. D., Shelton, T. L., DuPaul, G. J., & Guevremont, D. C. (1993). Parent training for attention-deficit hyperactivity disorder: Its impact on parent functioning. Journal of Abnormal Child Psychology, 21, 581–596.

    Article  PubMed  CAS  Google Scholar 

  • Axelrad, M. E., Garland, B. H., & Love, K. B. (2009). Brief behavioral intervention for young children with disruptive behaviors. Journal of Clinical Psychology in Medical Settings, 16, 263–269. doi:10.1007/s10880-009-9166-7.

    Article  PubMed  Google Scholar 

  • Barkley, R. A., & Murphy, K. R. (1998). Attention-deficit hyperactivity disorder: A clinical workbook (2nd ed.). New York: Guilford.

    Google Scholar 

  • Biederman, J., Faraone, S. V., Monuteaux, M. C., & Grossbard, J. R. (2004). How informative are parent reports of attention-deficit/hyperactivity disorder symptoms for assessing outcome in clinical trials of long-acting treatments? A pooled analysis of parents’ and teachers’ reports. Pediatrics, 113, 1667–1671.

    Article  PubMed  Google Scholar 

  • Boggs, S. R., Eyberg, S. M., Edwards, D. L., Rayfield, A., Jacobs, J., Bagner, D., et al. (2004). Outcomes of parent-child interaction therapy: A comparison of treatment completers and study dropouts one to three years later. Child and Family Behavior Therapy, 26, 1–22. doi:10.1300/J019v26n04_01.

    Article  Google Scholar 

  • Breiner, J., & Forehand, R. (1981). An assessment of the effects of parent training on clinic-referred children’s school behavior. Journal of Behavioral Assessment, 3, 31–42.

    Google Scholar 

  • Cohen, J. A., Mannarino, A. P., & Knudsen, K. (2005). Treating sexually abused children: 1 year follow-up of a randomized controlled trial. Child Abuse and Neglect, 29, 135–145. doi:10.1016/j.chiabu.2004.12.005.

    Article  PubMed  Google Scholar 

  • Dishion, T., & Patterson, G. R. (1992). Age effects in parent training outcome. Behavior Therapy, 23, 719–729.

    Article  Google Scholar 

  • Drugli, M. B., Fossum, S., Larsson, B., & Mørch, W. T. (2009). Characteristics of young children with persistent conduct problems 1 year after treatment with the Incredible Years program. European Child and Adolescent Psychiatry, 19, 559–565. doi:10.1007/s00787-009-0083-y.

    Article  PubMed  Google Scholar 

  • Drugli, M., & Larsson, B. (2006). Children aged 4–8 years treated with parent training and child therapy because of conduct problems: Generalization of effects to day-care and school settings. European Journal of Child and Adolescent Psychiatry, 15, 392–399. doi:10.1007/s00787-006-0546-3.

    Article  Google Scholar 

  • Dumas, J. E., Nissley-Tsiopinis, J., & Moreland, A. D. (2006). From intent to enrollment, attendance, and participation in preventive parenting groups. Journal of Child and Family Studies, 16, 1–26.

    Article  Google Scholar 

  • Egger, H. L., Kondo, D., & Angold, A. (2006). The epidemiology and diagnostic issues in preschool attention-deficit/hyperactivity disorder: A review. Infants & Young Children, 19, 109–122.

    Article  Google Scholar 

  • Evidence Based Services Committee 2009 Biennial Report. Hawaii Department of Health. Effective psychosocial interventions for youth with behavioral and emotional needs. Retrieved October 02, 2011 from http://hawaii.gov/health/mental-health/camhd/library/pdf/ebs/ebs013.pdf.

  • Eyberg, S. (1999). Eyberg child behavior inventory. Lutz, FL: PAR, Inc.

    Google Scholar 

  • Eyberg, S. R., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child & Adolescent Psychology, 37, 215–237.

    Article  Google Scholar 

  • Eyberg, S., & Pincus, D. (1999). ECBI, SESBI-R professional manual. Lutz, FL: PAR, Inc.

    Google Scholar 

  • Eyberg, S., & Sutter, J. (1999). Sutter–Eyberg Student Behavior Inventory–Revised. Lutz, FL: PAR, Inc.

    Google Scholar 

  • Fernandez, M., & Eyberg, S. (2009). Predicting treatment and follow-up attrition in Parent-Child Interaction Therapy. Journal of Abnormal Child Psychology, 37, 431–441. doi:10.1007/s10802-008-9281-1.

    Article  PubMed  Google Scholar 

  • Hartman, C., Rhee, S., Willcutt, E., & Pennington, B. (2007). Modeling rater disagreement for ADHD: Are parents or teachers biased? Journal of Abnormal Child Psychology: An Official Publication of the International Society for Research in Child and Adolescent Psychopathology, 35, 536–542.

    Google Scholar 

  • Hood, K. M., & Eyberg, S. M. (2003). Outcomes of parent-child interaction therapy: mothers’ reports of maintenance three to six years after treatment. Journal of Clinical Child and Adolescent Psychology, 32, 419–429.

    Article  PubMed  Google Scholar 

  • Huaqing Qi, K., & Kaiser, A. P. (2003). Behavior problems of preschool children from low-income families: Review of the literature. Topics in Early Childhood Special Education, 23, 188–216.

    Article  Google Scholar 

  • Jones, K. C., Daley, D., Hutchings, J., Bywater, T., & Eames, C. (2008). Efficacy of the Incredible Years Program as an early intervention for children with conduct problems and ADHD: long-term follow-up. Child: Care, Health and Development, 34, 380–390.

    Article  CAS  Google Scholar 

  • Kazdin, A. E., & Weisz, J. (1998). Identifying and developing empirically supported child and adolescent treatments. Journal of Consulting and Clinical Psychology, 66, 19–36.

    Article  PubMed  CAS  Google Scholar 

  • Lacourse, E., Cote, S., Nagin, D. S., Vitaro, F., Brendgen, M., & Tremblay, R. E. (2002). A longitudinal-experimental approach to testing theories of antisocial behavior development. Development and Psychopathology, 14, 909–924.

    Article  PubMed  Google Scholar 

  • Lahey, B. B., Pelham, W. E., & Loney, J. (2004). Three-year predictive validity of DSM-IV attention deficit hyperactivity disorder in children diagnosed at 4–6 years of age. American Journal of Psychiatry, 161, 2014–2020.

    Article  PubMed  Google Scholar 

  • Larsson, B., Fossum, S., Clifford, G., Drugli, M. B., Handegård, B. H., & Mørch, W. T. (2009). Treatment of oppositional defiant and conduct problems in young Norwegian children: Results of a randomized controlled trial. European Child and Adolescent Psychiatry, 18, 42–52.

    Article  PubMed  Google Scholar 

  • Lavigne, J. J., LeBailly, S. A., Hopkins, J., Gouze, K. R., & Binns, H. J. (2009). The prevalence of ADHD, ODD, depression, and anxiety in a community sample of 4-year-olds. Journal of Clinical Child & Adolescent Psychology, 38, 315–328.

    Article  Google Scholar 

  • Lochman, J. E., & Wells, K. C. (2003). Effectiveness study of coping power and classroom intervention with aggressive children: Outcomes at a one-year follow-up. Behavior Therapy, 34, 493–515.

    Google Scholar 

  • Loeber, R., Green, S. M., Lahey, B. B., Frick, P. J., & McBurnett, K. (2000). Findings on disruptive behavior disorders from the first decade of the Developmental Trends Study. Clinical Child and Family Psychology Review, 3, 37–60.

    Article  PubMed  CAS  Google Scholar 

  • McCabe, K., & Yeh, M. (2009). Parent-child interaction therapy for Mexican Americans: A randomized clinical trial. Journal of Clinical Child & Adolescent Psychology, 38, 753–759. doi:10.1080/15374410903103544.

    Article  Google Scholar 

  • Pelham, W., & Fabiano, G. (2008). Evidence based psychosocial treatments for attention-deficit/hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 37, 184–214.

    Article  Google Scholar 

  • Reid, J., Webster-Stratton, C., & Hammond, M. (2003). Follow-up of children who received the Incredible Years intervention for oppositional defiant disorder: Maintenance and prediction of 2-year-outcome. Behavior Therapy, 34, 471–491.

    Article  Google Scholar 

  • Reynolds, C. R., & Kamphaus, R. W. (2004). Behavior assessment system for children (2nd ed.). Circle Pines, MN: American Guidance Service, Inc.

    Google Scholar 

  • Sanders, M. R. (1999). Triple P—Positive Parenting Program: towards an empirically validated multilevel parenting and family support strategy for the prevention of behavior and emotional problems in children. Clinical Child and Family Psychology Review, 2, 71–90.

    Article  PubMed  CAS  Google Scholar 

  • Weisz, J. R., Doss, A. J., & Hawley, K. M. (2005). Youth psychotherapy outcome research: A review and critique of the evidence base. Annual Review of Psychology, 56, 337–363.

    Article  PubMed  Google Scholar 

  • Werba, B. E., Eyberg, S. M., Boggs, S. R., & Algina, J. (2006). Predicting outcome in parent-child interaction therapy: Success and attrition. Behavior Modification, 30, 618–645.

    Article  PubMed  Google Scholar 

  • Wierson, M., & Forehand, R. (1994). Parent behavioral training for child noncompliance: Rationale, concepts, and effectiveness. Current directions in Psychological Science, 3, 146–149. doi:10.1111/1467-8721.ep10770643.

    Article  Google Scholar 

  • Wilens, T. E., Biederman, J., Brown, S., Monuteaux, M., Prince, J., & Spencer, T. J. (2002). Patterns of psychopathology and dysfunction in clinically referred preschoolers. Journal of Developmental and Behavioral Pediatrics, 23, 31–36.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Marni E. Axelrad.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Axelrad, M.E., Butler, A.M., Dempsey, J. et al. Treatment Effectiveness of a Brief Behavioral Intervention for Preschool Disruptive Behavior. J Clin Psychol Med Settings 20, 323–332 (2013). https://doi.org/10.1007/s10880-013-9359-y

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s10880-013-9359-y

Keywords

Navigation