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Gepubliceerd in: Journal of Abnormal Child Psychology 1/2016

27-01-2015

Mechanisms of Behavioral and Affective Treatment Outcomes in a Cognitive Behavioral Intervention for Boys

Auteurs: Jeffrey D. Burke, Rolf Loeber

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 1/2016

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Abstract

Evidence for effective treatment for behavioral problems continues to grow, yet evidence about the effective mechanisms underlying those interventions has lagged behind. The Stop Now and Plan (SNAP) program is a multicomponent intervention for boys between 6 and 11. This study tested putative treatment mechanisms using data from 252 boys in a randomized controlled trial of SNAP versus treatment as usual. SNAP includes a 3 month group treatment period followed by individualized intervention, which persisted through the 15 month study period. Measures were administered in four waves: at baseline and at 3, 9 and 15 months after baseline. A hierarchical linear modeling strategy was used. SNAP was associated with improved problem-solving skills, prosocial behavior, emotion regulation skills, and reduced parental stress. Prosocial behavior, emotion regulation skills and reduced parental stress partially mediated improvements in child aggression. Improved emotion regulation skills partially mediated treatment-related child anxious-depressed outcomes. Improvements in parenting behaviors did not differ between treatment conditions. The results suggest that independent processes may drive affective and behavioral outcomes, with some specificity regarding the mechanisms related to differing treatment outcomes.
Voetnoten
1
Our a prior selection of outcomes was driven by an intention to test mechanisms potentially related to specific outcomes. However, it may have been of interest to consider broader constructs as outcomes. We therefore ran models testing the CBCL Externalizing and Internalizing scales as outcomes. The Externalizing scale includes Aggression and Rule Breaking behavior. The pattern of results – that is, which mechanisms were significantly predictive and which were not - was the same for Externalizing as was observed for Aggression as an outcome. Prediction to the Internalizing scale (which includes Somatic Complaints, Withdrawn-Depressed and Anxious-Depressed subscales) did vary from the results described above for the Anxious-Depressed outcome. Specifically, emotion regulation skills did not predict changes in Internalizing scores. Details on these analyses are available upon request from the first author.
 
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Metagegevens
Titel
Mechanisms of Behavioral and Affective Treatment Outcomes in a Cognitive Behavioral Intervention for Boys
Auteurs
Jeffrey D. Burke
Rolf Loeber
Publicatiedatum
27-01-2015
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 1/2016
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-015-9975-0

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