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Gepubliceerd in: Journal of Abnormal Child Psychology 6/2017

05-12-2016

Moderators of Parent Training for Disruptive Behaviors in Young Children with Autism Spectrum Disorder

Auteurs: Luc Lecavalier, Tristram Smith, Cynthia Johnson, Karen Bearss, Naomi Swiezy, Michael G. Aman, Denis G. Sukhodolsky, Yanhong Deng, James Dziura, Lawrence Scahill

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 6/2017

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Abstract

We conducted a 6 month, randomized trial of parent training (PT) versus a parent education program (PEP) in 180 young children (158 boys, 22 girls), ages 3–7 years, with autism spectrum disorder (ASD). PT was superior to PEP in decreasing disruptive and noncompliant behaviors. In the current study, we assess moderators of treatment response in this trial. Thirteen clinical and demographic variables were evaluated as potential moderators of three outcome variables: the Aberrant Behavior Checklist-Irritability subscale (ABC-I), Home Situations Questionnaire (HSQ), and Clinical Global Impressions-Improvement Scale (CGI-I). We used an intent-to-treat model and random effects regression. Neither IQ nor ASD severity moderated outcome on the selected outcome measures. Severity of Attention Deficit Hyperactivity Disorder (ADHD) and anxiety moderated outcomes on the ABC-I and HSQ. For instance, there was a 6.6 point difference on the ABC-I between high and low ADHD groups (p = .05) and a 5.3 point difference between high and low Anxiety groups (p = .04). Oppositional defiant disorder symptoms and household income moderated outcomes on the HSQ. None of the baseline variables moderated outcome on the CGI-I. That IQ and ASD symptom severity did not moderate outcome suggests that PT is likely to benefit a wide range of children with ASD and disruptive behavior.

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Metagegevens
Titel
Moderators of Parent Training for Disruptive Behaviors in Young Children with Autism Spectrum Disorder
Auteurs
Luc Lecavalier
Tristram Smith
Cynthia Johnson
Karen Bearss
Naomi Swiezy
Michael G. Aman
Denis G. Sukhodolsky
Yanhong Deng
James Dziura
Lawrence Scahill
Publicatiedatum
05-12-2016
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 6/2017
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-016-0233-x