Top

Gepubliceerd in:

01-03-2015 | Original Paper

Predictors, Moderators, and Treatment Parameters of Community and Clinic-Based Treatment for Child Disruptive Behavior Disorders

Auteurs: Elizabeth C. Shelleby, David J. Kolko

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 3/2015

Abstract

This study examines predictors, moderators, and treatment parameters associated with two key child outcomes in a recent clinical trial comparing the effects of a modular treatment that was applied by study clinicians in the community (COMM) or a clinic (CLINIC) for children with oppositional defiant disorder (ODD) or conduct disorder (CD). Based on a literature review, moderator and predictor variables across child, parent, and family domains were examined in relation to changes in parental ratings of the severity of externalizing behavior problems or the number of ODD and CD symptoms endorsed on psychiatric interview at pretreatment, posttreatment, and 36-month posttreatment follow-up. In addition, associations between parameters of treatment (e.g., hours of child, parent, and parent–child treatment received, treatment completion, referral for additional services at discharge) and child outcomes were explored. Path models identified few moderators (e.g., level of child impairment, attention deficit hyperactivity disorder diagnosis, level of family conflict) and several predictors (child trauma history, family income, parental employment, parental depression) of treatment response. Treatment response was also related to a few treatment parameters (e.g., hours of child and parent treatment received, treatment completion, referral for additional services at discharge). We discuss the implications of these findings for maximizing the benefits of modular treatment by optimizing or personalizing intervention approaches for children with behavior disorders.

vorige artikel Predicting Harsh Discipline in At-Risk Mothers: The Moderating Effect of Socioeconomic Deprivation Severity

volgende artikel Profiles of Self-reported Parenting Competence and Stress Among Women With/Without Histories of Childhood Sexual Abuse

Achenbach, T. M. (1991). Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. Burlington, VT: University of Vermont, Department of Psychiatry.

Aguilar, B., Sroufe, L. A., Egeland, B., & Carlson, E. (2000). Distinguishing the early-onset/persistent and adolescence-onset antisocial behavior types: From birth to 16 years. Development and Psychopathology, 12(2), 109–132. doi:10.1017/S0954579400002017.CrossRefPubMed

American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders: DSM-IV-TR. American Psychiatric Publishing.

Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51(6), 1173. doi:10.1037/0022-3514.51.6.1173.CrossRefPubMed

Beauchaine, T. P., Webster-Stratton, C., & Reid, M. J. (2005). Mediators, moderators, and predictors of 1-year outcomes among children treated for early-onset conduct problems: A latent growth curve analysis. Journal of Consulting and Clinical Psychology, 73(3), 371–388. doi:10.1037/0022-006X.73.3.371.CrossRefPubMed

Beck, A. T., Steer, R. A., & Garbin, M. G. (1988). Psychometric properties of the Beck Depression Inventory: Twenty-five years of evaluation. Clinical Psychology Review, 8, 77–100. doi:10.1016/0272-7358(88)90050-5.CrossRef

Bertakis, K. D., & Azari, R. (2011). Determinants and outcomes of patient-centered care. Patient Education and Counseling, 85(1), 480–485. doi:10.1016/j.pec.2010.08.001.CrossRef

Bickman, L., Andrade, A. R., & Lambert, E. W. (2002). Dose response in child and adolescent mental health services. Mental Health Services Research, 4(2), 57–70. doi:10.1023/a:1015210332175.CrossRefPubMed

Bird, H., Shaffer, D., Fisher, P., & Gould, M. S. (1993). The Columbia impairment scale (CIS): Pilot findings on a measure of global impairment for children and adolescents. International Journal of Methods in Psychiatric Research, 3, 167–176.

Campbell, S. B., Shaw, D. S., & Gilliom, M. (2000). Early externalizing behavior problems: Toddlers and preschoolers at risk for later maladjustment. Development and Psychopathology, 12(03), 467–488. doi:10.1017/S0954579400003114.CrossRefPubMed

Chamberlain, P., Price, J., Leve, L. D., Laurent, H., Landsverk, J. A., & Reid, J. B. (2008). Prevention of behavior problems for children in foster care: Outcomes and mediation effects. Prevention Science, 9(1), 17–27. doi:10.1007/s11121-007-0080-7.CrossRefPubMedCentralPubMed

Chamberlain, P., & Smith, D. K. (2010). Multidimensional treatment foster care for adolescents: Processes and outcomes. In J. R. Weisz & A. E. Kazdin (Eds.), Evidence-based psychotherapies for children and adolescents (pp. 243–276). New York: Guilford Press.

Cohen, J., Cohen, P., West, S. G., & Aiken, L. S. (2003). Applied multiple regression/correlation analysis for the behavioral science (3rd ed.). Mahaw, NJ: Lawrence Erlbaum Association.

Cohen, J. A., Mannarino, A. P., & Murray, L. K. (2011). Trauma-focused CBT for youth who experience ongoing traumas. Child Abuse and Neglect, 35, 637–646. doi:10.1016/j.chiabu.2011.05.002.CrossRefPubMedCentralPubMed

Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215–237. doi:10.1080/15374410701820117.CrossRefPubMed

Ford, J. D., Racusin, R., Daviss, W. B., Ellis, C., Thomas, J., & Rogers, K. (1999). Trauma exposure among children with oppositional defiant disorder and attention deficit-hyperactivity disorder. Journal of Consulting and Clinical Psychology, 67, 786–789. doi:10.1037/0022-006X.67.5.786.CrossRefPubMed

Gardner, F., Connell, A., Trentacosta, C. J., Shaw, D. S., Dishion, T. J., & Wilson, M. N. (2009). Moderators of outcome in a brief family-centered intervention for preventing early problem behavior. Journal of Consulting and Clinical Psychology, 77(3), 543–553. doi:10.1037/a0015622.CrossRefPubMedCentralPubMed

Gardner, F., Hutchings, J., Bywater, T., & Witaker, C. (2010). Who benefits and how does it work? Moderators and mediators of outcome in an effectiveness trial of a parenting intervention. Journal of Clinical Child & Adolescent Psychology, 39(4), 568–580. doi:10.1080/15374416.2010.486315.CrossRef

Graham-Bermann, S., Lynch, S., Banyard, V. L., DeVoe, E. R., & Halabu, H. (2007). Community-based intervention for children exposed to intimate partner violence: An efficacy trial. Journal of Consulting and Clinical Psychology, 75(2), 199–209. doi:10.1037/0022-006X.75.2.199.CrossRefPubMed

Hagen, K. A., Ogden, T., & Bjornebekk, G. (2011). Treatment outcomes and mediators of parent management training: A one-year follow-up of children with conduct problems. Journal of Clinical Child & Adolescent Psychology, 40(2), 165–178. doi:10.1080/15374416.2011.546050.CrossRef

Henggeler, S. W., Clingempeel, W. G., Brondino, M. J., & Pickrel, S. G. (2002). Four-year follow-up of multisystemic therapy with substance-abusing and substance-dependent juvenile offenders. Journal of the American Academy for Child and Adolescent Psychiatry, 41, 868–874. doi:10.1097/00004583-200207000-.CrossRef

Hollingshead, A., & Redlich, F. (1958). Social class and mental illness: A community study. New York, NY: Wiley.CrossRef

Jaycox, L. H., Cohen, J. A., Mannarino, A. P., Walker, D. W. L., Audra, K., Gegenheimer, K. L., et al. (2010). Children’s mental health care following Hurricane Katrina: A field trial of trauma-focused therapies. Journal of Traumatic Stress, 23(2), 223–231. doi:10.1002/jts.20518.PubMedCentralPubMed

Kaminski, J. W., Valle, L. A., Filene, J. H., & Boyle, C. L. (2008). A meta-analytic review of components associated with parent training program effectiveness. Journal of Abnormal Child Psychology, 36, 567–589. doi:10.1007/s10802-007-9201-9.CrossRefPubMed

Kaufman, J., Birmaher, B., Brent, D. A., Rao, U., & Ryan, N. D. (1996). KIDDIE-SADS-present and lifetime version (K-SADS-PL). Pittsburgh, PA: Instrument developed at Western Psychiatric Institute and Clinic.

Kazdin, A. E. (2011). Evidence-based treatment research: Advances, limitations, and next steps. American Psychologist, 66(8), 685–698. doi:10.1037/a0024975.CrossRefPubMed

Kazdin, A. E., Siegel, T. C., & Bass, D. (1992). Cognitive problem-solving skills training and parent management training in the treatment of antisocial behavior in children. Journal of Consulting and Clinical Psychology, 60(5), 733–747.

Kazdin, A. E., & Whitley, M. K. (2006). Comorbidity, case complexity, and effects of evidence-based treatment for children referred for disruptive behavior. Journal of Consulting and Clinical Psychology, 74(3), 455–467. doi:10.1037/0022-006X.74.3.455.CrossRefPubMed

Kelley, S., de Andrade, A., Sheffer, E., & Bickman, L. (2010). Exploring the black box: Measuring youth treatment process and progress in usual care. Administration and Policy in Mental Health and Mental Health Services Research, 37(3), 287–300. doi:10.1007/s10488-010-0298-8.CrossRefPubMed

Kennard, B. D., Silva, S. G., Tonev, S., Rohde, P., Hughes, J. L., & Vitiello, B. (2009a). Remission and recovery in the treatment for adolescents with depression study (TADS): Acute and long-term outcomes. Journal of the American Academy of Child and Adolescent Psychiatry, 48(2), 186–195. doi:10.1097/CHI.0b013e31819176f9.CrossRefPubMedCentralPubMed

Kennard, B. D., Weersing, V. R., Shamsedden, W., Porta, G., Hughes, J., & Emslie, G. J. (2009b). Effective components of TORDIA cognitive behavioral therapy for adolescent depression: Preliminary findings. Journal of Consulting and Clinical Psychology, 77(6), 1033–1041. doi:10.1037/a0017411.CrossRefPubMedCentralPubMed

Kling, Å., Forster, M., Sundell, K., & Melin, L. (2010). A randomized controlled effectiveness trial of parent management training with varying degrees of therapist support. Behavior Therapy, 41, 530–542. doi:10.1016/j.beth.2010.02.004.CrossRefPubMed

Kolko, D. J. (1996). Individual cognitive-behavioral treatment and family therapy for physically abused children and their offending parents: A comparison of clinical outcomes. Child Maltreatment, 1, 322–342. doi:10.1177/1077559596001004004.CrossRef

Kolko, D. J., Baumann, B. L., Herschell, A. D., Hart, J. A., Holden, E. A., & Wisniewski, S. R. (in press). Dissemination of AF-CBT to community practitioners serving child welfare and mental health: A randomized trial. Child Maltreatment.

Kolko, D. J., Campo, J. V., Kelleher, K., & Cheng, Y. (2010). Improving access to care and clinical outcome for pediatric behavioral problems: A randomized trial of a nurse-administered intervention in primary care. Journal of Developmental and Behavioral Pediatrics, 31(5), 393–404. doi:10.1097/DBP.0b013e3181dff307.CrossRefPubMedCentralPubMed

Kolko, D. J., Cheng, Y., Campo, J. V., & Kelleher, K. (2011a). Moderators and predictors of clinical outcome in a randomized trial for behavior problems in pediatric primary care. Journal of Pediatric Psychology,. doi:10.1093/jpepsy/jsr006.PubMedCentralPubMed

Kolko, D. J., Dorn, L. D., Bukstein, O. G., Pardini, D. A., Holden, E. A., & Hart, J. A. (2009). Community vs. clinic-based modular treatment of children with early-onset ODD or CD: A clinical trial with three-year follow-up. Journal of Abnormal Child Psychology, 37, 591–609. doi:10.1007/s10802-009-9303-7.CrossRefPubMed

Kolko, D. J., Iselin, A. M., & Gully, K. J. (2011b). Evaluation of the sustainability and clinical outcome of alternatives for families: Cognitive-behavioral therapy (AF-CBT) in a child protection center. Child Abuse and Neglect, 35(2), 105–116. doi:10.1016/j.chiabu.2010.09.004.CrossRefPubMedCentralPubMed

Kolko, D. J., & Swenson, C. C. (2002). Assessing and treating physically abused children and their families: A cognitive behavioral approach. Thousand Oaks, CA: Sage Publications.

Kraemer, H. C., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59, 877–883. doi:10.1001/archpsyc.59.10.877.CrossRefPubMed

La Greca, A. M., Silverman, W. K., & Lochman, J. E. (2009). Moving beyond efficacy and effectiveness in child and adolescent intervention research. Journal of Consulting and Clinical Psychology, 77(3), 373–382. doi:10.1037/a0015954.CrossRefPubMed

Lavigne, J. V., LeBailly, S. A., Gouze, K. R., Binns, H. J., Keller, J., & Pate, L. (2010). Predictors and correlates of completing behavioral parent training for the treatment of oppositional defiant disorder in pediatric primary care. Behavior Therapy, 41(2), 198–211. doi:10.1016/j.beth.2009.02.006.CrossRefPubMedCentralPubMed

Lavigne, J. V., LeBailly, S. A., Gouze, K. R., Cicchetti, C., Jessup, B. W., & Arend, R. (2008a). Predictor and moderator effects in the treatment of oppositional defiant disorder in pediatric primary care. Journal of Pediatric Psychology, 33(5), 462–472. doi:10.1093/jpepsy/jsm075.CrossRefPubMed

Lavigne, J. V., LeBailly, S. A., Gouze, K. R., Cicchetti, C., Pochyly, J., & Arend, R. (2008b). Treating oppositional defiant disorder in primary care: A comparison of three models. Journal of Pediatric Psychology, 33(5), 449–461. doi:10.1093/jpepsy/jsm074.CrossRefPubMed

Lipman, E. L., Boyle, M. H., Cunningham, C., Kenny, M., Sniderman, C., & Duku, E. (2006). Testing effectiveness of a community-based aggression management program for children 7 to 11 years old and their families. Journal of the American Academy of Child and Adolescent Psychiatry, 45(9), 1085–1093.CrossRefPubMed

Lochman, J. E., & Wells, K. C. (2003). Effectiveness of the Coping Power Program and of classroom intervention with aggressive children: Outcomes at a 1-year follow-up. Behavior Therapy, 34, 493–515.CrossRef

Loeber, R., Farrington, D. P., Stouthamer-Loeber, M., & Van Kammen, W. B. (1998). Antisocial behavior and mental health problems: Explanatory factors in childhood and adolescence (First volume of the Pittsburgh Youth Study). Mahwah, NJ: Lawrence Erlbaum.

Lovejoy, M. C., Graczyk, P. A., O’Hare, E., & Neuman, G. (2000). Maternal depression and parenting behavior: A meta-analytic review. Clinical Psychology Review, 20(5), 561–592. doi:10.1016/S0272-7358(98)00100-7.CrossRefPubMed

Lundahl, B., Risser, H. J., & Lovejoy, M. C. (2006). A meta-analysis of parent training: Moderators and follow-up effects. Clinical Psychology Review, 26(1), 86–104. doi:10.1016/j.cpr.2005.07.004.CrossRefPubMed

Martinez, C. R. J., & Forgatch, M. S. (2001). Preventing problems with boys’ noncompliance: Effects of a parent training intervention for divorcing mothers. Journal of Consulting and Clinical Psychology, 69, 416–428.CrossRefPubMed

McCart, M. R., Priester, P. E., Davies, W. H., & Azen, R. (2006). Differential effectiveness of behavioral parent-training and cognitive-behavioral therapy for antisocial youth: A meta-analysis. Journal of Abnormal Child Psychology, 34, 527–543. doi:10.1007/s10802-006-9031-1.CrossRefPubMed

McGilloway, S., Mhaille, G. N., Bywater, T., Furlong, M., Leckey, Y., Kelly, P., et al. (2012). A parenting intervention for childhood behavioral problems: A randomized controlled trial in disadvantaged community-based settings. Journal of Consulting and Clinical Psychology, 80(1), 116–127. doi:10.1037/a0026304.CrossRefPubMed

McLeod, J. D., & Shanahan, M. J. (1993). Poverty, parenting, and children’s mental health. American Sociological Review, 58(3), 351–366.CrossRef

McTaggart, P., & Sanders, M. R. (2007). Mediators and moderators of change in dysfunctional parenting in a school-based universal application of the Triple-P Positive Parenting Programme. Journal of Children’s Services, 2(1), 4–17. doi:10.1108/17466660200700002.CrossRef

Moos, R. H., Insel, P. M., & Humphrey, B. (1974). Family work and group environment scales. Palo Alto, CA: Consulting Psychologists Press.

Muthén, L. K., & Muthén, B. O. (1998–2011). Mplus User’s Guide (6th ed.). Los Angeles, CA: Authors.

Nelson-Gray, R. O., Keane, S. P., Hurst, R. M., Mitchell, J. T., Warburton, J. B., & Chok, J. T. (2006). A modified DBT skills training program for oppositional defiant adolescents: Promising preliminary findings. Behaviour Research and Therapy, 44, 1811–1820. doi:10.1016/j.brat.2006.01.004.CrossRefPubMed

National Institute of Mental Health (NIMH). (2008). The National Institute of Mental Health Strategic Plan. NIH Publication No. 08-6368. Bethesda, MD: U.S. Department of Health and Human Services, National Institute of Mental Health.

Nix, R. L., Bierman, K. L., & McMahon, R. J. (2009). How attendance and quality of participation affect treatment response to parent management training. Journal of Consulting and Clinical Psychology, 77(3), 429–438. doi:10.1037/a0015028.CrossRefPubMedCentralPubMed

Osgood, D. W., & Smith, G. L. (1995). Applying hierarchical linear modeling to extended longitudinal evaluations. Evaluation Review, 19, 3–38. doi:10.1177/0193841X9501900101.CrossRef

Preacher, K. J., Curran, P. J., & Bauer, D. J. (2006). Computational tools for probing interaction effects in multiple linear regression, multilevel modeling, and latent curve analysis. Journal of Educational and Behavioral Statistics, 31, 437–448. doi:10.3102/10769986031004437.CrossRef

Reid, M. J., Webster-Stratton, C., & Baydar, N. (2004). Halting the development of conduct problems in Head Start children: The effects of parent training. Journal of Clinical and Adolescent Psychology, 33(2), 279–291.CrossRef

Reid, M. 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(4), 471–491. doi:10.1016/S0005-7894(03)80031-X.CrossRef

Reyno, S. M., & McGrath, P. J. (2006). Predictors of parent training efficacy for child externalizing behavior problem: A meta-analytic review. Journal of Child Psychology and Psychiatry, 47(1), 99–111. doi:10.1111/J.1469-7610.2005.01544.X.CrossRefPubMed

Shaw, D. S., Dishion, T. J., Supplee, L., Gardner, F., & Arnds, K. (2006). Randomized trial of a family-centered approach to the prevention of early conduct problems: 2-year effects of the family check-up in early childhood. Journal of Consulting and Clinical Psychology, 74(1), 1. doi:10.1037/0022-006X.74.1.1.CrossRefPubMed

Shelleby, E. C., & Shaw, D. S. (2013). Outcomes of parenting interventions for child conduct problems: A review of differential effectiveness. Child Psychiatry and Human Development (in press).

Stewart, M., Brown, J. B., Donner, A., McWinney, I. R., Oates, J., Weston, W. W., et al. (2000). The impact of patient-centered care on outcomes. The Journal of Family Practice, 49(9), 796–804.PubMed

Stolk, M. N., Mesman, J., van Zeijl, J., Alink, L. R. A., Bakermans-Kranenburg, M. J., van Ijzendoorn, M. H., et al. (2008). Early parenting intervention: Family risk and first-time parenting related to intervention effectiveness. Journal of Child and Family Studies, 17(1), 55–83. doi:10.1007/s10826-007-9136-3.CrossRef

Swenson, C. C., Schaeffer, C. M., Henggeler, S. W., Faldowski, R., & Mayhew, A. M. (2010). Multisystemic therapy for child abuse and neglect: A randomized effectiveness trial. Journal of Family Psychology, 24(4), 497–507. doi:10.1037/a0020324.CrossRefPubMedCentralPubMed

Tein, J. Y., Sandler, I. N., MacKinnon, D. P., & Wolchik, S. A. (2004). How did it work? Who did it work for? Mediation in the context of a moderated prevention effect for children of divorce. Journal of Consulting and Clinical Psychology, 72(4), 617–624. doi:10.1037/0022-006X.72.4.617.CrossRefPubMed

Tempel, A., Herschell, A. D., & Kolko, D. J. (in press). Conduct disorder. In R. Cautin, & S. Lillenfeld (Eds.), The encyclopedia of clinical psychology. Blackwell: New York, NY.

van den Hoofdakker, B. J., Nauta, M. H., van der Veen-Mulders, L., Sytema, S., Emmelkamp, P. M. G., & Minderaa, R. B. (2010). Behavioral parent training as an adjunct to routine care in children with attention-deficit/hyperactivity disorder: Moderators of treatment response. Journal of Pediatric Psychology, 35(3), 317–326. doi:10.1093/jpepsy/jspo6o.CrossRefPubMed

Webster-Stratton, C. H., & Reid, M. J. (2011). Combining parent and child training for young children with ADHD. Journal of Clinical Child & Adolescent Psychology, 40(2), 191–203. doi:10.1080/15374416.2011.546044.CrossRef

Webster-Stratton, C., Reid, M. J., & Hammond, M. (2004). Treating children with early-onset conduct problems: Intervention outcomes for parent, child, and teacher training. Journal of Clinical Child and Adolescent Psychology, 33, 105–124. doi:10.1207/S15374424JCCP3301_11.CrossRefPubMed

Werba, B. E., Eyberg, S. M., Boggs, S. R., & Algina, J. (2006). Predicting outcome in parent–child interaction therapy. Behavior Modification, 30(5), 618–646. doi:10.1177/0145445504272977.CrossRefPubMed

Zhou, Q., Sandler, I. N., Millsap, R. E., Wolchik, S. A., & Dawson-McClure, S. R. (2008). Mother–child relationship quality and effective discipline as mediators of the 6-year effects of the New Beginnings Program for children from divorced families. Journal of Consulting and Clinical Psychology, 76(4), 579.CrossRefPubMed

Titel: Predictors, Moderators, and Treatment Parameters of Community and Clinic-Based Treatment for Child Disruptive Behavior Disorders
Auteurs: Elizabeth C. Shelleby
David J. Kolko
Publicatiedatum: 01-03-2015
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 3/2015
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-013-9884-1

Bohn Stafleu van Loghum

Deel dit onderdeel of sectie (kopieer de link)

Abstract

Log in om toegang te krijgen

Andere artikelen Uitgave 3/2015

Ambiguous Information and the Verbal Information Pathway to Fear in Children

Predictors of Reduction in Symptoms of Depression for Children and Adolescents in Foster Care

Longitudinal Influence of Paternal Distress on Children’s Representations of Fathers, Family Cohesion, and Family Conflict

Profiles of Self-reported Parenting Competence and Stress Among Women With/Without Histories of Childhood Sexual Abuse

Coping Strategies of Children and Adolescents with Clinically Diagnosed Short Stature

Parents’ Perceptions of Risk and the Influence on Children’s Everyday Activities