Journal of pediatric psychology · 2007
Predictor and moderator effects in the treatment of oppositional defiant disorder in pediatric primary care.
Сравнительное исследованиеСтатьяМногоцентровое исследованиеРандомизированное исследованиеПоддержка NIH: внешняя программаНазвание и аннотация: Перевод пока не подготовлен
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Lavigne John V, Lebailly Susan A, Gouze Karen R, Cicchetti Colleen, Jessup Bryn W, Arend Richard, Pochyly Jonathan, Binns Helen J
Аннотация
OBJECTIVE: To examine predictors and moderators of parent-training outcomes for treatment of Oppositional Defiant Disorder (ODD) in pediatric primary care.
METHODS: Parents of 117 children with ODD, ages 3-6 years, seen in primary care received either a minimal intervention bibliotherapy treatment (MIT), or a 12-session parenting program led by a nurse or psychologist.
RESULTS: More initial total life stress, parenting distress, internalizing problems, functional impairment, and difficult temperament were associated with more improvement, but families scoring lower on those variables had fewer behavior problems at posttreatment and follow-up. Gender was a significant moderator, with more improvement for girls than boys in the nurse-led group but more improvement for boys than girls in the MIT group. Less well-educated mothers treated by psychologists showed the greatest change.
CONCLUSIONS: Predictors and moderators may play a role in deciding, which families receive a particular form of treatment for ODD in primary care.
METHODS: Parents of 117 children with ODD, ages 3-6 years, seen in primary care received either a minimal intervention bibliotherapy treatment (MIT), or a 12-session parenting program led by a nurse or psychologist.
RESULTS: More initial total life stress, parenting distress, internalizing problems, functional impairment, and difficult temperament were associated with more improvement, but families scoring lower on those variables had fewer behavior problems at posttreatment and follow-up. Gender was a significant moderator, with more improvement for girls than boys in the nurse-led group but more improvement for boys than girls in the MIT group. Less well-educated mothers treated by psychologists showed the greatest change.
CONCLUSIONS: Predictors and moderators may play a role in deciding, which families receive a particular form of treatment for ODD in primary care.