Predictor and Moderator Effects in the Treatment of Oppositional Defiant Disorder in Pediatric Primary Care
Open Access
- 23 October 2007
- journal article
- research article
- Published by Oxford University Press (OUP) in Journal of Pediatric Psychology
- Vol. 33 (5), 462-472
- https://doi.org/10.1093/jpepsy/jsm075
Abstract
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.Keywords
This publication has 20 references indexed in Scilit:
- Treating Oppositional Defiant Disorder in Primary Care: A Comparison of Three ModelsJournal of Pediatric Psychology, 2007
- Help When It’s Needed First: A Controlled Evaluation of Brief, Preventive Behavioral Family Intervention in a Primary Care SettingBehavior Therapy, 2006
- Common emotional and behavioral disorders in preschool children: presentation, nosology, and epidemiologyJournal of Child Psychology and Psychiatry, 2006
- A meta-analysis of parent training: Moderators and follow-up effectsClinical Psychology Review, 2006
- 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, 2005
- Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kidsJournal of Clinical Child Psychology, 1998
- Treating children with early-onset conduct problems: A comparison of child and parent training interventions.Journal of Consulting and Clinical Psychology, 1997
- The effectiveness of behavioral parent training to modify antisocial behavior in children: A meta-analysisBehavior Therapy, 1996
- Group parent training: Is it effective for children of all ages?Behavior Therapy, 1996
- Predictors of treatment outcome in parent training for conduct disordered childrenBehavior Therapy, 1985