Effect of Comorbid Psychopathology and Conduct Problem Severity on Response to a Multi-component Intervention for Childhood Disruptive Behavior

Aitken, Madison; Waxman, Jordana A.; MacDonald, Katie; Andrade, Brendan F.

doi:10.1007/s10578-018-0800-1

Cited by 11 publications

(4 citation statements)

References 48 publications

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“…In addition, the child component in SST has also been evaluated in showing reduced disruptive behavior, increased social competence and cognition, compared to control and reduced aggressive behavior and CU traits (Taylor et al 2017). SST has also been evaluated in a pre-post study on children with disruptive behavior disorders showing significant reduction of conduct disorder symptoms (Aitken et al, 2018) Results of the current study reveal that statistical significant differences were found regarding behavioral problems at post intervention. These results may be due to children are learned to appropriately interpret social cues, communicate effectively with others, make appropriate choices, generate more positive reactions, cope successfully , increase self -esteem and empowerment and avoid applying a hostile arrtibution bias that help them to demonstrate social and problem solving skills and reduce aggressive and antisocial behaviors.…”

Section: Tablementioning

confidence: 86%

effect of a social skills training program on behavioral problems among children with conduct disorder

El-hie

Osman

Rabei

2022

ijhs

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Objectives: To investigate the effectiveness of social skills training program on behavioral problems among children with conduct disorder. Methodology: A quasi-experimental design "pre and post-test design" was utilized. A convenient sample of 30 children diagnosed with conduct disorder was selected. Three tools were used to conduct the current study, Socio-demographic data sheet, Social Skills Questionnaire and Behavioral Problems Questionnaire-Parent Version. Results: The children with conduct disorder exhibited highly improvement in social skills and behavioral problems after participating in social skills training program sessions (P=0.005,0.0001) respectively. After training, total mean scores of behavioral problems decreased from 66.9 to 50.3, social skills increased from 83 to 89. Conclusion: The study concluded that, social skills training program is highly effective in improving behavioral problems among children with conduct disorder. Recommendation: This study recommended that, social skills training programs should be conducted in clinical and non-clinical settings with large sample size included for more confident results and more generalization of results to the community.

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Section: Tablementioning

confidence: 86%

effect of a social skills training program on behavioral problems among children with conduct disorder

El-hie

Osman

Rabei

2022

ijhs

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“…These parents were invited to participate in this clinical trial following psychiatric assessment and referral for psychosocial treatment to a specialized clinic for children with disruptive behaviour. This is a secondary data analysis from the Addressing Behaviour and Treatment Effectiveness (ABATE) Project registered with ClinicalTrials.gov (Identifier: NCT02488499) (Aitken et al, 2018). This study was also approved by the Centre for Addiction and Mental Health's Research Ethics Board (Approval #: 091/2010).…”

Section: Participantsmentioning

confidence: 99%

“…Group-based CP is a manualized, highly accessible, and flexible to disseminate across hospital and community mental health contexts. Prior research supports CP as an effective treatment for children with DBD and co-occurring symptoms (Aitken et al, 2018). An excellent comparison for group-based CP is individualized treatment given its variability in clinician-driven personalized treatment approaches.…”

Section: Introductionmentioning

confidence: 99%

Do Maternal Internalizing Problems Influence Treatment Outcomes in Group-Based vs. Individualized Child Behavior Management Interventions?

Roos¹,

Joyce²,

Andrade³

2020

Preprint

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Background: Comparing the efficacy of psychotherapy services for different family needs is critical for advancing more personalized treatment approaches. We examined maternal internalizing mental health problems as a predictor of treatment response for individualized treatment for mothers and their child, versus Coping Power (CP), a manualized group-based program, for children with disruptive behavior. Methods: Families were recruited from a large hospital setting and randomized to 15 weeks of parent and child individualized treatment or CP. Of the 133 families who began treatment, 103 returned for follow-up of which 93 provided baseline data on maternal internalizing mental health problems (defined as scores of 3 or above on the GAIN-SS internalizing subscale). Outcomes included primary treatment targets across child (conduct problems, emotional symptoms, and prosocial skills) and parenting (inconsistent discipline, positive parenting, and parenting sense of competence) factors. Results: Repeated measure ANOVAS indicate that group-based CP was either similar or better than individualized treatment for families with maternal-internalizing status. For both child conduct problems and parent inconsistent discipline, families with maternal-internalizing status only improved in CP (not individualized treatment). For child emotional symptoms and parenting sense of competence outcomes, families in both CP and individualized treatment exhibited similar improvements over time. Main effects indicated maternal-internalizing status was linked to lower parenting satisfaction and higher child emotional symptoms. No changes over time were observed for child prosocial symptoms or positive parenting. Conclusions: Results highlight the efficacy of group-based CP, compared to individualized treatment, for addressing child behavioral problems and parenting needs in families with maternal internalizing problems.

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“…Clinical guidelines call for the treatment of DBDs with APs adjunctively only after psychosocial and non-AP psychotropic medications have been applied (American Academy of Child and Adolescent Psychiatry [AACAP], 2009[AACAP], , 2011. Although several psychosocial interventions, including Triple-P and cognitive behavioral therapy have been shown to be effective at treating forms of DBD, the clinical guidelines calling for these therapies prior to prescribing are not universally followed (Aitken et al, 2018;Daviss et al, 2016;Ghosh et al, 2017;Leathers et al, 2021;Patel et al, 2006).…”

Section: Introductionmentioning

confidence: 99%

Antipsychotic medications and admission to psychiatric residential treatment facilities among youth in foster care diagnosed with disruptive behavior disorders.

Rose¹,

Lanier²,

dosReis³

2022

American Journal of Orthopsychiatry

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Many youth in foster care are diagnosed with disruptive behavior disorder (DBD), a diagnosis indicative of aggression and behavior problems. These youth, who are at high risk for being placed in psychiatric residential treatment facilities (PRTF), are commonly prescribed antipsychotic (AP) medications off-label. However, treating children in the community is an important goal, and although AP medications can have severe side effects, these prescriptions may help to achieve this goal. In this study, we used Medicaid data to determine whether AP medications reduce the risk of admission to PRTF among two groups of children with DBD: those with DBD only and those who were diagnosed with DBD in addition to at least one of two conditions indicated for AP prescribing (psychosis and bipolar disorder.) Event history models show that AP medications are associated with a high rate of admission, which are likely due to the higher mental and behavioral health needs of youth who are prescribed. However, youth diagnosed with both DBD and indications who are prescribed an AP medication have one-tenth the rate of admission of similar youth who are not prescribed. For youth with DBD only, the findings are inconclusive. Given these mixed results, practitioners should follow clinical guidelines; ensuring youth are treated with psychosocial interventions and other psychotropic medications prior to AP prescribing. Agencies should attempt to address systemic factors such as shortages of foster homes, increased availability of therapeutic foster care, and implementation of in-home prevention services. Public Policy Relevance StatementThis study suggests that some youth in foster care diagnosed with disruptive behavior disorder may benefit from antipsychotic medications, helping to keep them in the community and out of psychiatric residential treatment. In the context of the health risks associated with these medications in youth, however, these youth should be provided appropriate psychosocial and preventive treatments. aaa Y outh in foster care have high rates of behavioral disorder diagnoses, including disruptive behavior disorders (DBD), relative to youth not in foster care. If untreated, many youth with DBDs may require care in settings such as psychiatric residential treatment facilities (PRTFs), a restrictive and medically supervised form of residential placement for youth under 21. Although medical necessity is a prerequisite for admission, experiences with child protective services and out-of-home placements independently predict admission: most CPS investigations do not result in removal; some youth placed in foster care come from the juvenile justice system or voluntary placement; and both of these characteristics may proxy for other unobserved characteristics (Lanier & Rose, 2017). Further, a systematic review argues that PRTF placements are a costly residential setting (more than $55,000 per year per resident) in which This document is copyrighted by the American Psychological Association or one of its allied publishers.This...

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Effect of Comorbid Psychopathology and Conduct Problem Severity on Response to a Multi-component Intervention for Childhood Disruptive Behavior

Cited by 11 publications

References 48 publications

effect of a social skills training program on behavioral problems among children with conduct disorder

effect of a social skills training program on behavioral problems among children with conduct disorder

Do Maternal Internalizing Problems Influence Treatment Outcomes in Group-Based vs. Individualized Child Behavior Management Interventions?

Antipsychotic medications and admission to psychiatric residential treatment facilities among youth in foster care diagnosed with disruptive behavior disorders.

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