Epilogue: Future Directions in Research and Practice

Murrihy, Rachael C.; Ollendick, Thomas H.; Kidman, Antony D.

doi:10.1007/978-1-4419-6297-3_20

Cited by 6 publications

(32 citation statements)

References 0 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Second, a major limitation concerns the extent of family dropout during treatment or before the post-treatment assessment. Although lower than the approximately 50% attrition rates in many treatment studies of ODD or CD (Kazdin, 2005; Murrihy et al, 2010), our dropout rate was still about 25%. We used full information maximum likelihood to incorporate all available data and reduce the impact of attrition.…”

Section: Discussioncontrasting

confidence: 62%

“…Children with conduct problems engage in a broad array of problem behaviors ranging from defiance to physical aggression and stealing (Murrihy, Kidman, & Ollendick, 2010). Taken together, these behaviors are the most frequent bases for referrals to mental health clinics and residential treatment centers for children and are of great concern because they involve a high degree of impairment, may persist over time, and are associated with negative life outcomes.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Perceived Parent–Child Relations, Conduct Problems, and Clinical Improvement Following the Treatment of Oppositional Defiant Disorder

et al. 2015

Self Cite

View full text Add to dashboard Cite

Our objective in this study was to examine the moderating influence of parent-child relationship quality (as viewed by the child) on associations between conduct problems and treatment responses for children with oppositional defiant disorder (ODD). To date, few studies have considered children’s perceptions of relationship quality with parents in clinical contexts even though extant studies show the importance of this factor in children’s behavioral adjustment in non-clinical settings. In this study, 123 children (ages 7 – 14 years, 61.8% male, 83.7% white) who fulfilled DSM-IV criteria for ODD received one of two psychosocial treatments: Parent Management Training or Collaborative & Proactive Solutions. In an earlier study, both treatments were found to be effective and equivalent in treatment outcomes (Ollendick et al., in press). In the current study, pre-treatment maternal reports of conduct problems and pre-treatment child reports of relations with parents were used to predict outcomes in ODD symptoms and their severity following treatment. Elevated reports of children’s conduct problems were associated with attenuated reductions in both ODD symptoms and their severity. Perceived relationship quality with parents moderated the ties between conduct problems and outcomes in ODD severity but not the number of symptoms. Mother reports of elevated conduct problems predicted attenuated treatment response only when children viewed relationship quality with their parents as poorer. When children viewed the relationship as higher quality, they did not show an attenuated treatment response, regardless of reported conduct problems. The current findings underscore the importance of children’s perspectives in treatment response and reductions in externalizing child behaviors.

show abstract

Section: Discussioncontrasting

confidence: 62%

Section: Introductionmentioning

confidence: 99%

Perceived Parent–Child Relations, Conduct Problems, and Clinical Improvement Following the Treatment of Oppositional Defiant Disorder

et al. 2015

Self Cite

View full text Add to dashboard Cite

show abstract

“…Oppositional Defiant Disorder (ODD) is characterized by persistent argumentative, defiant, and hostile behaviors toward authority figures (Loeber, Burke, Lahey, Winters & Zera, 2000; Murrihy, Kidman, & Ollendick, 2010). Symptoms include loss of temper, being easily annoyed, and being spiteful or vindictive (American Psychiatric Association, 2013).…”

mentioning

confidence: 99%

“…Symptoms include loss of temper, being easily annoyed, and being spiteful or vindictive (American Psychiatric Association, 2013). Parents of children with ODD are more likely to use child mental health services than parents of children with other disorders (Cohen et al, 1993; Murrihy et al, 2010). Even when accounting for its association with attention-deficit/hyperactivity disorder (ADHD), ODD adversely affects children's social and family functioning and long-term outcomes (Greene et al, 2002; Kazdin, 2009).…”

mentioning

confidence: 99%

See 1 more Smart Citation

Emotion Socialization in the Context of Risk and Psychopathology: Maternal Emotion Coaching Predicts Better Treatment Outcomes for Emotionally Labile Children with Oppositional Defiant Disorder

et al. 2015

Self Cite

View full text Add to dashboard Cite

We examined whether maternal emotion coaching at pre-treatment predicted children's treatment response following a 12-week program addressing children's Oppositional Defiant Disorder (ODD) symptoms. Eighty-nine mother-child dyads participated. At pre-treatment, mothers and children engaged in an emotion talk task. Mothers also reported their beliefs about emotions at pre-treatment and their child's disruptive behavior symptoms, emotion regulation, and emotion lability/negativity at pre-, mid-, and post-treatment. Clinicians reported children's symptom severity at pre- and post-treatment. Children's emotion lability/negativity moderated effects of maternal emotion coaching on children's post-treatment ODD symptoms, with stronger benefits of emotion coaching for children high in emotion lability/negativity. Results suggest that emotion coaching may promote treatment response for children with ODD who are especially at risk due to their emotionality.

show abstract

Change in Maternal Stress for Families in Treatment for their Children with Oppositional Defiant Disorder

et al. 2018

Self Cite

View full text Add to dashboard Cite

Our objective was to predict change in maternal stress over the course of a randomized clinical trial comparing the efficacy of two interventions for Oppositional Defiant Disorder (ODD): Parent Management Training and Collaborative & Proactive Solutions. In a secondary analysis of data collected from this randomized clinical trial, we examined whether children’s self-reported positive relations with their parents impacted responsiveness to treatment, which in turn impacted maternal stress. One hundred thirty-four children and their parents (38.1% female, ages 7–14, M age = 9.51, SD = 1.77) were tracked across three time points: pre-treatment; one-week post-treatment; and six-month post-treatment. Hierarchical linear models tested change in children’s reports of positive relations with parents, clinician reports of ODD severity, and maternal reports of parenting stress. Models then tested multilevel mediation from positive relations with parents, through ODD severity, onto maternal stress. Hypothesized indirect effects were supported such that children’s reports of positive views toward parents uniquely predicted reductions in ODD severity over time, which in turn uniquely predicted reductions in maternal stress. Results highlight the promise of potential secondary benefits for parents following interventions for children with oppositional problems. Furthermore, results underscore the importance of the parent-child relationship as both a protective factor and as an additional target to complement interventions for child disruptive behaviors.

show abstract

Epilogue: Future Directions in Research and Practice

Cited by 6 publications

References 0 publications

Perceived Parent–Child Relations, Conduct Problems, and Clinical Improvement Following the Treatment of Oppositional Defiant Disorder

Perceived Parent–Child Relations, Conduct Problems, and Clinical Improvement Following the Treatment of Oppositional Defiant Disorder

Emotion Socialization in the Context of Risk and Psychopathology: Maternal Emotion Coaching Predicts Better Treatment Outcomes for Emotionally Labile Children with Oppositional Defiant Disorder

Change in Maternal Stress for Families in Treatment for their Children with Oppositional Defiant Disorder

Contact Info

Product

Resources

About