Mediators, Moderators, and Predictors of 1-Year Outcomes Among Children Treated for Early-Onset Conduct Problems: A Latent Growth Curve Analysis.

Department of Psychology, University of Washington, Seattle, WA 98195-1525, USA.
Journal of Consulting and Clinical Psychology (Impact Factor: 4.85). 07/2005; 73:371-388. DOI: 10.1037/0022-006X.73.3.371
Source: PubMed


Several child conduct problem interventions have been classified as either efficacious or well established. Nevertheless, much remains to be learned about predictors of treatment response and mechanisms of behavioral change. In this study, the authors combine data from 6 randomized clinical trials and 514 children, ages 3.0-8.5 years, to evaluate moderators, mediators, and predictors of outcome. Among other findings, latent growth curve models of mother-report and observational measures of child externalizing behaviors suggested that marital adjustment, maternal depression, paternal substance abuse, and child comorbid anxiety/depression each moderated treatment response. Moreover, critical, harsh, and ineffective parenting both predicted and mediated outcome, with the most favorable responses observed when parents scored relatively low on each construct at intake yet improved during treatment. Implications for treatment nonresponders are discussed.

Download full-text


Available from: Theodore Beauchaine, Jul 29, 2014
38 Reads
  • Source
    • "The key finding of this study – that spanking at age one is associated with greater risk of household CPS involvement – is consistent with evidence from clinical samples (Beauchaine et al., 2005; Chaffin et al., 2004). For example, an intervention with physically abusive parents showed that reducing spanking and other coercive parenting behaviors was associated with lowered risk for recurrence of physical child abuse (Chaffin et al., 2004). "
    [Show abstract] [Hide abstract]
    ABSTRACT: The majority of U.S. parents spank their children, often beginning when their children are very young. We examined families (N = 2,788) who participated in a longitudinal community-based study of new births in urban areas. Prospective analyses examined whether spanking by the child's mother, father, or mother's current partner when the child was 1-year-old was associated with household CPS involvement between age 1 and age 5. Results indicated that 30% of 1-year-olds were spanked at least once in the past month. Spanking at age 1 was associated with increased odds of subsequent CPS involvement (adjusted odds ratio = 1.36, 95% CI [1.08, 1.71], p < .01). When compared to non-spanked children, there was a 33% greater probability of subsequent CPS involvement for children who were spanked at age 1. Given the undesirable consequences of spanking children and a lack of empirical evidence to suggest positive effects of physical punishment, professionals who work with families should counsel parents not to spank infants and toddlers. For optimal benefits, efforts to educate parents regarding alternative forms of discipline should begin during the child's first year of life.
    Child abuse & neglect 05/2014; 38(5). DOI:10.1016/j.chiabu.2014.01.018 · 2.34 Impact Factor
  • Source
    • "Problem behavior is typically purposeful, and functional assessment of problem behavior can be helpful to ascertain the function of the behavior, to unravel the presence of coercive processes, and to develop effective interventions (Gavidia-Payne & Hudson, 2002; Repp & Horner, 1999). There is considerable evidence that behavior problems can be reduced successfully through parent interventions; reduction in negative parenting and improvement of positive parenting can result in improvement in child behavior (Beauchaine et al., 2005; Gardner et al., 2010; Lucyshyn et al., 2007). Although parent training is more and more considered as an essential component of successful intervention programs for children with ASD (Ingersoll & Wainer, 2011), there is a lack of availability of formal parent training services (Thomas et al., 2007). "
    [Show abstract] [Hide abstract]
    ABSTRACT: Parents of a child with ASD face specific challenges in parenting, but concrete parenting behavior has never been properly investigated in these families. This exploratory questionnaire study compared parenting behaviors among mothers of children and adolescents with ASD (n = 552) and without ASD (n = 437) and examined associations between child behavior problems and parenting behavior. Results showed that mothers of children with ASD reported significantly lower scores on Rules and Discipline and higher scores on Positive Parenting, Stimulating the Development, and Adapting the Environment. Age was differently related to parenting behavior in the ASD versus control group. Furthermore, distinctive correlation patterns between parenting behavior and externalizing or internalizing behavior problems were found for both groups.
    Journal of Autism and Developmental Disorders 03/2014; 44(3):501-512. DOI:10.1007/s10803-013-1894-8 · 3.34 Impact Factor
  • Source
    • "Importantly, especially given the brief, 2-week period of treatment, improvements in mothers' parenting skills, discipline strategies, and parenting stress were maintained 4 months after treatment completion. Although various PT models have been successful in targeting these parenting factors (Beauchaine et al. 2005; Eddy and Chamberlain 2000), our study contributes to the literature by showing that these important parenting mechanisms can be changed within a short period of time. "
    [Show abstract] [Hide abstract]
    ABSTRACT: The current pilot study examined the feasibility, acceptability, and initial outcome of an intensive and more condensed version of Parent-Child Interaction Therapy (90 minute sessions for 5 days/week over the course of 2 weeks). Using an open trial design, 11 children (M child age = 5.01 years) and their mothers completed a baseline period of 2 weeks, a treatment period of 2 weeks, and a post-treatment evaluation. A follow-up evaluation was also conducted 4 months following treatment completion. Across all assessments, mothers completed measures of child behavior and parenting stress, and observational data was collected during three 5-minute standard situations that vary in the degree of parental control (child-led play, parent-led play, & clean-up). All 11 families completed the intervention with extremely high attendance and reported high satisfaction. Results across both mother report and observations showed that: a) externalizing behavior problems were stable during the baseline period; b) treatment was effective in reducing externalizing behavior problems (ds = 1.67-2.50), improving parenting skills (ds = 1.93-6.04), and decreasing parenting stress (d = .91); and c) treatment gains were maintained at follow-up (ds = .53-3.50). Overall, preliminary data suggest that a brief and intensive format of a parent-training intervention is a feasible and effective treatment for young children with externalizing behavior problems with clinical implications for improving children's behavioral impairment in a very brief period of time.
    Journal of Psychopathology and Behavioral Assessment 03/2014; 37(1):1-12. DOI:10.1007/s10862-014-9435-0 · 1.55 Impact Factor
Show more