Article

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

ABSTRACT 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.

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    • "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). "
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    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; DOI:10.1016/j.chiabu.2014.01.018 · 2.34 Impact Factor
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    • "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). "
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    Journal of Autism and Developmental Disorders 03/2014; 44(3):501-512. DOI:10.1007/s10803-013-1894-8 · 3.34 Impact Factor
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    • "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. "
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