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(3):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.

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Available from: Theodore Beauchaine, Jul 29, 2014
    • "Similar analyses have proven useful for identifying predictors of treatment response for multiple mental health conditions (e.g., anxiety, Ginsburg et al., 2011; conduct problems, Beauchaine et al., 2005). This is because predictor analyses that collapse all individuals who receive treatment into a single group may miss important patterns and potentially lead to inaccurate conclusions. "
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