The effect of adding Coping Power Program-Sweden to Parent Management Training-effects and moderators in a randomized controlled trial

For children with oppositional defiant disorder (ODD), Parent Management Training (PMT) is a recommended treatment in addition to child Cognitive Behavioral Therapy (child-CBT). There is however a lack of studies investigating the additive effect of group-based child-CBT to PMT for children between...

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Bibliographic Details
Published in:Behaviour research and therapy Vol. 103; pp. 43 - 52
Main Authors: Helander, Maria, Lochman, John, Högström, Jens, Ljótsson, Brjánn, Hellner, Clara, Enebrink, Pia
Format: Journal Article
Language:English
Published: England Elsevier Ltd 01.04.2018
Elsevier Science Ltd
Subjects:
Attention Deficit and Disruptive Behavior Disorders - psychology
Attention Deficit and Disruptive Behavior Disorders - therapy
Behavior
Behavior disorders
Behavior modification
Behavior problems
Behaviour disordered children
Child
Child Behavior - psychology
Child Behavior Disorders - psychology
Child Behavior Disorders - therapy
Child Behavior Disorders - urine
Child problem-solving skills training
Children
Childrens health
Clinical trials
Cognitive ability
Cognitive Behavioral Therapy
Combined Modality Therapy
Coping
Female
Groups
Humans
Intervention
ISRCTN10834473
Male
Management development programmes
Moderators
Nitric-oxide synthase
Oppositional defiant disorder
Parent management training
Parent training
Parent-Child Relations
Parenthood education
Parenting - psychology
Parenting skills
Parents & parenting
Parents - education
Power
Prosocial behavior
Psychotherapy
RCT
Skills
Training
Treatment Outcome
Intervention
ISRCTN10834473
RCT
Parent training
Child problem-solving skills training
Oppositional defiant disorder
Moderators
ISSN:0005-7967, 1873-622X, 1873-622X
Online Access:Get full text
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Summary:For children with oppositional defiant disorder (ODD), Parent Management Training (PMT) is a recommended treatment in addition to child Cognitive Behavioral Therapy (child-CBT). There is however a lack of studies investigating the additive effect of group-based child-CBT to PMT for children between 8 and 12 years. The current study investigated the incremental effect of group-based child-CBT, based on the Coping Power Program, when added to the Swedish group-based PMT program KOMET. Outcomes were child behavior problems, child prosocial behavior, parenting skills and the moderating effect of child characteristics. One hundred and twenty children 8–12 years with ODD or Disruptive Behavioral Disorder NOS and their parents were randomized either to combined child-CBT and PMT (n = 63) or to PMT only (n = 57) in Swedish Child- and Adolescent Psychiatric settings. Participants were assessed pre- and post-treatment using semi-structured interviews and child- and parent ratings. After treatment, behavior problems were reduced in both groups. Prosocial behavior were significantly more improved in the combined treatment. Parenting skills were improved in both groups. In moderator analyses, behavior problems and prosocial behavior improved significantly more in the combined treatment compared to PMT only in the group of children with high levels of ODD symptoms. •We investigated the effect of group child CBT and Parent Management Training (PMT) compared to PMT only.•The study population was children between 8–12 years with oppositional defiant disorder and their parents.•PMT by itself is an effective treatment for children with oppositional defiant disorder in order to reduce behavior problems.•Group child CBT combined with PMT improves social skills significantly more than PMT only.•For children with high levels of disruptive behavior, child CBT combined with PMT reduced behavior problems more than PMT only.
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ISSN:0005-7967
1873-622X
1873-622X
DOI:10.1016/j.brat.2018.02.001