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J Child Psychol Psychiatry. 2010 May;51(5):559-66. doi: 10.1111/j.1469-7610.2009.02178.x. Epub 2009 Dec 8.

Five- to six-year outcome and its prediction for children with ODD/CD treated with parent training.

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  • 1Regional Centre for Child and Adolescent Mental Health, Faculty of Medicine, Norwegian University of Science and Technology, Norway. may.b.drugli@ntnu.no

Abstract

BACKGROUND:

While short-term effects of parent training (PT) have been extensively evaluated, long-term outcome and present predictors of a diagnosis for children with ODD/CD treated with parent training are very limited.

METHOD:

In the present study, diagnostic status as outcome and predictors of treatment response were examined in a 5-6-year follow-up. Out of 99 children who had been treated in a randomised controlled trial evaluating the effects of The Incredible Years parent training (PT) or combined parent training and child treatment (PT+CT) programme, 54.5% participated in the 5-6-year follow-up study. Their diagnostic status was determined with the Kiddie-SADS interview.

RESULTS:

While all children qualified for a diagnosis of ODD/CD before treatment, 5-6 years later, two-thirds no longer received such a diagnosis, the same proportion as found at the 1-year follow-up. The most powerful pre-treatment predictors of diagnostic status at the 5-6-year follow-up were living with mother only and being a girl. At post-treatment the most powerful predictor was found to be high levels of child externalising problems.

CONCLUSION:

The findings of the study support the maintenance of positive long-term results for young children treated with parent training because of serious conduct problems, and identify characteristics of children and families in need of added support to parent training programmes.

[PubMed - indexed for MEDLINE]
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