Format

Send to

Choose Destination
J Pediatr Psychol. 2008 Jun;33(5):449-61. Epub 2007 Oct 23.

Treating oppositional defiant disorder in primary care: a comparison of three models.

Author information

1
Department of Child and Adolescent Psychiatry (#10), Children's Memorial Hospital, Chicago, IL 60614, USA. jlavigne@childrensmemorial.org

Abstract

OBJECTIVE:

To determine if a nurse-led or psychologist-led parent-training program was more successful than a minimal intervention in treating early childhood Oppositional Defiant Disorder (ODD) in pediatric primary care.

METHODS:

Twenty-four practices were randomized to conditions in which parents of 117, 3- to 6.11-year-olds with ODD received the 12-session Webster-Stratton Incredible Years program led by primary care nurses or clinical psychologists, or to a minimal intervention group in which parents received only the companion book to the treatment program.

RESULTS:

There was improvement across posttreatment and 12-month follow-up for all groups, but no overall treatment group effects. There was a dose effect, with a reliable, clinically significant gain after seven sessions on the Eyberg intensity scale, and nine sessions on the Child Behavior Checklist externalizing scale.

CONCLUSIONS:

There is little advantage to the therapist-led treatment over bibliotherapy unless parents attend a significant number of sessions.

PMID:
17956932
DOI:
10.1093/jpepsy/jsm074
[Indexed for MEDLINE]

Supplemental Content

Full text links

Icon for Silverchair Information Systems
Loading ...
Support Center