Fersiynau electronig

Dangosydd eitem ddigidol (DOI)

  • Patty Leijten
    University of Amsterdam
  • Stephen Scott
    King's College London
  • Sabine Landau
    King's College London
  • Victoria Harris
    Oxford University
  • Joanna Mann
    Oxford University
  • Judy Hutchings
  • Jennifer Beecham
    London School of Economics
  • Frances Gardner
    Oxford University
Objective
There is concern whether established parenting programs for children’s conduct problems meet the needs of families with severe and complex mental health problems. For example, many children with conduct problems show comorbid attention-deficit/hyperactivity disorder (ADHD) or emotional problems, or have parents who are depressed, but families with such complex mental health problems typically seen in real life are often underrepresented in evaluation trials. We tested whether children with more severe conduct problems, and those with more complex mental health problems, benefit less from the Incredible Years parenting program, using individual participant data meta-analysis of randomized trials in Europe.
Method
In 1,696 families from 13 children aged (child age 2−11 years; 37% girls; 58% low income; 30% ethnic minority; 98% mothers), we used moderator analysis within a multilevel model to test whether initial conduct problem severity, comorbid ADHD or emotional problems, and maternal depression would diminish intervention effects for children’s conduct problems.
Results
The Incredible Years program reduced children’s conduct problems overall (Cohen’s d = −0.35), but more so in children with more severe conduct problems. There was no evidence that children’s comorbid ADHD and emotional problems changed the intervention benefits. Children of mothers with more depressive symptoms benefited more.
Conclusion
Children with more severe conduct problems derive greater, rather than lesser, benefits from a high-quality group parenting program, and comorbid ADHD and emotional problems do not reduce effects; maternal depression, rather than being linked to less child change, was associated with greater reductions in children’s conduct problems.
Iaith wreiddiolSaesneg
Tudalennau (o-i)933-943
CyfnodolynJournal of the American Academy of Child and Adolescent Psychiatry
Cyfrol59
Rhif y cyfnodolyn8
Dyddiad ar-lein cynnar18 Chwef 2020
Dynodwyr Gwrthrych Digidol (DOIs)
StatwsCyhoeddwyd - Awst 2020
Gweld graff cysylltiadau