TY - JOUR

T1 - Co-Occurring Change in Children’s Conduct Problems and Maternal Depression: Latent Class Individual Participant Data Meta-Analysis of the Incredible Years Parenting Program

AU - Leijten, Patti

AU - Gardner, Frances

AU - Melendez-Torres, G.J.

AU - Weeland, Joyce

AU - Hutchings, Judith

AU - Landau, Sabine

AU - McGilloway, Sinead

AU - Overbeek, Geertjan

AU - van Aar, Jolien

AU - Menting, Ankie

AU - Orobio de Castro, Bram

AU - Berry, Vashti

AU - Gaspar, Maria

AU - Axberg, Ulf

AU - Morch, Willy-Tore

AU - Scott, Stephen

PY - 2019/12

Y1 - 2019/12

N2 - Children vary in the extent to which they benefit from parenting programs for conduct problems. How does parental mental health change if children benefit less or more? We assessed whether changes in conduct problems and maternal depressive symptoms co-occur following participation in the Incredible Years parenting program. We integrated individual participant data from 10 randomized trials (N = 1280; children aged 2–10 years) and distinguished latent classes based on families' baseline and post-test conduct problems and maternal depressive symptoms, using repeated measures latent class analysis (RMLCA) and latent transition analysis (LTA). Classes differed mainly in severity of conduct problems and depression (RMLCA; 4 classes). Conduct problems reduced in all classes. Depressive symptoms did not change in most classes, except in a class of families where conduct problems and depression were particularly severe. Incredible Years led to a greater likelihood of families with particularly severe conduct problems and depression moving to a class with mild problems (LTA; 3 classes). Our findings suggest that for the majority of families, children's conduct problems reduce, but maternal depressive symptoms do not, suggesting relative independence, with the exception of families with severe depression and severe conduct problems where changes for the better do co-occur.

AB - Children vary in the extent to which they benefit from parenting programs for conduct problems. How does parental mental health change if children benefit less or more? We assessed whether changes in conduct problems and maternal depressive symptoms co-occur following participation in the Incredible Years parenting program. We integrated individual participant data from 10 randomized trials (N = 1280; children aged 2–10 years) and distinguished latent classes based on families' baseline and post-test conduct problems and maternal depressive symptoms, using repeated measures latent class analysis (RMLCA) and latent transition analysis (LTA). Classes differed mainly in severity of conduct problems and depression (RMLCA; 4 classes). Conduct problems reduced in all classes. Depressive symptoms did not change in most classes, except in a class of families where conduct problems and depression were particularly severe. Incredible Years led to a greater likelihood of families with particularly severe conduct problems and depression moving to a class with mild problems (LTA; 3 classes). Our findings suggest that for the majority of families, children's conduct problems reduce, but maternal depressive symptoms do not, suggesting relative independence, with the exception of families with severe depression and severe conduct problems where changes for the better do co-occur.

KW - conduct problems

KW - individual participant data meta-analysis

KW - maternal depression

KW - parenting program

U2 - 10.1017/S0954579419001068

DO - 10.1017/S0954579419001068

M3 - Article

VL - 31

SP - 1851

EP - 1862

JO - Development and Psychopathology

JF - Development and Psychopathology

SN - 0954-5794

IS - 5

ER -