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

Maria Helander; John Lochman; Jens Högström; Brjánn Ljótsson; Clara Hellner; Pia Enebrink

doi:10.1016/j.brat.2018.02.001

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

Behav Res Ther. 2018 Apr:103:43-52. doi: 10.1016/j.brat.2018.02.001. Epub 2018 Feb 5.

Authors

Maria Helander¹, John Lochman², Jens Högström³, Brjánn Ljótsson³, Clara Hellner⁴, Pia Enebrink³

Affiliations

¹ Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Sweden. Electronic address: maria.helander@ki.se.
² Department of Psychology, University of Alabama, Tuscaloosa, AL, USA.
³ Department of Clinical Neuroscience, Division of Psychology, Karolinska Institutet, Sweden.
⁴ Centre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet & Stockholm Health Care Services, Stockholm County Council, Sweden.

PMID: 29448135
DOI: 10.1016/j.brat.2018.02.001

Abstract

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.

Keywords: Child problem-solving skills training; ISRCTN10834473; Intervention; Moderators; Oppositional defiant disorder; Parent training; RCT.

Publication types

Randomized Controlled Trial
Research Support, Non-U.S. Gov't

MeSH terms

Attention Deficit and Disruptive Behavior Disorders / psychology
Attention Deficit and Disruptive Behavior Disorders / therapy*
Child
Child Behavior / psychology
Child Behavior Disorders / psychology
Child Behavior Disorders / therapy
Child Behavior Disorders / urine*
Cognitive Behavioral Therapy*
Combined Modality Therapy
Female
Humans
Male
Parent-Child Relations
Parenting / psychology*
Parents / education*
Treatment Outcome