Abstract
Parent management training (PMT) is recommended treatment for children with oppositional defiant disorder (ODD) and child-directed cognitive behavior therapy (CBT) is also recommended for school-aged children. The current study examined 2-year follow-up effects of parent management training (PMT) combined with the CBT based group intervention Coping Power Program (CPP) compared to PMT only. Results showed long-term effectiveness of both PMT and PMT combined with CPP in reduced disruptive behavior problems and harsh parenting strategies, and increased emotion regulation- and social communication skills. The earlier reported increase in emotion regulation- and social communication skills in the PMT with CPP condition during treatment remained stable while the PMT condition showed continued improvement during the follow-up period. To conclude, PMT with CPP did generally not provide significant benefits at the 2-year follow-up compared to PMT, apart from an improvement earlier in time regarding emotion regulation- and social communication skills.Trial registration number ISRCTN10834473, date of registration: 23/12/2015.
Highlights
To examine our first hypothesis, if the combined treatment KOMET with Coping Power Program (CPP) was more effective in reducing disruptive behaviors compared to KOMET over the 1- and 2-year follow-up, we evaluated parent-rated oppositional defiant disorder (ODD)-symptoms in the DBD-ODD scale in a series of Linear mixed models (LMM)
The 2-year follow-up of KOMET compared to KOMET with CPP for children with disruptive behavior disorder, 8–12 years old, showed that the Swedish parent management training program KOMET was effective in reducing disruptive behavior, increasing emotion regulation and prosocial communication, and reducing harsh parenting strategies and that these effects hold over a 2-year follow-up period
In the group where the child cognitive behavior therapy (CBT) program Coping Power Program was added to KOMET, an improvement was seen in emotion regulation and prosocial communication skills in the KOMET with CPP group during the treatment period while children in the KOMET condition improved and reached the same result during the follow-up period
Summary
The overall aim of the present study was to investigate the treatment effects from treatment termination to the 2-year follow-up of KOMET with CPP compared to KOMET only in reducing child conduct problems and increasing social skills, as well as in improving parenting behaviors. Our second hypothesis was that the significantly increased social skills at post assessment for children in the KOMET with CPP-group compared to KOMET, would be sustained during follow-up. Our third hypothesis was that the combined treatment would yield less parental stress and improved parental strategies compared to PMT only during the follow-up period. Our fourth hypothesis was that for children with severe ODD, the significantly reduced behavior problems and increased social skills post treatment would remain during the follow up period. We further hypothesized that there would be no moderator effect of comorbid ADHD, prescribed medication at baseline, or gender
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