Mediators, moderators, and predictors of 1-year outcomes among children treated for early-onset conduct problems: a latent growth curve analysis.

Full Abstract

Several child conduct problem interventions have been classified as either efficacious or well established. Nevertheless, much remains to be learned about predictors of treatment response and mechanisms of behavioral change. In this study, the authors combine data from 6 randomized clinical trials and 514 children, ages 3.0-8.5 years, to evaluate moderators, mediators, and predictors of outcome. Among other findings, latent growth curve models of mother-report and observational measures of child externalizing behaviors suggested that marital adjustment, maternal depression, paternal substance abuse, and child comorbid anxiety/depression each moderated treatment response. Moreover, critical, harsh, and ineffective parenting both predicted and mediated outcome, with the most favorable responses observed when parents scored relatively low on each construct at intake yet improved during treatment. Implications for treatment nonresponders are discussed. (c) 2005 APA, all rights reserved.

Author information

Author/s: Beauchaine, Theodore P (TP); Webster-Stratton, Carolyn (C); Reid, M Jamila (MJ);

Affiliation: Department of Psychology, University of Washington, Seattle, WA 98195-1525, USA. tbeaucha(-atsign-)u.washington.edu

Grants: MH00988 (Agency:NIMH NIH HHS) ; MH63699 (Agency:NIMH NIH HHS)

Journal and publication information

Publication Type: Clinical Trial; Journal Article; Randomized Controlled Trial; Research Support, N.I.H., Extramural; Research Support, U.S. Gov't, P.H.S.

Journal: Journal of consulting and clinical psychology (J Consult Clin Psychol), published in United States. (Language: eng)

Reference: 2005-Jun; vol 73 (issue 3) : pp 371-88

Dates: Created 2005/06/28; Completed 2005/09/15; Revised 2007/11/14;

PMID: 15982136, status: MEDLINE (last retrieval date: 2/18/2009, IMS Date: )

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