Is parenting the mediator of change in behavioral parent training for externalizing problems of youth?

Forehand, Rex; Lafko, Nicole; Parent, Justin; Burt, Keith B.

doi:10.1016/j.cpr.2014.10.001

Cited by 164Child and Adolescent Psychosocial and Emotional DevelopmentBehavioral and Psychological StudiesChild Therapy and Development

Is parenting the mediator of change in behavioral parent training for externalizing problems of youth?

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Forehand, Rex, Lafko, Nicole, Parent, Justin, Burt, Keith B.·2014·Clinical Psychology Review

DOI 10.1016/j.cpr.2014.10.001PMC PMC4254490

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Abstract

Change in parenting behavior is theorized to be the mediator accounting for change in child and adolescent externalizing problems in behavioral parent training (BPT). The purpose of this review is to examine this assumption in BPT prevention and intervention programs. Eight intervention and 17 prevention studies were identified as meeting all criteria or all but one criterion for testing mediation. Parenting behaviors were classified as positive, negative, discipline, monitoring/supervision, or a composite measure. Forty-five percent of the tests performed across studies to test mediation supported parenting as a mediator. A composite measure of parenting and discipline received the most support, whereas monitoring/supervision was rarely examined. More support for the mediating role of parenting emerged for prevention than intervention studies and when meeting all criteria for testing mediation was not required. Although the findings do not call BPT into question as an efficacious treatment, they do suggest more attention should be focused on examining parenting as a putative mediator in BPT.

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In a systematic review, 45% (39/86) of studies on face-to-face parent training programs found parenting behavior mediated the association between intervention and symptom change in children.
“which revealed that in 45% (39/86) of the included studies on face-to-face parent training programs, parenting behavior served as a mediator for the association between the intervention and symptom change in children.”
From Mechanisms of Change in Digital Health Interventions for Mental Disorders in Youth: Systematic Review (2021) · cites this paper as [75]
The review's findings on parenting behavior mediators contrast with that systematic review.
“the findings of our study are in contrast to those of a systematic review [75]”
From Mechanisms of Change in Digital Health Interventions for Mental Disorders in Youth: Systematic Review (2021) · cites this paper as [75]

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Sustained Effects of Incredible Years as a Preventive Intervention in Preschool Children with Conduct Problems
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Preventive Intervention: Assessing its Effects on the Trajectories of Delinquency and Testing for Mediational Processes
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Parent training for young Norwegian children with ODD and CD problems: Predictors and mediators of treatment outcome
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Developmental cascade effects of the New Beginnings Program on adolescent adaptation outcomes
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An experimental test of parenting practices as a mediator of early childhood physical aggression
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Extending and testing the social interaction learning model with divorce samples.
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The effects of differential attention and time out on child noncompliance
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Parent Training Among Ethnic Minorities: Parenting Practices as Mediators of Change in Child Conduct Problems
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The Early Risers Preventive Intervention: Testing for Six-year Outcomes and Mediational Processes
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A Comparative Evaluation of a Parent-Training Program – Republished Article
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The Role of Behavior Observation in Measurement Systems for Randomized Prevention Trials
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Behavioral Control in At-Risk Toddlers: The Influence of the Family Check-up
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Treating serious antisocial behavior using multisystemic therapy.
Henggeler, S. W., & Schaeffer, C. M. (2010) · Cited by 32 · see citing works
Mediators of Effects of a Selective Family-Focused Violence Prevention Approach for Middle School Students
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Duration and mutual entrainment of changes in parenting practices engendered by behavioral parent training targeting recently separated mothers.
Reed, A., Snyder, J. J., Staats, S., Forgatch, M. S., DeGarmo, D. S., Patterson, G. R., Low, S. K., Sinclair, R. T., & Schmidt, N. (2013) · Journal of Family Psychology · doi:10.1037/a0032887 · Cited by 18 · see citing works

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Conduct disorder
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Parenting Stress Among Caregivers of Children With Bipolar Spectrum Disorders
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Parent training for disruptive behavior symptoms in attention deficit hyperactivity disorder: a randomized clinical trial
Paiva, G. C. D. C., de Paula, J. J., Costa, D. D. S., Alvim-Soares, A., Santos, D. A. F. E., Jales, J. S., Romano‐Silva, M. A., & de Miranda, D. M. (2024) · Frontiers in Psychology · doi:10.3389/fpsyg.2024.1293244 · Cited by 25 · see citing works
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The Reciprocal Relations between Parental Psychological Control and Social Anxiety and the Mediating Role of Self-Concept Clarity Among Chinese Early Adolescents
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Intergenerational Transmissions of Mother–Adolescent Smartphone Dependency: The Mediating Role of Negative Parenting and the Moderating Role of Gender
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Experimental support for a family systems approach to child development: Multiple mediators of intervention effects across the transition to parenthood.
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Randomized cluster trial of a parenting program in Chile: Key mediators in the decrease in behavior problems in preschool children
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Does Parenting Explain the Link Between Cumulative SES Risk and Child Problems in the Context of Parental Depression?
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ARFID Parent Training Protocol: A randomized pilot trial evaluating a brief, parent‐training program for avoidant/restrictive food intake disorder
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Potential Mediators in Parenting and Family Intervention: Quality of Mediation Analyses
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Delivering evidence based services for all vulnerable families
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Do Less Mindful Mothers Show Better Parenting via Improvements in Trait Mindfulness Following a Military Parent Training Program?
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Effects of a Brief Parenting Intervention In Shelters For Mothers And Their Children Experiencing Homelessness
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A Call for Theoretically Informed and Empirically Validated Military Family Interventions
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Behavioral Parent Training for Preschool ADHD: Family-Centered Profiles Predict Changes in Parenting and Child Outcomes
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Parenting Behaviors as Mediators of the Association Between Parental Internalizing Symptoms and Child Externalizing Symptoms
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Negative parenting behaviour as a mediator of the effects of telephone-assisted self-help for parents of pharmacologically treated children with attention-deficit/hyperactivity disorder
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Callous-Unemotional Traits and Effortful Control Mediate the Effect of Parenting Intervention on Preschool Conduct Problems
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Fawns, K. (2018) · ERA

Authors: Forehand, R., Lafko, N., Parent, J., & Burt, K. B.
Affiliations: University of Vermont (US)
Corresponding author: Forehand, Rex
ORCID: Forehand, Rex
Parent, Justin
Burt, Keith B.
Venue: Clinical Psychology Review
Publisher: Elsevier BV
Published: 2014-12
Volume: 34
Issue: 8
Pages: 608-619
ISSN: 0272-7358 (ISSN-L)
DOI: 10.1016/j.cpr.2014.10.001
PMC: PMC4254490
OpenAlex: W1992310126
Cited by: 164
References: 98
Citations by year: 2026: 12 · 2025: 11 · 2024: 12 · 2023: 16 · 2022: 12 · 2021: 17 · 2020: 16 · 2019: 13 · 2018: 22 · 2017: 14 · 2016: 15 · 2015: 4
FWCI: 1.67
Type: journal article
Language: en
Open access: green
www.ncbi.nlm.nih.gov
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Clinical Psychology Review (publishedVersion)
PubMed (publishedVersion)
PubMed Central (acceptedVersion)
Funders: National Institute of Mental Health (R01MH100377)
Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD064723)
Topics: Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
Keywords: behavioral parent training, parental behavior, mediation, externalizing problems, child and adolescent behavior problems, prevention programs, intervention program, discipline, positive parenting, negative parenting
MeSH terms: Adolescent, Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Education, Nonprofessional, Humans, Parenting, Conduct Disorder, Attention Deficit and Disruptive Behavior Disorders

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Is parenting the mediator of change in behavioral parent training for externalizing problems of youth?

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