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Is parenting the mediator of change in behavioral parent training for externalizing problems of youth?
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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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“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]
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“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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Metadata
- Authors
- Forehand, R., Lafko, N., Parent, J., & Burt, K. B.
- Affiliations
- University of Vermont (US)
- Corresponding author
- Forehand, Rex
- Venue
- Clinical Psychology Review
- Publisher
- Elsevier BV
- Published
- 2014-12
- Volume
- 34
- Issue
- 8
- Pages
- 608-619
- ISSN
- 0272-7358 (ISSN-L)
- 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
- 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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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