Mediators, Moderators, and Predictors of 1-Year Outcomes Among Children Treated for Early-Onset Conduct Problems: A Latent Growth Curve Analysis.
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.
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An evaluation of the Incredible Years intervention found that treatment effects on reduction in conduct problems were significantly mediated through a reduction in parents' use of spanking.
“an evaluation of the Incredible Years intervention for young children with behavior problems (Beauchaine et al., 2005) found that treatment effects on a reduction in conduct problems were significantly mediated through a reduction in parents’ use of spanking.”
From Spanking and child outcomes: Old controversies and new meta-analyses. (2016) · cites this paper as Beauchaine et al., 2005
An increasing number of studies are including assessments during the course of treatment.
“For instance, an increasing number of studies are including assessments during the course of treatment (e.g., Beauchaine et al. 2005, Eddy & Chamberlain 2000, Kolko et al. 2000, Kwon & Oei 2003).”
From Mediators and Mechanisms of Change in Psychotherapy Research (2007) · cites this paper as Beauchaine et al. 2005
Families with positive parent-child relations are more likely to exhibit warmth and better emotion regulation across interactions.
“These are more likely to be families which exhibit warmth and better emotion regulation across interactions (Beauchaine et al., 2005; Eisenberg et al., 2005).”
From Perceived Parent–Child Relations, Conduct Problems, and Clinical Improvement Following the Treatment of Oppositional Defiant Disorder (2016) · cites this paper as Beauchaine et al., 2005
In prior skill-based interventions, young children with conduct problems and coexisting anxiety/depression problems have fared better in some short-term intervention studies.
“In prior skill-based interventions to address behavior problems, for example, young children with conduct problems and coexisting anxiety/depression problems have fared better in some short-term intervention studies (Beauchaine et al. 2005).”
From Intervention to Strengthen Emotional Self-Regulation in Children with Emerging Mental Health Problems: Proximal Impact on School Behavior (2010) · cites this paper as Beauchaine et al. 2005
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References 86 · Cited by 454
- Authors
- Beauchaine, T. P., Webster-Stratton, C., & Reid, M. J.
- Affiliations
- University of Washington (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2005-06
- Volume
- 73
- Issue
- 3
- Pages
- 371-388
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2140629097
- Cited by
- 454
- References
- 86
- Citations by year
- 2026: 6 · 2025: 5 · 2024: 6 · 2023: 13 · 2022: 12 · 2021: 15 · 2020: 16 · 2019: 16 · 2018: 31 · 2017: 42 · 2016: 34 · 2015: 26 · 2014: 37 · 2013: 33 · 2012: 32
- FWCI
- 19.28
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute of Mental Health (K02MH000988, MH00988, R01MH063699, MH63699)
- 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
- early-onset conduct problems, treatment moderators, latent growth curve models, externalizing problems, marital adjustment, maternal depression, parenting styles, harsh parenting, ineffective parenting, treatment non-responders
- MeSH terms
- Analysis of Variance, Child, Child, Preschool, Female, Humans, Male, Parents, Teaching, Videotape Recording, Linear Models, Negotiating, Age of Onset, Conduct Disorder, Attention Deficit and Disruptive Behavior Disorders
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