Predictor and moderator effects in the treatment of oppositional defiant disorder in pediatric primary care

John V. Lavigne*, Susan A. LeBailly, Karen R. Gouze, Colleen Cicchetti, Bryn W. Jessup, Richard Arend, Jonathan Pochyly, Helen J. Binns

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

50 Scopus citations

Abstract

Objective: To examine predictors and moderators of parent-training outcomes for treatment of Oppositional Defiant Disorder (ODD) in pediatric primary care. Methods: Parents of 117 children with ODD, ages 3-6 years, seen in primary care received either a minimal intervention bibliotherapy treatment (MIT), or a 12-session parenting program led by a nurse or psychologist. Results: More initial total life stress, parenting distress, internalizing problems, functional impairment, and difficult temperament were associated with more improvement, but families scoring lower on those variables had fewer behavior problems at posttreatment and follow-up. Gender was a significant moderator, with more improvement for girls than boys in the nurse-led group but more improvement for boys than girls in the MIT group. Less well-educated mothers treated by psychologists showed the greatest change. Conclusions: Predictors and moderators may play a role in deciding, which families receive a particular form of treatment for ODD in primary care.

Original languageEnglish (US)
Pages (from-to)462-472
Number of pages11
JournalJournal of pediatric psychology
Volume33
Issue number5
DOIs
StatePublished - Jun 2008

Funding

This study was supported by NIMH RO1 MH59462, Principal Investigator, John V. Lavigne. We wish to thank the participating practices from the Pediatric Practice Research Group and particularly the following individuals who worked closely with the research team to make this study possible: Barry Abrams, M.D., Advocate Oak Park Pediatrics, Oak Park, IL; Barbara Bayldon, M.D., Winfield-Moody Health Center, Near North Health Service Corporation, Chicago, IL; Richard Burnstine, M.D., North Suburban Pediatrics, Evanston, IL; Joseph O’Neil, M.D., Child and Adolescent Center, Evanston Northwestern Health Care, Evanston, IL; Marvin Cooper, M.D., North Shore Pediatrics, Chicago, IL; David Dobkin, M.D., North Arlington Pediatrics, Arlington Heights, IL; Lisa Gadek, M.D., Lake Forest Pediatrics, Lake Forest, IL; H. Garry Gardner, M.D., Du Page Pediatrics, Darien, IL; Karen Haught, M.D., M.P.H., Children’s Memorial Pediatrics— Uptown, Chicago, IL; Inyang Isong, M.D., Lawndale Christian Health Center, Chicago, IL; John Kahler, M.D., Advocate Hyde Park Pediatrics, Chicago, IL; Bennett Kaye, M.D., Children’s Health Care Associates, Chicago, IL; Peter Liber, M.D., Wheaton Pediatrics, Wheaton, IL; Fatima Moghadam, M.D., Dr Moghadam & Associates, Naperville, IL; John Poncher, M.D., Associated Pediatrics, Portage, IN; William D. Rutenberg, M.D., Grove Pediatrics, Long Grove, IL; Jaye Schrier, M.D., Child Life Center, Homewood, IL; Davila Sen, M.D., Evanston, IL; Norman Segal, M.D., Pediatric Healthcare Associates, Arlington Heights, IL; Joyce Smith, M.D., Circle Family Care, Chicago, IL; Timothy Wall, M.D., Pediatric Health Associates, Naperville, IL; Lori Weiss, M.D., Ad-Park Pediatrics, Oak Park, IL; Lori Walsh, M.D., Glenview Pediatrics, Glenview, IL; Amy Becker Manion, CPNP, Northwestern Children’s Primary Care, Chicago, IL.

Keywords

  • Moderators
  • Oppositional Defiant Disorder
  • Parent training
  • Predictors
  • Primary care

ASJC Scopus subject areas

  • Developmental and Educational Psychology
  • Pediatrics, Perinatology, and Child Health

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