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 journalArticle

39 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 1 2008

Keywords

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

ASJC Scopus subject areas

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

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