Conflict of interest statement: No conflicts declared.
Five- to six-year outcome and its prediction for children with ODD/CD treated with parent training
Article first published online: 8 DEC 2009
© 2009 The Authors. Journal compilation © 2009 Association for Child and Adolescent Mental Health
Journal of Child Psychology and Psychiatry
Volume 51, Issue 5, pages 559–566, May 2010
How to Cite
Drugli, M. B., Larsson, B., Fossum, S. and Mørch, W.-T. (2010), Five- to six-year outcome and its prediction for children with ODD/CD treated with parent training. Journal of Child Psychology and Psychiatry, 51: 559–566. doi: 10.1111/j.1469-7610.2009.02178.x
- Issue published online: 1 APR 2010
- Article first published online: 8 DEC 2009
- Manuscript accepted 14 July 2009
- Oppositional defiant disorder;
- conduct problems;
- parent training;
- long-term outcome
Background: While short-term effects of parent training (PT) have been extensively evaluated, long-term outcome and present predictors of a diagnosis for children with ODD/CD treated with parent training are very limited.
Method: In the present study, diagnostic status as outcome and predictors of treatment response were examined in a 5–6-year follow-up. Out of 99 children who had been treated in a randomised controlled trial evaluating the effects of The Incredible Years parent training (PT) or combined parent training and child treatment (PT+CT) programme, 54.5% participated in the 5–6-year follow-up study. Their diagnostic status was determined with the Kiddie-SADS interview.
Results: While all children qualified for a diagnosis of ODD/CD before treatment, 5–6 years later, two-thirds no longer received such a diagnosis, the same proportion as found at the 1-year follow-up. The most powerful pre-treatment predictors of diagnostic status at the 5–6-year follow-up were living with mother only and being a girl. At post-treatment the most powerful predictor was found to be high levels of child externalising problems.
Conclusion: The findings of the study support the maintenance of positive long-term results for young children treated with parent training because of serious conduct problems, and identify characteristics of children and families in need of added support to parent training programmes.