Article 

DATE: 1/20/2010 
CONTACT: Incredible Years (888) 506-3562 
CATEGORY: Treatment Study 
REFERENCE: Drugli, M.B., Larsson, B., Fossum, S., and Morch, W. 2009. Journal of Child Psychology and Psychiatry. Doi:10.1111/j.1469-7610.2009.02178.x. 

Five- to Six-Year Outcome and its Prediction for Children with ODD/CD Treated with Parent Training 

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. 

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.

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