Moderators of Parent Training for Disruptive Behaviors in Young Children with Autism Spectrum Disorder

被引:0
作者
Luc Lecavalier
Tristram Smith
Cynthia Johnson
Karen Bearss
Naomi Swiezy
Michael G. Aman
Denis G. Sukhodolsky
Yanhong Deng
James Dziura
Lawrence Scahill
机构
[1] Ohio State University,Nisonger Center and Department of Psychology
[2] University of Rochester Medical Center School of Medicine and Dentistry,undefined
[3] Department of Clinical and Health Psychology,undefined
[4] Department of Psychiatry and Behavioral Sciences,undefined
[5] Indiana University Riley Hospital for Children,undefined
[6] Ohio State University,undefined
[7] Yale Child Study Center,undefined
[8] Yale Center for Analytical Sciences,undefined
[9] Marcus Autism Center,undefined
来源
Journal of Abnormal Child Psychology | 2017年 / 45卷
关键词
Autism spectrum disorder; Parent training; Moderator; ADHD; Anxiety;
D O I
暂无
中图分类号
学科分类号
摘要
We conducted a 6 month, randomized trial of parent training (PT) versus a parent education program (PEP) in 180 young children (158 boys, 22 girls), ages 3–7 years, with autism spectrum disorder (ASD). PT was superior to PEP in decreasing disruptive and noncompliant behaviors. In the current study, we assess moderators of treatment response in this trial. Thirteen clinical and demographic variables were evaluated as potential moderators of three outcome variables: the Aberrant Behavior Checklist-Irritability subscale (ABC-I), Home Situations Questionnaire (HSQ), and Clinical Global Impressions-Improvement Scale (CGI-I). We used an intent-to-treat model and random effects regression. Neither IQ nor ASD severity moderated outcome on the selected outcome measures. Severity of Attention Deficit Hyperactivity Disorder (ADHD) and anxiety moderated outcomes on the ABC-I and HSQ. For instance, there was a 6.6 point difference on the ABC-I between high and low ADHD groups (p = .05) and a 5.3 point difference between high and low Anxiety groups (p = .04). Oppositional defiant disorder symptoms and household income moderated outcomes on the HSQ. None of the baseline variables moderated outcome on the CGI-I. That IQ and ASD symptom severity did not moderate outcome suggests that PT is likely to benefit a wide range of children with ASD and disruptive behavior.
引用
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页码:1235 / 1245
页数:10
相关论文
共 104 条
[1]  
Aman MG(1985)The aberrant behavior checklist: a behavior rating scale for the assessment of treatment effects American Journal of Mental Deficiency 89 485-491
[2]  
Singh NN(1985)Psychometric characteristics of the aberrant behavior checklist American Journal of Mental Deficiency 89 492-502
[3]  
Stewart AW(2015)Brief report: adaptive functioning in children with ASD, ADHD, and ASD + ADHD Journal of Autism and Developmental Disorders 45 2235-2242
[4]  
Field CJ(2005)Mediators, moderators, and predictors of 1-year outcomes among children treated for early-onset conduct problems: a latent growth curve analysis Journal of Consulting and Clinical Psychology 73 371-388
[5]  
Aman MG(2013)Thirty years of research on the functional analysis of problem behavior Journal of Applied Behavior Analysis 46 1-21
[6]  
Singh NN(2004)Enhancements to the behavioral parent training paradigm for families of children with ADHD: review and future directions Clinical Child and Family Psychology Review 7 1-27
[7]  
Stewart AW(2005)Psychiatric symptoms in preschool children with PDD and clinic and comparison samples Journal of Autism and Developmental Disorders 34 379-393
[8]  
Field CJ(2007)Efficacy of the incredible years basic parent training programme as an early intervention for children with conduct problems and ADHD Child: Care, Health and Development 33 749-756
[9]  
Ashwood KL(2013)Disruptive behavior disorders in children and adolescents with autism spectrum disorders: a review of the prevalence, presentation, and treatment Research in Autism Spectrum Disorders 7 1579-1594
[10]  
Tye C(2014)Validity of the aberrant behavior checklist in children with autism spectrum disorders Journal of Autism and Developmental Disorders 44 1103-1116