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. 2017;41(2):237-251.
doi: 10.1007/s10608-016-9815-8. Epub 2016 Nov 1.

Effectiveness of an Intervention for Children with Externalizing Behavior and Mild to Borderline Intellectual Disabilities: A Randomized Trial

Hilde Schuiringa  1 , Maroesjka van Nieuwenhuijzen  2   3   4 , Bram Orobio de Castro  1 , John E Lochman  5   6 , Walter Matthys  7   8
Affiliations

Effectiveness of an Intervention for Children with Externalizing Behavior and Mild to Borderline Intellectual Disabilities: A Randomized Trial

Hilde Schuiringa et al. Cognit Ther Res. 2017.

Abstract

This study evaluated the effectiveness of Standing Strong Together (SST), a combined group based parent and child intervention for externalizing behavior in 9-16 year-old children with mild to borderline intellectual disabilities (MBID). Children with externalizing behavior and MBID (IQ from 55 to 85) (N = 169) were cluster randomly assigned to SST combined with care as usual or to care as usual only. SST led to a significant benefit on teacher reported but not on parent reported externalizing behavior. SST had significant effects on parent rated positive parenting and the parent-child relationship. The present study shows that a multicomponent group based intervention for children with MBID is feasible and has the potential to reduce children's externalizing behavior and improve both parenting behavior and the parent-child relationship.

Keywords: Cognitive behavioral therapy; Externalizing behavior; Mild to borderline intellectual disabilities; Parent management training.

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Conflict of interest statement

Conflict of Interest

Author Hilde Schuiringa declares no conflict of interest. Author Maroesjka van Nieuwenhuijzen were involved in adapting the intervention to MBID. Authors John E. Lochman, Walter Matthys were involved in adapting the intervention to MBID, also being co-developers of the original intervention Coping Power and Utrecht Coping Power. None of the authors delivered the intervention and none of the authors has any direct or indirect financial interest in the intervention or the institutions where the intervention was delivered.

Informed Consent

All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (national and institutional). Informed consent was obtained from all individual subjects participating in the study.

Animal Rights

All institutional and national guidelines for the care and use of laboratory animals were followed.

Figures

Fig. 1
Fig. 1
Flow chart of randomization design
See this image and copyright information in PMC

References

    1. Abidin RR. Parenting Stress Index: Manual. Charlottesville, NC: Pediatric Psychology Press; 1983.
    1. Achenbach TM, Rescorla LA. Manual for the ASEBA school-age forms and profiles. Burlington: University of Vermont, Research Center for Children, Youth, and Families; 2001.
    1. Baker BL, Blacher J, Crnic K, Edelbrock C. Behavior problems and parenting stress in families of three-year-old children with and without developmental delays. American Journal on Mental Retardation. 2002;107(6):433–444. doi: 10.1352/0895-8017(2002)107<0433:BPAPSI>2.0.CO;2. - DOI - PubMed
    1. Baraldi AN, Enders CK. An introduction to modern missing data analyses. Journal of School Psychology. 2010;48:5–37. doi: 10.1016/j.jsp.2009.10.001. - DOI - PubMed
    1. Chamberlain P, Reid JB. Parent observation and report of child symptoms. Behavioral Assessment. 1987;9:97–109.

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