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. 2018 Jul;27(8):2552-2561.
doi: 10.1007/s10826-018-1089-1. Epub 2018 Apr 4.

Change in Maternal Stress for Families in Treatment for their Children with Oppositional Defiant Disorder

Jordan A Booker  1 , Nicole N Capriola-Hall  2 , Julie C Dunsmore  3 , Ross W Greene  2 , Thomas H Ollendick  2
Affiliations

Change in Maternal Stress for Families in Treatment for their Children with Oppositional Defiant Disorder

Jordan A Booker et al. J Child Fam Stud. 2018 Jul.

Abstract

Our objective was to predict change in maternal stress over the course of a randomized clinical trial comparing the efficacy of two interventions for Oppositional Defiant Disorder (ODD): Parent Management Training and Collaborative & Proactive Solutions. In a secondary analysis of data collected from this randomized clinical trial, we examined whether children's self-reported positive relations with their parents impacted responsiveness to treatment, which in turn impacted maternal stress. One hundred thirty-four children and their parents (38.1% female, ages 7-14, M age = 9.51, SD = 1.77) were tracked across three time points: pre-treatment; one-week post-treatment; and six-month post-treatment. Hierarchical linear models tested change in children's reports of positive relations with parents, clinician reports of ODD severity, and maternal reports of parenting stress. Models then tested multilevel mediation from positive relations with parents, through ODD severity, onto maternal stress. Hypothesized indirect effects were supported such that children's reports of positive views toward parents uniquely predicted reductions in ODD severity over time, which in turn uniquely predicted reductions in maternal stress. Results highlight the promise of potential secondary benefits for parents following interventions for children with oppositional problems. Furthermore, results underscore the importance of the parent-child relationship as both a protective factor and as an additional target to complement interventions for child disruptive behaviors.

Keywords: maternal stress; oppositional defiant disorder; parent-child relationship.

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Conflict of interest statement

Conflict of Interest Statement RWG: Received royalties related to work concerning Collaborative and Proactive Solutions. The remaining authors have no conflicts of interest.

Figures

Figure 1
Figure 1
Flow Chart of Participants across Study Phases.
See this image and copyright information in PMC

References

    1. Abidin RR. Parenting stress index-short form. Charlottesville, VA: Pediatric Psychology Press; 1995.
    1. American Psychiatric Association. Diagnostic and statistical manual of mental disorders: DSM-5. Washington, D.C: American Psychiatric Association; 2013.
    1. Anderson SR, Ollendick TH. Diagnosing oppositional defiant disorder using the anxiety disorders interview schedule for DSM-IV: Parent version and the diagnostic interview schedule for children. Journal of Psychopathology and Behavioral Assessment. 2012;34:467–475.
    1. Anthony LG, Anthony BJ, Glanville DN, Naiman DQ, Waanders C, Shaffer S. The relationships between parenting stress, parenting behaviour and preschoolers' social competence and behaviour problems in the classroom. Infant and Child Development. 2005;14:133–154. doi: 10.1002/icd.385. - DOI
    1. Barkley RA. Defiant children: A clinician’s manual for parent training. 2. New York: Guilford Press; 1997.

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