Universität zu Köln

Katzmann, Josepha, Doepfner, Manfred and Goertz-Dorten, Anja (2018). Child-based treatment of oppositional defiant disorder: mediating effects on parental depression, anxiety and stress. Eur. Child Adolesc. Psych., 27 (9). S. 1181 - 1193. NEW YORK: SPRINGER. ISSN 1435-165X

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Abstract

Previous research has shown that child-oppositional defiant disorder (ODD) and conduct disorders (CD) are associated with parental symptoms of depression, anxiety and/or stress, probably in a bidirectional relationship with mutual influences. It is, therefore, reasonable to assume that in child-centered treatment, a decrease in child-oppositional behavior problems constitutes (at least in part) a mechanism of change for a subsequent reduction in parental psychopathology. The aim of the present study (Clinical trials.gov Identifier: NCT01406067) was to examine whether the reduction in ODD symptoms due to child-based cognitive behavioral treatment (CBT) led to a reduction in parental depression, anxiety and stress. Eighty-one boys (age 6-12years) with a diagnosis of ODD/CD were randomized either to a cognitive behavioral intervention group or an educational play group (acting as control group). Mediation analyses were conducted using path analysis. The stronger reduction in child ODD symptoms in the CBT group compared to the control group led to a decrease in parental depression and stress, as indicated by significant indirect effects (ab=0.07 and ab=0.08, p<0.05). The proposed model for mechanisms of change was, therefore, confirmed for two of the three outcome parameters. Parental psychopathology and stress can be modified by child-centered CBT. The preceding reduction in ODD symptoms acts as a mediator for at least some of the changes in parental depression and stress. However, due to some limitations of the study, other possible explanations for the results found cannot be completely ruled out and are, therefore, discussed.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Katzmann, Josepha UNSPECIFIED UNSPECIFIED UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED Goertz-Dorten, Anja UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-173571
DOI:	10.1007/s00787-018-1181-5
Journal or Publication Title:	Eur. Child Adolesc. Psych.
Volume:	27
Number:	9
Page Range:	S. 1181 - 1193
Date:	2018
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1435-165X
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language COGNITIVE-BEHAVIORAL-THERAPY; ANTISOCIAL-BEHAVIOR; MATERNAL DEPRESSION; EXTERNALIZING BEHAVIOR; DISRUPTIVE BEHAVIOR; PRESCHOOL-CHILDREN; MUTUAL INFLUENCES; SCALES DASS; SYMPTOMS; FATHERS Multiple languages Psychology, Developmental; Pediatrics; Psychiatry Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17357