Universität zu Köln

Treier, Anne-Katrin ORCID: 0000-0002-2520-6801, Hautmann, Christopher, Dose, Christina ORCID: 0000-0001-5405-4934, Nordmann, Lisa, Katzmann, Josepha, Pinior, Julia, Scholz, Kristin Katharina and Dopfner, Manfred . Process Mechanisms in Behavioral Versus Nondirective Guided Self-help for Parents of Children with Externalizing Behavior. Child Psychiat. Hum. Dev.. NEW YORK: SPRINGER. ISSN 1573-3327

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Abstract

The study examined potential mediating effects of therapist behaviors in the per-protocol sample (n = 108) of a randomized controlled trial comparing a behavioral and a nondirective guided self-help intervention for parents of children with externalizing disorders (4-11 years). Additionally, from an exploratory perspective, we analyzed a sequential model with parental adherence as second mediator following therapist behavior. Outcomes were child symptom severity of attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder rated by blinded clinicians, and parent-rated child functional impairment. We found a significant indirect effect on the reduction of ADHD and functional impairment through emotion- and relationship-focused therapist behavior in the nondirective intervention. Additionally, we found limited support for an extended sequential mediation effect through therapist behavior and parental adherence in the models for these outcomes. The study proposes potential mediating mechanisms unique to the nondirective intervention and complements previous findings on mediator processes in favor of the behavioral group. Trial registration ClinicalTrials.gov NCT01350986.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Treier, Anne-Katrin UNSPECIFIED orcid.org/0000-0002-2520-6801 UNSPECIFIED Hautmann, Christopher UNSPECIFIED UNSPECIFIED UNSPECIFIED Dose, Christina UNSPECIFIED orcid.org/0000-0001-5405-4934 UNSPECIFIED Nordmann, Lisa UNSPECIFIED UNSPECIFIED UNSPECIFIED Katzmann, Josepha UNSPECIFIED UNSPECIFIED UNSPECIFIED Pinior, Julia UNSPECIFIED UNSPECIFIED UNSPECIFIED Scholz, Kristin Katharina UNSPECIFIED UNSPECIFIED UNSPECIFIED Dopfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-657405
DOI:	10.1007/s10578-022-01400-0
Journal or Publication Title:	Child Psychiat. Hum. Dev.
Publisher:	SPRINGER
Place of Publication:	NEW YORK
ISSN:	1573-3327
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language PSYCHOTHERAPY; ADOLESCENTS; MEDIATORS; ADHD; IMPLEMENTATION; PARTICIPATION; INTERVENTIONS; ENGAGEMENT; MANAGEMENT; DISORDERS Multiple languages Psychology, Developmental; Pediatrics; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/65740