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- Title
Moderators of Parent Training for Disruptive Behaviors in Young Children with Autism Spectrum Disorder.
- Authors
Lecavalier, Luc; Smith, Tristram; Johnson, Cynthia; Bearss, Karen; Swiezy, Naomi; Aman, Michael; Sukhodolsky, Denis; Deng, Yanhong; Dziura, James; Scahill, Lawrence; Aman, Michael G; Sukhodolsky, Denis G
- Abstract
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.
- Subjects
AUTISM spectrum disorders; PARENTING education; ATTENTION-deficit hyperactivity disorder; ANXIETY in children; SEVERITY of illness index; ANXIETY; CHILD behavior; COMPARATIVE studies; FAMILY psychotherapy; RESEARCH methodology; MEDICAL cooperation; QUESTIONNAIRES; RESEARCH; RESEARCH funding; STATISTICAL sampling; COMORBIDITY; EVALUATION research; RANDOMIZED controlled trials; NONPROFESSIONAL education
- Publication
Journal of Abnormal Child Psychology, 2017, Vol 45, Issue 6, p1235
- ISSN
0091-0627
- Publication type
journal article
- DOI
10.1007/s10802-016-0233-x