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Journal of abnormal child psychology
May, 2017;45 (4): 719-730.

Behavioral and Nondirective Guided Self-Help for Parents of Children with Externalizing Behavior: Mediating Mechanisms in a Head-To-Head Comparison.

Josepha Katzmann, Christopher Hautmann, Lisa Greimel, Stephanie Imort, Julia Pinior, Kristin Scholz, Manfred Döpfner
Author Information
  1. Josepha Katzmann: Department of Psychiatry, Psychosomatics and Psychotherapy in Childhood and Adolescence, Medical Faculty, University of Cologne, Cologne, Germany. josepha.katzmann@gmx.de. ORCID
  2. Christopher Hautmann: School of Child and Adolescent Psychotherapy, University Hospital of Cologne, Cologne, Germany.
  3. Lisa Greimel: Department of Psychiatry, Psychosomatics and Psychotherapy in Childhood and Adolescence, Medical Faculty, University of Cologne, Cologne, Germany.
  4. Stephanie Imort: Department of Psychiatry, Psychosomatics and Psychotherapy in Childhood and Adolescence, Medical Faculty, University of Cologne, Cologne, Germany.
  5. Julia Pinior: Department of Psychiatry, Psychosomatics and Psychotherapy in Childhood and Adolescence, Medical Faculty, University of Cologne, Cologne, Germany.
  6. Kristin Scholz: Department of Psychiatry, Psychosomatics and Psychotherapy in Childhood and Adolescence, Medical Faculty, University of Cologne, Cologne, Germany.
  7. Manfred Döpfner: Department of Psychiatry, Psychosomatics and Psychotherapy in Childhood and Adolescence, Medical Faculty, University of Cologne, Cologne, Germany.
PMID: 27488368 DOI: 10.1007/s10802-016-0195-z

Abstract

Parent training (PT) delivered as a guided self-help intervention may be a cost- and time-effective intervention in the treatment of children with externalizing disorders. In face-to-face PT, parenting strategies have repeatedly been identified as mediating mechanisms for the decrease of children's problem behavior. Few studies have examined possible mediating effects in guided self-help interventions for parents. The present study aimed to investigate possible mediating variables of a behaviorally oriented guided self-help program for parents of children with externalizing problems compared to a nondirective intervention in a clinical sample. A sample of 110 parents of children with externalizing disorders (80 % boys) were randomized to either a behaviorally oriented or a nondirective guided self-help program. Four putative mediating variables were examined simultaneously in a multiple mediation model using structural equation modelling. The outcomes were child symptoms of ADHD and ODD as well as child externalizing problems, assessed at posttreatment. Analyses showed a significant indirect effect for dysfunctional parental attributions in favor of the group receiving the behavioral program, and significant effects of the behavioral program on positive and negative parenting and parental self-efficacy, compared to the nondirective intervention. Our results indicate that a decrease of dysfunctional parental attributions leads to a decrease of child externalizing problems when parents take part in a behaviorally oriented guided self-help program. However, none of the putative mediating variables could explain the decrease in child externalizing behavior problems in the nondirective group. A change in dysfunctional parental attributions should be considered as a possible mediator in the context of PT.

Keywords

Externalizing behavior Guided self-help Mediation Parental attributions

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MeSH Term

Adult
Attention Deficit and Disruptive Behavior Disorders
Child
Child Behavior
Female
Humans
Male
Outcome Assessment, Health Care
Parenting
Problem Behavior
Self Efficacy
Journal Article Randomized Controlled Trial

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