Prevention Science

, Volume 5, Issue 2, pp 73–89

How Do Outcomes in a Specified Parent Training Intervention Maintain or Wane Over Time?

  • David S. DeGarmo
  • Gerald R. Patterson
  • Marion S. Forgatch
Article

Abstract

In a randomized prevention trial, 238 recently separated mothers and their young sons were assigned to either Parent Management Training (PMT) or a comparison group. Families were intensively assessed at baseline and at each 6-month interval through 30 months. To understand the effects of PMT, we first evaluated effect sizes among family variables over time. Second, because observed parenting was the target of PMT, we hypothesized a sequential pattern of structured changes within and between individuals. Using constructs with mismatched sources of data, we conducted a set of latent growth mediational analyses to test hypothesized mechanisms explaining change. Effect sizes indicated that parenting changed first within 12 months, followed by changes in boy behaviors and finally changes in maternal depression within 30 months. Unique follow-up findings indicated that intervention effects on reductions in maternal depression were mediated by reductions in boy externalizing; intervention effects on externalizing were mediated by reductions in boy depression. As expected, increases in effective parenting predicted reductions in child behavior problems. PMT effects on internalizing were direct and indirect, partially mediated by parenting practices. Results are discussed from a system's perspective on PMT amplifiers.

parent training child adjustment maternal adjustment divorce growth curve 

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REFERENCES

  1. Achenbach, T. M. (1991). Manual for the Teacher's Report Form and 1991 Profile. Burlington: University of Vermont, Department of Psychology.Google Scholar
  2. Achenbach, T. M., & Edelbrock, C. S. (1983). Manual for the Child Behavior Checklist and the Revised Child Behavior Profile. Burlington: University of Vermont, Department of Psychiatry.Google Scholar
  3. Arbuckle, J. L. (1996). Full information estimation in the presence of incomplete data. In G. A. Marcoulides & R. E. Schumaker (Eds.), Advanced structural equation modeling: Issues and techniques (pp. 243-278). Mahwah, NJ: Erlbaum.Google Scholar
  4. Arbuckle, J. L. (1997). Amos user's guide Version 3.6. Chicago: SmallWaters.Google Scholar
  5. Asher, S. R., Hymel, S., & Renshaw, P. D. (1984). Loneliness in children. Child Development, 55, 1456-1464.Google Scholar
  6. Bank, L., Marlowe, J. H., Reid, J. B., Patterson, G. R., & Weinrott, M. R. (1991). A comparative evaluation of parent-training interventions of families of chronic delinquents. Journal of Abnormal Child Psychology, 19(1), 15-33.Google Scholar
  7. Baron, R. M., & Kenny, D. A. (1986). The moderator–mediator variable distinction in social psychological research: Conceptual, strategic, and statistical considerations. Journal of Personality and Social Psychology, 51, 1173-1182.Google Scholar
  8. Baum, C. G., & Forehand, R. (1981). Long-term follow-up assessment of parent training by use of multiple outcome measures. Behavior Therapy, 12, 643-652.Google Scholar
  9. Bien, N. Z., & Bry, B. H. (1980). An experimentally designed comparison of four intensities of school-based prevention programs for adolescents with adjustment problems. Journal of Community Psychology, 8, 110-116.Google Scholar
  10. Brown, C. H. (1993). Statistical methods for preventive trials in mental health. Statistics in Medicine, 12, 289-300.Google Scholar
  11. Brown, C. H., & Lia, J. (1999). Principles for designing randomized preventive trials in mental health: An emerging developmental epidemiology paradigm. American Journal of Community Psychology, 27, 673-710.Google Scholar
  12. Bryk, A. S., & Raudenbush, S. W. (1987). Application of hierarchical linear models to assessing change. Psychological Bulletin, 101(1), 147-158.Google Scholar
  13. Bugental, D. B., Johnston, C., New, M., & Silvester, J. (1998). Measuring parental attributions: Conceptual and methodological issues. Journal of Family Psychology, 12(4), 459-480.Google Scholar
  14. Capaldi, D. M. (1991). The co-occurrence of conduct problems and depressive symptoms in early adolescent boys: I. Familial factors and general adjustment at Grade 6. Development and Psychopathology, 3, 277-300.Google Scholar
  15. Capaldi, D. M., & Patterson, G. R. (1991). Relation of parental transition to boys' adjustment problems: Mothers at risk for transitions and unskilled parenting. Developmental Psychology, 27, 489-504.Google Scholar
  16. Cheong, J. W., MacKinnon, D., & Khoo, S. T. (2001). A latent growth modeling approach to mediation analysis. In L. M. Collins & A. G. Sayer (Eds.), New methods for the analysis of change: Decade of behavior (pp. 390-392). Washington, DC: American Psychological Association.Google Scholar
  17. Cohen, J. (1988). Statistical power analysis for the social sciences (2nd ed.). Hillsdale, NJ: Erlbaum.Google Scholar
  18. Conger, R. D., Patterson, G. R., & Ge, X. (1995). It takes two to replicate: A mediational model for the impact of parents' stress on adolescent adjustment. Developmental Psychology, 66, 80-97.Google Scholar
  19. DeGarmo, D. S., & Forgatch, M. S. (2000, November). Preventing the “Early Start” within transitional divorce families: An experimental test of precursors influencing antisocial behavior and delinquency. Paper presented at the American Society of Criminology, San Francisco.Google Scholar
  20. Eddy, J. M., & Chamberlain, P. (2000). Family management and deviant peer association as mediators of the impact of treatment condition on youth antisocial behavior. Journal of Consulting and Clinical Psychology, 68(5), 857-863.Google Scholar
  21. Eisenstadt, T. H., Eyberg, S., McNeil, C. B., Newcomb, K., & Funderburk, B. (1993). Parent–child interaction therapy with behavior problem children: Relative effectiveness of two stages and overall treatment outcome. Journal of Clinical Child Psychology, 22, 42-51.Google Scholar
  22. Forehand, R., Fauber, R., Long, N., Brody, G. H., & Slotkin, J. (1987). Maternal depressive mood following divorce: An examination of predictors and adolescent adjustment from a stress model perspective. In Advances in family interaction, assessment and theory (Vol. 4, pp. 71-98). Greenwich, CT: JAI Press.Google Scholar
  23. Forehand, R., McCombs, A., & Brody, G. H. (1987). The relationship between parental depressive mood states and child functioning. Advances in Behavior Research and Therapy, 9, 1-20.Google Scholar
  24. Forgatch, M. S. (1994). Parenting through change: A programmed intervention curriculum for groups of single mothers. Eugene: Oregon Social Learning Center.Google Scholar
  25. Forgatch, M. S., & DeGarmo, D. S. (1999). Parenting through change: An effective prevention program for single mothers. Journal of Consulting and Clinical Psychology, 67(5), 711-724.Google Scholar
  26. Forgatch, M. S., & DeGarmo, D. S. (2002). Extending and testing the social interaction learning model with divorce samples. In J. B. Reid, G. R. Patterson, & J. Snyder (Eds.), Antisocial behavior in children: Developmental theories and models for intervention (pp. 235-256). Washington, DC: American Psychological Association.Google Scholar
  27. Forgatch, M. S., Knutson, N., & Mayne, T. (1992). Coder impressions of ODS lab tasks. Eugene: Oregon Social Learning Center.Google Scholar
  28. Forgatch, M. S., & Marquez, B. (1993). The divorce workout [Videotape]. Eugene: Oregon Social Learning Center.Google Scholar
  29. Forgatch, M. S., Patterson, G. R., & Ray, J. A. (1996). Divorce and boys' adjustment problems: Two paths with a single model. In E. Mavis (Ed.), Stress, coping, and resiliency in children and the family (pp. 67-105). Hillsdale, NJ: Erlbaum.Google Scholar
  30. Gottman, J. M., & Roy, A. K. (1990). Sequential analysis: A guide for behavioral researchers. New York: Cambridge University Press.Google Scholar
  31. Griest, D., Forehand, R., Rogers, T., Breiner, J., Furey, W., & Williams, C. A. (1982). Effects of parent enhancement therapy on the treatment of outcome and generalization of a parent training program. Behavior Research and Therapy, 20, 429-436.Google Scholar
  32. Hetherington, E. M., Bridges, M., & Insabella, G. M. (1998). What matters? What does not? Five perspectives on the association between marital transitions and children's adjustment. American Psychologist, 53(2), 167-184.Google Scholar
  33. Hetherington, E. M., & Clingempeel, G. (1992). Coping with marital transitions (Vol. 57). Chicago: University of Chicago Press.Google Scholar
  34. Hollingshead, A. B. (1975). Four Factor Index of Social Status. (Unpublished manuscript), Yale University.Google Scholar
  35. Holmbeck, G. N. (1997). Toward terminological, conceptual, and statistical clarity in the study of mediators and moderators: Examples form the child-clinical and pediatric psychology literatures. Journal of Consulting and Clinical Psychology, 65(4), 599-610.Google Scholar
  36. Hops, H., Biglan, A., Sherman, L., Arthur, J., Friedman, L., & Osteen, V. (1987). Home observations of family interactions of depressed women. Journal of Consulting and Clinical Psychology, 55(3), 341-346.Google Scholar
  37. Kellam, S. G., Werthamer-Larsson, L., Dolan, L. J., Brown, C. H., Mayer, L. S., Rebok, G. W., Anthony, J. C., Laudoff, J., & Edelsohn, G. (1991). Developmental epidemiologically based preventive trials: Baseline modeling of early target behaviors and depressive symptoms. American Journal of Community Psychology, 19(4), 563-584.Google Scholar
  38. Kraemer, H. C., & Thiemann, S. (1989). A strategy to use soft data effectively in randomized controlled clinical trials. Journal of Consulting and Clinical Psychology, 57(1), 148-154.Google Scholar
  39. Kovacs, M. (1985). The Children's Depression Inventory (CDI). Psychopharmocology Bulletin, 21(4), 995-998.Google Scholar
  40. Maccoby, E. E. (1980). Commentary and reply. In G. R. Patterson (Ed.), Mothers: The unacknowledged victims (pp. 56–64). Monographs of the Society for Research in Child Development, 45(5, Serial No. 186), 1-64.Google Scholar
  41. Martinez, C. R., Jr., & Forgatch, M. S. (2001). Preventing problems with boys' noncompliance: Effects of a parent training intervention for divorcing mothers. Journal of Consulting and Clinical Psychology, 69, 416-428.Google Scholar
  42. Muthen, B. O., & Curran, P. J. (1997). General growth modeling in experimental designs: A latent variable framework for analysis and power estimation. Psychological Methods, 4, 371-402.Google Scholar
  43. Muthen, B. O., Kaplan, D., & Hollis, M. (1987). On structural equation modeling with data that are not missing completely at random. Psychometrika, 52, 431-462.Google Scholar
  44. Patterson, G. R. (1980). Mothers: The unacknowledged victims. Monographs of the Society for Research in Child Development, 45(5, Serial No. 186), 1-64.Google Scholar
  45. Patterson, G. R. (1982). Coercive family process. Eugene, OR: Castalia.Google Scholar
  46. Patterson, G. R., & Fisher, P. A. (2002). Recent developments in our understanding of parenting: Bidirectional effects, causal models, and the search for parsimony. In M. Bornstein (Ed.), Handbook of parenting: Practical and applied parenting (2nd ed., Vol. 5, pp. 59-88). Mahwah, NJ: Erlbaum.Google Scholar
  47. Patterson, G. R., & Fleischman, M. J. (1979). Maintenance of treatment effects: Some considerations concerning family systems and follow-up data. Behavior Therapy, 10, 168-185.Google Scholar
  48. Patterson, G. R., & Forgatch, M. S. (1990). Initiation and maintenance of process disrupting single-mother families. In G. R. Patterson (Ed.), Depression and aggression in family interaction (pp. 209-245). Hillsdale, NJ: Erlbaum.Google Scholar
  49. Patterson, G. R., Reid, J. B., & Dishion, T. J. (1992). A social interactional approach: Antisocial boys (Vol. 4). Eugene, OR: Castalia.Google Scholar
  50. Patterson, G. R., & Stoolmiller, M. (1991). Replications of a dual failure model for boys' depressed mood. Journal of Consulting and Clinical Psychology, 59, 491-498.Google Scholar
  51. Patterson, G. R., & Stoolmiller, M. (1999, November). Comparison of different mechanisms for children's antisocial behavior. Paper presented at the 33rd annual meetings of the Association for the Advancement of Behavior Therapy, Toronto, Canada.Google Scholar
  52. Radloff, L. S. (1977). The CES-D scale: A self-report depression scale for research in the general population. Applied Psychological Measurement, 1, 385-401.Google Scholar
  53. Reid, J. B., Eddy, J. M., Fetrow, R. A., & Stoolmiller, M. (1999). Description and immediate impacts of a preventive intervention for conduct problems. American Journal of Community Psychology, 27(4), 483-517.Google Scholar
  54. Rusby, J. C., Estes, A., & Dishion, T. (1991). The Interpersonal Process Code (IPC). Unpublished manuscript, Oregon Social Learning Center, Eugene.Google Scholar
  55. Serketich, W. J., & Dumas, J. E. (1996). The effectiveness of behavioral parent training to modify antisocial behavior in children: A meta-analysis. Behavior Therapy, 27, 171-186.Google Scholar
  56. Shaw, D. S., Emery, R. E., & Tuer, M. D. (1993). Parental functioning and children's adjustment in families of divorce: A prospective study. Journal of Abnormal Child Psychology, 21(1), 119-134.Google Scholar
  57. Sheeber, L., Hops, H., & Davis, B. (2001). Family processes in adolescent depression. Clinical child and Family Psychology Review, 4(1), 19-35.Google Scholar
  58. Simons, R. L. (1996). The effect of divorce on adult and child adjustment. In R. L. S. Associates (Ed.), Understanding differences between divorced and intact families (pp. 3-20). Thousand Oaks, CA: Sage.Google Scholar
  59. Simons, R. L., Beaman, J., Conger, R. D., & Chao, W. (1993). Stress, support, and antisocial behavior trait as determinants of emotional well-being and parenting practices among single mothers. Journal of Marriage and the Family, 55, 385-398.Google Scholar
  60. Stevens, J. (1992). Applied multivariate statistics for the social sciences (2nd ed.). Hillsdale, NJ: Erlbaum.Google Scholar
  61. Stoolmiller, M. (1995). Using latent growth curve models to study developmental processes. In J. M. Gottman & G. Sackett (Eds.), The analysis of change (pp. 105-138). Hillsdale, NJ: Erlbaum.Google Scholar
  62. Tynan, W. D., Schuman, W., & Lampert, N. (1999). Concurrent parent and child therapy groups for externalizing disorders: From the laboratory to the world of managed care. Cognitive and Behavioral Practice, 6, 3-9.Google Scholar
  63. U.S. Bureau of the Census. (1993). 1990 census of population and housing: Population and housing characteristics for census tracts and block numbering areas (Publication No. CPH-3-144). Washington, DC: U.S. Government Printing Office.Google Scholar
  64. Vinokur, A. M., Price, R. H., & Caplan, R. D. (1991). From field experiments to program implementation: Assessing the potential outcomes of an experimental intervention program for unemployed persons. American Journal of Community Psychology, 19, 543-562.Google Scholar
  65. Vitaro, F., Brendgen, M., & Tremblay, R. E. (2001). Preventive intervention: Assessing its effects on the trajectories of delinquency and testing for mediational processes. Applied Developmental Science, 5(4), 201-213.Google Scholar
  66. Walter, H., & Gilmore, S. K. (1973). Placebo versus social learning effects in parent training procedures designed to alter the behavior of aggressive boys. Behavior Therapy, 4, 361-371.Google Scholar
  67. Webster-Stratton, C., & Hammond, M. (1997). Treating children with early-onset conduct problems: A comparison of child and parent training interventions. Journal of Consulting and Clinical Psychology, 56(1), 93-109.Google Scholar
  68. West, S., Aiken, L. S., & Todd, M. (1993). Probing the effects of individual components in multiple component prevention programs. American Journal of Community Psychology, 21(5), 571-605.Google Scholar
  69. Wiltz, N. A., Jr., & Patterson, G. R. (1974). An evaluation of parent training procedures designed to alter inappropriate aggressive behavior of boys. Behavior Therapy, 5, 215-221.Google Scholar
  70. Wothke, W. (2000). Longitudinal and multi-group modeling with missing data. In T. D. Little, K. U. Schnabel, & J. Baumert (Eds.), Modeling longitudinal and multiple group data: Practical issues, applied approaches and specific examples (pp. 269-281). Mahwah, NJ: Erlbaum.Google Scholar

Copyright information

© Society for Prevention Research 2004

Authors and Affiliations

  • David S. DeGarmo
    • 1
  • Gerald R. Patterson
    • 1
  • Marion S. Forgatch
    • 1
  1. 1.Oregon Social Learning CenterEugene

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