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Parenting Cognition and Affective Outcomes Following Parent Management Training: A Systematic Review

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Abstract

Parent management training (PMT) is considered the gold standard in the treatment of child behavior problems. The secondary effects of these interventions, particularly on parent well-being, are infrequently studied, despite evidence that parents of children with behavior problems often experience personal difficulties. This narrative review examined the affective and parenting cognition outcomes of PMT for mothers and fathers of children ages 2–13 years, across 48 controlled treatment studies. Substantial support was found for reductions in parenting stress, and increases in perceived parenting competence following PMT. Evidence indicated fewer improvements in domains more distal from parenting, including parent depressive symptoms and marital relationship dysfunction. A number of studies suggested parent gender as a moderator of parent outcomes of PMT; however, the underrepresentation of fathers in existing research limits conclusions in this regard. Avenues for future research are highlighted to address current gaps in the literature, and to further our understanding of the ways in which both children and parents may benefit from PMT.

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Notes

  1. Stattin et al. (2015) included two PMT protocols (as defined by the inclusion criteria for this review). Support for a decrease in depressive symptoms was found in one protocol (Comet), but not the other (Incredible Years).

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Acknowledgments

We thank our colleagues in the Parenting Lab who provided valuable feedback throughout this project.

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Correspondence to Sara Colalillo.

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Charlotte Johnston is a member of the Triple P Positive Parenting Program, International Scientific Advisory Committee.

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Colalillo, S., Johnston, C. Parenting Cognition and Affective Outcomes Following Parent Management Training: A Systematic Review. Clin Child Fam Psychol Rev 19, 216–235 (2016). https://doi.org/10.1007/s10567-016-0208-z

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