scholarly journals Parent Training Outcomes Among Young Children with Callous–Unemotional Conduct Problems with or at Risk for Developmental Delay

2013 ◽  
Vol 23 (2) ◽  
pp. 437-448 ◽  
Author(s):  
Eva R. Kimonis ◽  
Daniel M. Bagner ◽  
Dainelys Linares ◽  
Clair A. Blake ◽  
Gabriela Rodriguez
Keyword(s):  
At Risk ◽  
Young Children ◽  
Parent Training ◽  
Developmental Delay ◽  
Conduct Problems ◽  
Training Outcomes ◽  
Callous Unemotional

The Incredible Years® Programs for ADHD in Young Children: A Critical Review of the Evidence

2017 ◽  
Vol 26 (4) ◽  
pp. 195-208 ◽  
Author(s):  
Desiree W. Murray ◽  
Jacqueline R. Lawrence ◽  
Doré R. LaForett
Keyword(s):  
At Risk ◽  
Young Children ◽  
Conduct Problems ◽  
Parent Report ◽  
Treatment Programs ◽  
Adolescent Psychology ◽  
Incredible Years ◽  
Child Treatment ◽  
Observational Measures ◽  
The Impact

This study evaluated the effectiveness of Incredible Years® (IY) programs for Attention-Deficit/Hyperactivity Disorder (ADHD) in children aged 3 to 8 years based on a systematic literature review. Effects of IY programs for children with or at risk for ADHD are examined in addition to the impact on ADHD behaviors in young children identified as having conduct problems or disruptive behavior. Search strategies identified 17 publications reflecting 11 unique intervention studies, including three with samples demonstrating elevated ADHD symptoms or meeting criteria for ADHD. Effects on ADHD outcomes, primarily parent report, were positive and comparable to those seen for conduct problems; benefits were also seen on social skills. Smaller and more variable effects were seen on observational measures and teacher reports. The overall methodological strength of this literature was relatively strong, although lack of fidelity measurement is a weakness. Using criteria established by the American Psychological Association’s Division 53 (Society of Clinical Child and Adolescent Psychology), the IY Basic Parent Program may be considered Probably Efficacious for young children at risk for ADHD. In addition, the combined IY parent and child treatment programs can be considered Possibly Efficacious for children aged 4 to 6 years with ADHD, based on one study by the developer with a diagnosed sample.

scholarly journals Helping Optimize Language Acquisition (HOLA) Online Parent Training Modules for Latinx Parents of Toddlers at Risk for ASD: Protocol for a Pilot Funded by the Organization for Autism Research (Preprint)

2020 ◽  
Author(s):  
Robin Lynn Dodds
Keyword(s):  
At Risk ◽  
Los Angeles ◽  
Young Children ◽  
Parent Training ◽  
Autism Spectrum ◽  
Professional Services ◽  
Evidence Based ◽  
Culturally Competent ◽  
South Los Angeles ◽  
The Impact

BACKGROUND Culturally competent parent training in evidence-based intervention for autism spectrum disorder (ASD) can provide young Latinx children from underserved communities with early interventional support while they wait for professional services, thus reducing the impact of intervention delays. Providing parents with brief bilingual training in Pivotal Response Treatment (PRT) is a strategy that can overcome these barriers and is inexpensive to disseminate. Brief PRT training has been shown to significantly improve joint attention, expressive language, responsivity, and adaptive skills in young children with ASD. However, it is unknown whether an interactive, culturally competent online parent training in PRT is effective in a Latinx population. OBJECTIVE To this end, we will recruit 24 children (16-36 months old) at risk for ASD and their parent(s) from East and South Los Angeles and provide them with a series of 6 online learning modules in their choice of Spanish or English. METHODS This pilot study will utilize a single-group, pilot, pre-post design with follow-up assessments 6 weeks later. Linear mixed-effects model analysis will be used to explore most parent-reported and coded outcomes. RESULTS Brief online parent training in evidence-based treatments has the capacity to increase access to culturally competent early communication interventions for young children at risk for ASD. CONCLUSIONS The results of this trial may have particular salience in additional underresourced communities where children have limited access to interventions prior to entering school. INTERNATIONAL REGISTERED REPORT PRR1-10.2196/18004

Predictors of depressive symptoms in primary caregivers of young children with or at risk for developmental delay

2007 ◽  
Vol 51 (8) ◽  
pp. 606-619 ◽  
Author(s):  
M. Feldman ◽  
L. McDonald ◽  
L. Serbin ◽  
D. Stack ◽  
M. L. Secco ◽  
...  
Keyword(s):  
At Risk ◽  
Depressive Symptoms ◽  
Young Children ◽  
Developmental Delay ◽  
Primary Caregivers

Parent–Child Interaction Therapy-Callous Unemotional Adaptation for a Preschool Boy With Conduct Problems

2020 ◽  
Vol 19 (5) ◽  
pp. 370-385
Author(s):  
Heather Agazzi ◽  
Kimberly Knap ◽  
Eva R. Kimonis
Keyword(s):  
Young Children ◽  
Conduct Problems ◽  
Behavioral Management ◽  
Parent Child Interaction Therapy ◽  
Cu Traits ◽  
Callous Unemotional ◽  
Child Interaction ◽  
Parent Child Interaction ◽  
Parent Child

Young children with conduct problems (CPs) and elevated callous unemotional (CU) traits (CP+CU) show more severe, stable, and aggressive CPs relative to children with CP traits alone. Children with CP+CU tend to benefit less from traditional treatment modalities for child CPs that rely on social attention and punishments compared with children with CP-alone, but respond well to reward-based behavioral management strategies. Emerging research suggests that the Parent–Child Interaction Therapy-Callous Unemotional adaptation (PCIT-CU) may be a compelling mechanistically targeted intervention for young children with CP+CU. This case study presents the treatment of a 4½-year-old boy with oppositional defiant disorder (ODD), attention-deficit/hyperactivity disorder–combined presentation (ADHD-C), and CU traits using PCIT-CU. Findings from this case study include (a) improvement in CP that was maintained at 4-month follow-up, (b) reduced parent ratings of CU traits over the course of treatment, (c) reduced negative parenting practices, and (d) preliminary support for adapting parent behavioral management training interventions for young children with CP+CU and comorbid ADHD-C.

scholarly journals Are Callous-Unemotional Traits Associated with Differential Response to Reward Versus Punishment Components of Parent-Training? A Randomized Trial

2018 ◽  
Author(s):  
Michael F Lorber ◽  
Camilo Ortiz ◽  
David J. Hawes ◽  
Laurie Miller Brotman ◽  
Sarah Lazer
Keyword(s):  
Parent Training ◽  
Conduct Problems ◽  
Controlled Trial ◽  
Differential Response ◽  
Parenting Strategies ◽  
Training Interventions ◽  
Cu Traits ◽  
Alternative Intervention ◽  
Callous Unemotional ◽  
Poor Treatment

Relatively poor treatment outcomes have been reported for children with conduct problems and high levels of callous-unemotional (CU) traits (e.g., a lack of guilt, a lack of empathy, shallow affect), yet the mechanisms underlying this effect are poorly understood. Recently, growing evidence of aberrant reward/punishment processing in children with CU traits has suggested that punishment-based parenting strategies may be less effective among children with high levels of CU traits. Using a randomized controlled trial (RCT) design we conducted an experimental test of whether CU traits are associated with differential response to reward versus punishment components of evidence-based parent-training interventions for conduct problems. Parents of children (n = 74) aged 3 to 8 years were randomized to either five weeks of reward-based or five weeks of punishment-based parenting strategies, after which time each received the alternative intervention. Contrary to predictions, neither type nor dosage of parent training strategies was found to moderate the relation between CU traits and treatment response. Implications for the treatment of conduct problems in children with high levels of CU traits, and research into mechanisms of behavior change, are discussed.

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