The effect of adding Coping Power Program-Sweden to Parent Management Training-effects and moderators in a randomized controlled trial.


Journal Article

For children with oppositional defiant disorder (ODD), Parent Management Training (PMT) is a recommended treatment in addition to child Cognitive Behavioral Therapy (child-CBT). There is however a lack of studies investigating the additive effect of group-based child-CBT to PMT for children between 8 and 12 years. The current study investigated the incremental effect of group-based child-CBT, based on the Coping Power Program, when added to the Swedish group-based PMT program KOMET. Outcomes were child behavior problems, child prosocial behavior, parenting skills and the moderating effect of child characteristics. One hundred and twenty children 8-12 years with ODD or Disruptive Behavioral Disorder NOS and their parents were randomized either to combined child-CBT and PMT (n = 63) or to PMT only (n = 57) in Swedish Child- and Adolescent Psychiatric settings. Participants were assessed pre- and post-treatment using semi-structured interviews and child- and parent ratings. After treatment, behavior problems were reduced in both groups. Prosocial behavior were significantly more improved in the combined treatment. Parenting skills were improved in both groups. In moderator analyses, behavior problems and prosocial behavior improved significantly more in the combined treatment compared to PMT only in the group of children with high levels of ODD symptoms.

Full Text

Cited Authors

  • Helander, M; Lochman, J; Högström, J; Ljótsson, B; Hellner, C; Enebrink, P

Published Date

  • April 2018

Published In

Volume / Issue

  • 103 /

Start / End Page

  • 43 - 52

PubMed ID

  • 29448135

Pubmed Central ID

  • 29448135

Electronic International Standard Serial Number (EISSN)

  • 1873-622X

International Standard Serial Number (ISSN)

  • 0005-7967

Digital Object Identifier (DOI)

  • 10.1016/j.brat.2018.02.001


  • eng