Literature DB >> 22876266

Effectiveness of Day Treatment for Disruptive Behaviour Disorders: What is the Long-term Clinical Outcome for Children?

Sharon E Clark1, Susan Jerrott.   

Abstract

OBJECTIVE: The present study investigates the clinical long-term outcomes (2½ to 4 years post-discharge) of children aged 12 and under with a primary diagnosis of a Disruptive Behaviour Disorder (DBD) who attended a short-term day treatment program using best-practice treatment strategies. This study compared children's admission, discharge, and follow-up test scores on standardized measures of behaviour and functioning, as rated by parents.
METHOD: Measures of clinical symptoms in the children and parent report of stress were used. To test for treatment effects across time, two repeated-measures ANOVAs were calculated.
RESULTS: There was significant treatment change across time points on measures of social problems, externalizing symptoms, levels of aggression, intensity of problems, and symptoms of ADHD.
CONCLUSIONS: Children with DBD who attended a short-term day treatment program using best-practice treatment strategies showed significant improvement in their behaviour at home. These improvements were relatively long lasting. The current study lends support to the effectiveness of day treatment and the idea that severe DBD can be treated using multi-modal, intensive, and evidence-based treatment techniques resulting in long-term change.

Entities:  

Keywords:  children; day treatment; disruptive behaviour disorders; effectiveness; long-term treatment outcomes

Year:  2012        PMID: 22876266      PMCID: PMC3413470     

Source DB:  PubMed          Journal:  J Can Acad Child Adolesc Psychiatry        ISSN: 1719-8429


  25 in total

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Authors:  J Stuart Ablon; Enrico E Jones
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2.  Developmental trajectories of childhood disruptive behaviors and adolescent delinquency: a six-site, cross-national study.

Authors:  Lisa M Broidy; Daniel S Nagin; Richard E Tremblay; John E Bates; Bobby Brame; Kenneth A Dodge; David Fergusson; John L Horwood; Rolf Loeber; Robert Laird; Donald R Lynam; Terrie E Moffitt; Gregory S Pettit; Frank Vitaro
Journal:  Dev Psychol       Date:  2003-03

3.  Outcome of multimodal day treatment for children with severe behavior problems: a five-year follow-up.

Authors:  N Grizenko
Journal:  J Am Acad Child Adolesc Psychiatry       Date:  1997-07       Impact factor: 8.829

Review 4.  Clinical trials: bridging the gap between efficacy and effectiveness.

Authors:  Colin Depp; Barry D Lebowitz
Journal:  Int Rev Psychiatry       Date:  2007-10

Review 5.  Oppositional defiant disorder and conduct disorder: a review of the past 10 years, part II.

Authors:  Jeffrey D Burke; Rolf Loeber; Boris Birmaher
Journal:  J Am Acad Child Adolesc Psychiatry       Date:  2002-11       Impact factor: 8.829

6.  A clinical and academic outcome study of children attending a day treatment program.

Authors:  S Kotsopoulos; S Walker; K Beggs; B Jones
Journal:  Can J Psychiatry       Date:  1996-08       Impact factor: 4.356

Review 7.  Juvenile maladaptive aggression: a review of prevention, treatment, and service configuration and a proposed research agenda.

Authors:  Daniel F Connor; Gabrielle A Carlson; Kiki D Chang; Peter T Daniolos; Reuven Ferziger; Robert L Findling; Janice G Hutchinson; Richard P Malone; Jeffrey M Halperin; Belinda Plattner; Robert M Post; Diane L Reynolds; Kenneth M Rogers; Kirti Saxena; Hans Steiner
Journal:  J Clin Psychiatry       Date:  2006-05       Impact factor: 4.384

8.  Pilot study of continuation cognitive-behavioral therapy for major depression in adolescent psychiatric patients.

Authors:  L Kroll; R Harrington; D Jayson; J Fraser; S Gowers
Journal:  J Am Acad Child Adolesc Psychiatry       Date:  1996-09       Impact factor: 8.829

Review 9.  Studies of the effectiveness of day treatment programs for children.

Authors:  L Sayegh; N Grizenko
Journal:  Can J Psychiatry       Date:  1991-05       Impact factor: 4.356

10.  Adolescent outcome of disruptive behaviour disorder in children who had been treated in in-patient and day-treatment settings.

Authors:  I van Bokhoven; W Matthys; St H M van Goozen; H van Engeland
Journal:  Eur Child Adolesc Psychiatry       Date:  2006-02-15       Impact factor: 4.785

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