Oppositional defiant disorder: A systematic review of evidence of intervention effectiveness

Abstract

This research synthesis examines rigorous evaluations of interventions for children diagnosed with ODD. The primary goal was to identify and synthesize through meta-analysis what is known regarding the effectiveness of various treatments. A secondary goal was to assess the degree to which treatment effectiveness is being evaluated in multiple domains. Seven studies were identified that measured outcomes in six domains. As in prior reviews, interventions demonstrate improvements in the child's behavior at home and parental stress/strain. Support for improvements in behavior and performance in school is not as strong due in part to a scarcity of attention to the multiple domains of functioning. The interventions reviewed here demonstrate some benefit and no harm; however, there is room to strengthen the research base.

Parent–Child Interaction Therapy for Child Disruptive Behaviour Disorders: A Meta-analysis

“…Thus far, meta-analyses that have looked at PCIT have compared its effectiveness with different prevailing interventions (e.g., Bradley and Mandell 2005;Thomas and Zimmer-Gembeck 2007). While these studies offer valuable insights into the usefulness of various interventions in comparison to one another, they have not examined whether any external factors moderate the efficacy of each treatment.…”

“…While these studies offer valuable insights into the usefulness of various interventions in comparison to one another, they have not examined whether any external factors moderate the efficacy of each treatment. Furthermore, Bradley and Mandell (2005) looked at the efficacy of several prominent treatments for ODD, and only two of the seven studies in their meta-analysis implemented PCIT. Thomas and Zimmer-Gembeck (2007) provide the most comprehensive meta-analytic overview of PCIT to date, incorporating thirteen studies to uncover the influence of PCIT on children with behaviour problems; however, they did not exclude children who were victims of abuse, leading to a potential ''apples and oranges'' problem (Lipsey and Wilson 2001, p. 2), which arises from compiling studies that focus on different constructs.…”

The Empirical Status of Treatments for Children and Youth With Conduct Problems

“…Maughan et al (2005) reported an effect size of d = 0.28 for studies involving randomized controls and d = 0.73 effect size among less rigorous, uncontrolled studies. Among their sample of 79 studies, BPT was found to be effective for reducing externalizing and disruptive behaviors in (2000) Youth displaying antisocial behavior 11.5 Majority male N/G Bradley and Mandell (2005) Children diagnosed with oppositional N/G N/G N/G defiant disorder Conner, Glatt, Lopez, Jackson, Youth with ADHD displaying overt 9.7 Majority male N/G and Melloni (2002) or covert aggression-related behavior Derzon and Lipsey (2002) Youth between 9 and 19 N/G N/G N/G DuBois, Holloway, Valentine, "At-risk youth" < 19 Majority male N/G and Cooper (2002) Garrett (1985) Adjudicated delinquent youth living 15.8 Majority male Majority "mixed in residential treatment ethnicity" Gonzalez et al (2004) Children and adolescents in any setting < 18 N/G N/G Landenberger and Lipsey (2005) Juvenile offenders N/G Majority male N/G Latimer (2001) "Young offenders" Lipsey (1992) Juvenile delinquents N/G N/G N/G Lipsey and Wilson (1998) Serious juvenile offenders N/G Majority male 39% Caucasian, 14% Black, 2% Hispanic, 22% Mixed Maughan, Christiansen, Jenson, Parents of children with N/G N/G N/G Olympia, and Clark (2005) externalizing behavior disorders McCart, Priester, Davies, Youth in treatment for at least one N/G N/G N/G and Azen (2006) form of antisocial behavior Reitzell and Carbonell (2006) Juvenile sex offenders 14.6 Majority male 41% "minority race" Robinson, Smith, Miller, Children and youth with hyperactivity-N/G 90% male N/G and Brownell (1999) impulsivity and aggression Shadish et al (1993) Youth with conduct disorder N/G N/G N/G Stage and Quiroz (1997) Children and adolescents in public N/G Majority male Majority African education settings American Vaughn and Howard (2004) Youth in substance abuse treatment N/G N/G Majority Caucasian D. B. Wilson, MacKenzie, Adjudicated juvenile delinquents N/G Majority male N/G and Mitchell (2005) in boot camp S. J. Wilson and Lipsey (2000) Delinquent (2007) Note: N = 26.…”

“…Four studies (15%) were categorized as family treatments (Bradley & Mandell, 2005;Latimer, 2001;Shadish et al, 1993;Woolfenden, Williams, & Peat, 2007). These studies included the assessment of systemic, humanistic, eclectic, and parent training, child and parent interaction groups, and unspecified therapeutic techniques, among others.…”

“…Effect sizes for family treatments ranged from d = -0.15 to d = 1.06. Bradley and Mandell (2005) examined seven studies that focused on nonresidential and nonpharmacological treatments for children with a diagnosis of ODD. They found that treatments that were targeted toward the parent or the child individually were more effective than treatments that were directed toward both parents and children.…”