The role of parental attributions in predicting parenting intervention outcomes in the treatment of child conduct problems

Sawrikar, Vilas; Hawes, David J.; Moul, Caroline; Dadds, Mark R.

doi:10.1016/j.brat.2018.10.004

Cited by 23 publications

(34 citation statements)

References 36 publications

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“…Further, the standardised coefficients suggested a small to moderate effect for pre-treatment parental attributions on post-treatment negative parental feelings compared to a large effect when change-resistant parental attributions was the predictor variable [61]. This pattern of results may suggest that effects sizes related to mediation are greater at the end of treatment where mothers' change resistant parental attributions represents a more proximal predictor of overall child behaviour outcomes [8,13]. Further, outcomes in harsh discipline did not mediate the association between smaller improvements in parental feelings associated with change resistant parental attributions on child behaviour outcomes.…”

Section: Discussionmentioning

confidence: 88%

“…The internal consistency for the Total Scale in the current study was good (α = .80). Individual difference scores reflecting pre-to post-treatment changes in parental attributions was used to measure change resistant parental attributions [8].…”

Section: Parent Attribution Measure (Pam)mentioning

confidence: 99%

“…This suggests that targeting mothers' parental attributions within BPT may improve outcomes. However, recent findings indicated negative pre-treatment parental attributions were only prevalent in a small proportion of mothers attending BPT and were amenable to change during treatment [8]. Changes in parental attributions are hypothesised to occur experientially from parents benefitting from participation in BPT that may change their perceptions of their child [13].…”

mentioning

confidence: 99%

“…Changes in parental attributions are hypothesised to occur experientially from parents benefitting from participation in BPT that may change their perceptions of their child [13]. However, a lack of positive progress in treatment may relate to change resistant parental attributions as an important unique predictor of poor child behaviour outcomes [8]. This suggests that best possible interventions might need to be tailored for the subset of families with mothers showing negative pre-treatment and change resistant parental attributions to optimise BPT outcomes.…”

mentioning

confidence: 99%

“…The current study uses data collected from a single group treatment study used to evaluate whether problematic 1 3 parental attributions, measured at pre-treatment and as preto post-treatment changes in parental attributions, uniquely predict child outcomes [8]. As noted in Sawrikar et al [8], changes in parent and child outcomes in this study are attributable to both treatment effects and other concurrent changes in child and family functioning occurring during the treatment period which is consistent with anticipated outcomes of BPT [38,39]. Figure 1 outlines the serial mediation model used to test the main hypotheses.…”

mentioning

confidence: 99%

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How Do Mothers’ Parental Attributions Affect Child Outcomes from a Positive Parenting Intervention? A Mediation Study

Sawrikar

Hawes

Moul

et al. 2019

Child Psychiatry Hum Dev

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Problematic parental attributions refer to negative causal explanations for child problem behaviour and are known to predict parenting intervention outcomes. This study examines alternative accounts of how mothers' problematic parental attributions, operationalised as negative pre-treatment and change resistant parental attributions during treatment, may affect child behaviour outcomes from a parenting intervention program. Putative mediators included parental feelings about the child and use of harsh discipline. Participants were 163 families with children aged from 3 to 16 referred to specialist clinics for the treatment of conduct problems. Measures were collected as part of pre-treatment, post-treatment, and 3-month follow-up assessments. Mothers' pre-treatment and change resistant parental attributions were associated with smaller improvements in parental feelings at the end of treatment which in turn were associated with greater use of harsh discipline. Greater use of harsh discipline was associated with greater conduct problems overall. Smaller improvements in parental feelings mediated the effects of pre-treatment and change resistant parental attributions on outcomes in mothers' use of harsh discipline and mediated the effects of change resistant parental attributions on outcomes in child conduct problems. Smaller improvements in parental feelings about the child may act as a mechanism that explains the impact of problematic parental attributions on treatment outcomes.

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Section: Discussionmentioning

confidence: 88%

Section: Parent Attribution Measure (Pam)mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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How Do Mothers’ Parental Attributions Affect Child Outcomes from a Positive Parenting Intervention? A Mediation Study

Sawrikar

Hawes

Moul

et al. 2019

Child Psychiatry Hum Dev

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Bridging the gap between child mental health need and professional service utilisation: Examining the influence of mothers’ parental attributions on professional help-seeking intentions

Sawrikar

Diaz

Tully

et al. 2020

Eur Child Adolesc Psychiatry

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There is a significant gap between the need for child mental health services and use of these services by families. Parental attributions may play a role in this. This study examined whether mothers’ attributions about their child’s problems influence professional help-seeking intentions in a general sample of community mothers. Secondary analysis re-examined this hypothesis in a subgroup of mothers of children with clinically elevated mental health symptoms. Cross-sectional survey data were collected from mothers (N = 184) of children aged between 2 and 12 years recruited from the community. Mothers completed self-report questionnaires measuring parental attributions: child-responsible attributions and parental self-efficacy; professional help-seeking intentions; and psychosocial covariates: child mental health, mothers’ anxiety and depression, child age, gender, marital status, education, and professional help-seeking experience. Hierarchical regression modelling indicated that parental attributions explained professional help-seeking intentions after controlling for covariates in both the general sample (ΔF = 6.07; p = .003) and subgroup analysis (ΔF = 10.22, p = .000). Professional help-seeking intentions were positively associated with child-responsible attributions (β = .19, p = .002) but not parental self-efficacy (β = – .01, p = .865) in the general sample, while positively associated with child-responsible attributions (β = .20, p = .009) and negatively associated with parental self-efficacy (β = – .16, p = .034) in the subgroup analysis. Findings were independent of the presence of clinically elevated symptoms, problem type, and severity. Overall, the findings support models suggesting that parental attributions have a role in professional help-seeking for child mental health problems.

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Parental and Familial Predictors and Moderators of Parent Management Treatment Programs for Conduct Problems in Youth

Dedousis-Wallace

Drysdale

McAloon

et al. 2020

Clin Child Fam Psychol Rev

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Despite the established efficacy of Parent Management Training (PMT) for conduct problems in youth, evidence suggests that up to half of all treated youth still display clinical levels of disruptive behavior post-treatment. The reasons for these unsatisfactory outcomes are poorly understood. The aim of the present review was to provide an updated analysis of studies from the past 15 years that examined parental and familial predictors and moderators of improvement in PMT for conduct problems. A systematic literature review of indicated prevention (children with conduct problem symptoms) and intervention (children with clinical diagnoses) studies published between 2004 and 2019 was conducted. This 15-year time period was examined since the last systematic reviews were reported in 2006 and summarized studies completed through mid-2004 (see Lundahl, Risser, & Lovejoy, 2006, and Reyno & McGrath, 2006). Risk of bias indices was also computed (see Higgins, Savović, Page, & Stern, 2016) in our review. A total of 21 studies met inclusion criteria. Results indicated that a positive parent-child relationship was most strongly associated with better outcomes; however, little additional consistency in findings was evident. Future PMT research should routinely examine predictors and moderators that are both conceptually and empirically associated with treatment outcomes. This would further our understanding of factors that are associated with poorer treatment outcome and inform the development of treatment components or modes of delivery that might likely enhance evidence-based treatments and our clinical science. Protocol Registration Number: PROSPERO CRD42017058996.

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The role of parental attributions in predicting parenting intervention outcomes in the treatment of child conduct problems

Cited by 23 publications

References 36 publications

How Do Mothers’ Parental Attributions Affect Child Outcomes from a Positive Parenting Intervention? A Mediation Study

How Do Mothers’ Parental Attributions Affect Child Outcomes from a Positive Parenting Intervention? A Mediation Study

Bridging the gap between child mental health need and professional service utilisation: Examining the influence of mothers’ parental attributions on professional help-seeking intentions

Parental and Familial Predictors and Moderators of Parent Management Treatment Programs for Conduct Problems in Youth

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