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Parent Management Training and Collaborative & Proactive Solutions: A Randomized Control Trial for Oppositional

Thomas H Ollendick1, Ross W Greene1, Kristin E Austin1

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Summary
This summary is machine-generated.

Collaborative & Proactive Solutions (CPS) and Parent Management Training (PMT) effectively treat oppositional defiant disorder (ODD) in youth, showing similar results. Both treatments outperformed waitlist controls, with gains maintained at follow-up.

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Area of Science:

  • Child and Adolescent Psychiatry
  • Behavioral Psychology
  • Clinical Psychology

Background:

  • Oppositional Defiant Disorder (ODD) is a common behavioral disorder in youth.
  • Established treatments like Parent Management Training (PMT) exist, but novel approaches are needed.
  • Collaborative & Proactive Solutions (CPS) offers a new framework for ODD treatment.

Purpose of the Study:

  • To compare the efficacy of Collaborative & Proactive Solutions (CPS) against Parent Management Training (PMT) and a waitlist control (WLC) for treating ODD in youth.
  • To assess treatment outcomes using responder and remitter analyses.
  • To identify predictors of treatment success in ODD.

Main Methods:

  • 134 youth (ages 7-14) diagnosed with ODD were randomized into CPS, PMT, or WLC groups.
  • Assessments included semistructured interviews, clinical ratings, and parent reports at pre-treatment, post-treatment, and 6-month follow-up.
  • Intent-to-treat mixed-models analyses were used for responder and remitter outcomes.

Main Results:

  • Both CPS and PMT were significantly superior to the WLC group in treating ODD.
  • No significant difference in efficacy was found between CPS and PMT.
  • Approximately 50% of youth in active treatment groups achieved remission and significant improvement, maintained at 6 months.

Conclusions:

  • Collaborative & Proactive Solutions (CPS) is an effective, evidence-based alternative treatment for youth with ODD, equivalent to Parent Management Training (PMT).
  • Younger age and comorbid anxiety disorders predicted better outcomes for both treatments.
  • Treatment gains for CPS and PMT are durable, with sustained improvements at 6-month follow-up.