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Six-year outcome for children with ODD or CD treated with the coping power program

Pietro Muratori1, Annarita Milone1, Valentina Levantini1

  • 1IRCCS Fondazione Stella Maris, Scientific Institute of Child Neurology and Psychiatry, Viale del Tirreno 331, 56018 Pisa, Italy.

Psychiatry Research
|December 12, 2018
PubMed

Insights

The Coping Power Program significantly reduced callous-unemotional traits and substance use in children with behavioral disorders over six years. However, it did not improve externalizing behaviors compared to standard treatment.

Area of Science:

  • Child and Adolescent Psychiatry
  • Clinical Psychology
  • Behavioral Science

Background:

  • Children with severe aggressive behaviors are frequently referred to mental health services.
  • These behaviors increase risk for substance use and other negative outcomes.
  • Effective interventions are crucial for this population.

Purpose of the Study:

  • To evaluate the six-year long-term outcome of the Coping Power Program for children with behavioral disorders.
  • To compare the Coping Power Program with a generic multi-component treatment.
  • To assess the program's impact on callous-unemotional traits, substance use, and externalizing behaviors.

Main Methods:

  • A six-year follow-up study involving 120 children (mean age 9.9) diagnosed with Oppositional Defiant Disorder or Conduct Disorder.
  • Participants were randomized to the Coping Power Program or a control condition (generic multi-component treatment).
  • Assessments included the Child Behavior Checklist, Inventory of Callous Unemotional traits, and a youth survey for substance use.

Main Results:

  • The Coping Power Program demonstrated a significant reduction in callous-unemotional traits compared to the control group.
  • A trend towards reduced substance use was observed in the Coping Power group.
  • No significant differences were found between groups in the reduction of externalizing behaviors.

Conclusions:

  • The Coping Power Program shows long-term effectiveness in reducing callous-unemotional traits and potentially substance use in children with behavioral disorders.
  • Findings support the dissemination of evidence-based treatments like Coping Power in public mental health settings.
  • Further research may be needed to address externalizing behaviors more effectively.

Keywords:
Aggressive BehaviorsCallous UnemotionalConduct disorderCoping power programOppositional defiant disorder

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