Maternal executive function and stress and children's behavior problem treatment outcomes
Anne W Riley1, Helen F Yu-Lefler2, AliceAnn Crandall3
1Department of Population, Family and Reproductive Health, Johns Hopkins University Bloomberg School of Public Health.
Summary
Mothers with executive function (EF) challenges are more likely to drop out of parent training. Addressing maternal EF deficits and parenting stress can improve treatment adherence and child behavior outcomes.
Area of Science:
- Child Psychology
- Developmental Psychology
- Clinical Psychology
Background:
- Parent management training (PMT) is crucial for addressing children's behavior problems.
- Maternal factors like executive functions (EF) and parenting stress may influence treatment outcomes.
- Understanding these maternal factors is key to improving PMT effectiveness.
Purpose of the Study:
- To investigate the association between maternal executive function (EF) capacities and parenting stress with early dropout, appointment attendance, and treatment outcomes in PMT.
- To determine if maternal EF deficits and high parenting stress predict poorer adherence and results in children's behavioral treatment.
Main Methods:
- Prospective, observational study of 288 mothers undergoing in-clinic PMT for children aged 2-12 years.
- Maternal EF and parenting stress assessed using the Behavior Rating Inventory of Executive Function for Adults and Parenting Stress Index.
- Regression models analyzed the impact of maternal EF deficits and parenting stress on dropout, attendance, and behavior outcomes.
Main Results:
- Mothers with clinically significant EF deficits (11%) were 3 times more likely to drop out early.
- Nearly one-third of mothers reported clinically significant parenting stress.
- Children of mothers with high parenting stress were half as likely to achieve positive behavior outcomes; stress did not significantly impact attendance.
Conclusions:
- Maternal executive function (EF) challenges are linked to early attrition in parent management training (PMT).
- High parenting stress is associated with poorer behavioral outcomes for children in PMT.
- Clinical assessment of maternal EF and management of parenting stress are vital for enhancing PMT adherence and effectiveness.
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