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Effectiveness of group-based indicated prevention in children identified with disruptive behavior problems: results

Maria McDonald1, Theresia Fippel2, Susanne Knappe3,4

  • 1Department of Child and Adolescent Psychiatry and Psychotherapy, Faculty of Medicine, TUD Dresden University of Technology, Fetscherstr 74, 01307, Dresden, Germany. maria.mcdonald@ukdd.de.

Child and Adolescent Psychiatry and Mental Health
|May 16, 2025
PubMed

Insights

Early intervention for childhood disruptive behaviors is crucial. The "Baghira" program showed reduced disruptive behaviors and increased prosocial skills in children, with sustained effects.

Area of Science:

  • Child and Adolescent Psychology
  • Developmental Psychology
  • Clinical Psychology

Background:

  • Subclinical disruptive behavior problems in childhood are a significant risk factor for adult mental disorders.
  • Early intervention is critical to prevent the development of dysfunctional disruptive behaviors.
  • This study examines the effectiveness of an indicated prevention program for children exhibiting disruptive behaviors.

Purpose of the Study:

  • To evaluate the effectiveness of the
  • Baghira
  • cognitive-behavioral group program.
  • To assess the impact of the program on disruptive and prosocial behaviors in children.
  • To determine if the observed effects are maintained at follow-up.

Main Methods:

  • Children were screened for disruptive behavior problems using the Strength and Difficulties Questionnaire during routine pediatric health check-ups.
  • Participants were allocated to either the
  • Baghira
  • program (BA, n=171), no intervention (normal risk, NOR, n=881), or recommended but refused intervention (NO BA, n=46).
  • Behavioral outcomes were assessed using the Child Behavior Checklist and Parent Rating Scale for Conduct Disorder at three time points (T0, T1, T2).

Main Results:

  • Children in the
  • Baghira
  • group showed significant reductions in disruptive behavior problems (β = -3.61, p < .001) and increases in prosocial behavior (β = 1.67, p < .001) from pre-intervention (T0) to post-intervention (T1).
  • These positive effects were sustained at 6-month follow-up (T2).
  • The group that refused the intervention (NO BA) also demonstrated improvements in prosocial behavior from T0 to T1.

Conclusions:

  • The
  • Baghira
  • program demonstrated effectiveness in reducing disruptive behaviors and enhancing prosocial behavior in children.
  • Further controlled studies with matched or stratified designs are needed to confirm these findings.
  • Replication of effectiveness in diverse contexts, beyond pandemic conditions, is recommended to support children's mental health.
Abstract

Keywords:
ChildhoodDisruptive behavior problemsIndicated preventionMental health

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