This Article Full Text (PDF) References Alert me when this article is cited Alert me if a correction is posted Services Email this article to a friend Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Add to Saved Citations Download to citation manager Request Permissions Request Reprints Add to My Marked Citations Citing Articles Citing Articles via Google Scholar Citing Articles via Scopus Google Scholar Articles by Scahill, L. Articles by Rains, A. L. Search for Related Content PubMed PubMed Citation Articles by Scahill, L. Articles by Rains, A. L. Social Bookmarking                         What's this?

Randomized Trial of Parent Management Training in Children With Tic Disorders and Disruptive Behavior

Yale Child Study Center, lawrence.scahill{at}yale.edu., Yale School of Nursing New Haven, CT

Denis G. Sukhodolsky, PhD

Yale Child Study Center

Karen Bearss, PhD

Yale Child Study Center

Diane Findley, PhD

Yale Child Study Center

Vanya Hamrin, MSN

Yale School of Nursing New Haven, CT

Deirdre H. Carroll, MSN

Yale Child Study Center

Adrienne L. Rains, MSN

Yale Child Study Center

Oppositional, defiant, and disruptive behaviors are common in clinical samples of children with tic disorders. In this study, we sought to evaluate the short-term efficacy of a structured parent training program in children with tic disorders accompanied by disruptive behavior. Children with tic disorders and at least a moderate level of disruptive behavior were randomly assigned to a 10-session structured parent management training program or to continue treatment as usual. Twenty-four children (18 boys and 6 girls) between the ages of 6 and 12 years (mean 8.9 ± 2.0 years) were enrolled; 23 subjects completed the study. At baseline, subjects showed moderate to severe levels of oppositional and defiant behavior. Twenty subjects (83%) were on stable medication. The parent-rated Disruptive Behavior Rating Scale score decreased by 51% in the parent management training group compared with a decrease of 19% in the treatment as usual group (P < .05). On the Improvement scale of the Clinical Global Impression, a rater masked to treatment assignment classified 7 of 11 subjects who completed parent management training as much improved or very much improved compared with 2 of 12 subjects in the treatment as usual group (Fisher exact test, P < .05). These results suggest that parent management training is helpful for short-term improvement in disruptive behavior problems in children with tic disorders. Larger randomized clinical trials are needed. (J Child Neurol 2006;21:650—656; DOI 10.2310/ 7010.2006.00159).

Journal of Child Neurology, Vol. 21, No. 8, 650-656 (2006)
DOI: 10.1177/08830738060210080201


CiteULike    Complore    Connotea    Del.icio.us    Digg    Reddit    Technorati    Twitter    What's this?