Volume 12 - Articles-1401                   MEJDS (2022) 12: 216 | Back to browse issues page

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Dorostkar S, Hassanzadeh S, Vakili S, Ghasemzadeh S. Studying the Effectiveness of Family-Focused Behavioral Therapy Interventions on Decreasing Problems of Children With the Oppositional Defiant Disorder. MEJDS 2022; 12 :216-216
URL: http://jdisabilstud.org/article-1-2976-en.html
1- PhD Student in Psychology and Education of Exceptional Children, Islamic Azad University, Science and Research Branch, Tehran, Iran
2- Associate Professor, Department of Psychology, Faculty of Education and Psychology, University of Tehran, Tehran, Iran
3- Assistant Professor, Department of Psychology and Education of Exceptional Children, Islamic Azad University, Science and Research Branch, Tehran, Iran
4- Assistant Professor, Department of Psychology, Faculty of Education and Psychology, University of Tehran, Tehran, Iran
Abstract:   (1171 Views)

Abstract
Background & Objectives: Oppositional defiant disorder (ODD) is one of the prevalent behavioral disorders in children that erupts in pre-school and school ages. The symptoms of this disorder negatively impact the interaction between children and parents. The ODD is a multi-factorial disorder with a complicated etiology. Its successful treatment requires comprehensive approaches and implementing the theory of mind, behavior, social cognition, and the interactions between parents and children. Behavioral parent training can effectively reduce behavioral problems and aggression in children with ODD. Therefore, using behavioral methods and behavioral management for training mothers is especially recommended. This study aimed to investigate the effectiveness of behavioral intervention centered on parents decreasing problems in children with the ODD.
Methods: The current research was compiled and implemented based on the systematic review model. Identifying and extracting articles was done using PRISMA (The Preferred Reporting Items for Systematic Reviews and Meta-Analysis) instruction. The present study's statistical population consisted of all foreign and domestic scientific research articles on the child, parent, or family-focused cognitive behavioral interventions, educational or parental behavior management, and communication interventions in children with behavioral disorders. In the first stage of the review, all related research was collected. The second stage included screening the studies, the articles were examined in terms of the topic and abstract, and the author reviewed the abstracts of the papers. In the third stage, the qualification of the studied articles was checked. The inclusion criteria were based on the methodology (research method, population, sample, and intervention) and the research that has been done as an experiment. In the fourth stage, the final papers have been determined and included in the research. For this purpose, a search was done in the internal and external databases, including PubMed, ScienceDirect, Web of Science, Google Scholar, Scopus, SID, Magiran, and Elmnet engine according to research keywords: "behavioral interventions," "cognitive-behavior therapy," "management behavior," "parent-children interaction," "externalizing disorders," "oppositional defiant disorder," "interventions centered on family, parents or mothers" in the English and Persian languages. The initial research achieved 97 articles. However, based on the systematic review study protocol and specified criteria, 17 final papers were considered for systematic review. Then, the texts of the selected articles were thoroughly reviewed, and the related information was extracted. This information included the characteristics of the research identity card, the research method (sample and kind of intervention), the intervention protocol, and the findings.
Results: The results have shown that using cognitive-behavioral interventions, management behavior based on behavioral therapy, and parent-child interaction can improve children's behavior and decrease behavioral problems with externalizing disorder and oppositional defiant disorder. Generally, among studying articles, these results were obtained. For aggression in children with ODD, cognitive and behavioral intervention, management behavior, and parent-child interactions were effective. In addition, cognitive-behavior intervention with virtual reality and emphasizing neural mechanisms will decrease aggression in children. Child behavioral interventions centered on parents with coping empowerment have reduced symptoms of internalizing disorders such as ODD and conduct behavior. Also, the enhancing family behavior management program has significantly changed parental and children interaction. Generally, the studies have emphasized that behavioral protocols, cognitive-behavioral intervention, behavior management based on behavioral therapy, and parent-child interaction considerably reduce negative behavior and increase positive interaction in children with externalizing problems, including ODD.
Conclusion: Based on research findings, the combined use of behavioral interventions effectively treats children with externalizing disorders such as ODD. It has a significant effect in decreasing children's behavioral problems. The result of the research shows that family-focused behavior interventions have a substantial impact on improving behavior in children with the ODD.

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Type of Study: Systematic Review Article | Subject: Psychology

References
1. Palermo MT, Di Luigi M, Dal Forno G, Dominici C, Vicomandi D, Sambucioni A, et al. Externalizing and oppositional behaviors and Karate-do: the way of crime prevention: a pilot study. Int J Offender Ther Comp Criminol. 2006;50(6):654–60. [DOI]
2. Szentiványi D, Balázs J. Quality of life in children and adolescents with symptoms or diagnosis of conduct disorder or oppositional defiant disorder. Mental Health & Prevention. 2018;10:1–8. [DOI]
3. Lin X, Li L, Chi P, Wang Z, Heath MA, Du H, et al. Child maltreatment and interpersonal relationship among Chinese children with oppositional defiant disorder. Child Abuse & Neglect. 2016;51:192–202. [DOI]
4. Greeno EJ, Uretsky MC, Lee BR, Moore JE, Barth RP, Shaw TV. Replication of the KEEP foster and kinship parent training program for youth with externalizing behaviors. Child Youth Serv Rev. 2016;61:75–82. [DOI]
5. Amiri M, Behpajooh A. The effect of behavior parent training on mothers of children with attention deficit hyperactivity disorder. Int J Behav Sci. 2016;9(4):220–6.
6. Meece D, Robinson CM. Father–child interaction: associations with self-control and aggression among 4.5–year–olds. Early Child Dev Care. 2014;184(5):783–94. [DOI]
7. Schilling S, French B, Berkowitz SJ, Dougherty SL, Scribano PV, Wood JN. Child–adult relationship enhancement in primary care (PriCARE): a randomized trial of a parent training for child behavior problems. Acad Pediatr. 2017;17(1):53–60. [DOI]
8. Climie EA, Mitchell K. Parent-child relationship and behavior problems in children with ADHD. Int J Dev Disabil. 2017;63(1):27–35. [DOI]
9. Lochman JE, Matthys W. The Wiley handbook of disruptive and impulse-control disorders. First edition. Hoboken, New Jersey: John Wiley & Sons, Ltd; 2017.
10. Bradley MC, Mandell D. Oppositional defiant disorder: a systematic review of evidence of intervention effectiveness. J Exp Criminol. 2005;1(3):343–65. [DOI]
11. Jones DJ, Forehand R, Cuellar J, Kincaid C, Parent J, Fenton N, et al. Harnessing innovative technologies to advance children's mental health: behavioral parent training as an example. Clin Psychol Rev. 2013;33(2):241–52. [DOI]
12. Maaskant AM, van Rooij FB, Overbeek GJ, Oort FJ, Hermanns JMA. Parent training in foster families with children with behavior problems: Follow-up results from a randomized controlled trial. Child Youth Serv Rev. 2016;70:84–94. [DOI]
13. Bilgiç A, Uzun N, Işık Ü, Açıkel SB, Çoşkun F, Akça ÖF. The relationships of parent- and child-related psychiatric conditions with oppositional defiant disorder and conduct disorder symptoms in children with ADHD. Child Health Care. 2021;50(4):353–72. [DOI]
14. López-Villalobos JA, Andrés-De Llano JM, Rodríguez-Molinero L, Garrido-Redondo M, Sacristán-Martín AM, Martínez-Rivera MT, et al. Prevalence of oppositional defiant disorder in Spain. Rev Psiquiatr Salud Ment. 2014;7(2):80–7. [DOI]
15. Lochman JE, Powell NP, Boxmeyer CL, Jimenez-Camargo L. Cognitive-behavioral therapy for externalizing disorders in children and adolescents. Child Adolesc Psychiatr Clin N Am. 2011;20(2):305–18. [DOI]
16. Alsem SC, Van Dijk A, Verhulp EE, De Castro BO. Using virtual reality to treat aggressive behavior problems in children: a feasibility study. Clin Child Psychol Psychiatry. 2021;26(4):1062–75. [DOI]
17. Sukhodolsky DG, Wyk BCV, Eilbott JA, McCauley SA, Ibrahim K, Crowley MJ, et al. Neural mechanisms of cognitive-behavioral therapy for aggression in children and adolescents: design of a randomized controlled trial within the national institute for mental health research domain criteria construct of frustrative non-reward. J Child Adolesc Psychopharmacol. 2016;26(1):38–48. [DOI]
18. Hautmann C, Hoijtink H, Eichelberger I, Hanisch C, Plück J, Walter D, et al. One-year follow-up of a parent management training for children with externalizing behaviour problems in the real world. Behav Cogn Psychother. 2009;37(4):379–96. [DOI]
19. Daryabeigi M, Pourmohamdreza-Tajrishi M, Dolatshahi B, Bakhshi E. The effectiveness of cognitive-behavioral therapy on internalizing problems of children with externalizing disorders. Iranian Rehabilitation Journal. 2020;18(2):193–202. [DOI]
20. Gaviţa OA, David D, Bujoreanu S, Tiba A, Ionuţiu DR. The efficacy of a short cognitive–behavioral parent program in the treatment of externalizing behavior disorders in Romanian foster care children: building parental emotion-regulation through unconditional self- and child-acceptance strategies. Child Youth Serv Rev. 2012;34(7):1290–7. [DOI]
21. Muratori P, Bertacchi I, Masi G, Milone A, Nocentini A, Powell NP, et al. Effects of a universal prevention program on externalizing behaviors: exploring the generalizability of findings across school and home settings. J Sch Psychol. 2019;77:13–23. [DOI]
22. Leijten P, Melendez-Torres GJ, Eradus M, Overbeek G. Specificity of parenting program component effects: relational, behavioral, and cognitive approaches to children's conduct problems. J Am Acad Child Adolesc Psychiatry. 2022;61(3):458–60. [DOI]
23. Kazdin AE, Glick A, Pope J, Kaptchuk TJ, Lecza B, Carrubba E, et al. Parent management training for conduct problems in children: enhancing treatment to improve therapeutic change. Int J Clin Health Psychol. 2018;18(2):91–101. [DOI]
24. Akbarizade A, Hasanzadeh S, Kamkari K, Gholamali Lavasani M. The effectiveness of blended teaching method of face to face and virtual for PCIT based on eyberg's approach on the relationship between mother and child with behavioral disorders. Applied Psychological Research Quarterly. 2020;11(1):1–14. [Persian] [Article]
25. Ghodrati Mirkohi M, Sharifi Daramadi P, Abdollahi Baghr Abadi GH. The effect of parental management training base on cognitive- behavior therapy on children with oppositional defiant disorder. Psychology of Exceptional Individuals. 2015;5(20):109–23. [Persian] [Article]
26. Afzali L, Ghasemzadeh S, Hashemi Bakhshi M. The effectiveness of family-centered interventions on clinical symptoms of children with oppositional defiant disorder. Exceptional Children Empowerment. 2017;7(20):87–94. [Persian] [Article]
27. Amiri M, Movallali G, Nesayan A, Hejazi M, Asadi Gandomani R. Effect of behavior management training for mothers with children having ODD symptoms. J Rehabil. 2017;18(2):84–95. [Persian] [DOI]
28. Shiroodaghaei E, Amir Fakhraei A, Zarei E. Comparison of the effectiveness of cognitive-behavioral play therapy and parent-child interaction therapy on executive functions and parent-child interaction in children with oppositional defiant disorder. J Child Ment Health. 2020;7(2):79–95. [Persian] [DOI]
29. Sukhodolsky DG, Smith SD, McCauley SA, Ibrahim K, Piasecka JB. Behavioral interventions for anger, irritability, and aggression in children and adolescents. J Child Adolesc Psychopharmacol. 2016;26(1):58–64. [DOI]
30. Benner GJ, Nelson JR, Sanders EA, Ralston NC. Behavior intervention for students with externalizing behavior problems: primary-level standard protocol. Exceptional Children. 2012;78(2):181–98. [DOI]
31. Arnold DH, Brown SA, Meagher S, Baker CN, Dobbs J, Doctoroff GL. Preschool-based programs for externalizing problems. Education and Teratment of Children. 2006;29(2):311–39.
32. Ding W, Lin X, Hinshaw SP, Liu X, Tan Y, Meza JI. Reciprocal influences between marital quality, parenting stress, and parental depression in Chinese families of children with oppositional defiant disorder symptoms. Child Youth Serv Rev. 2022;136:106389. [DOI]
33. Atzaba-Poria N, Deater-Deckard K, Bell MA. It takes more than one for parenting: how do maternal temperament and child's problem behaviors relate to maternal parenting behavior? Pers Individ Dif. 2014;69:81–6. [DOI]
34. Lochman JE, Boxmeyer CL, Jones S, Qu L, Ewoldsen D, Nelson WM. Testing the feasibility of a briefer school-based preventive intervention with aggressive children: a hybrid intervention with face-to-face and internet components. J Sch Psychol. 2017;62:33–50. [DOI]

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