Co-occurring change in children's conduct problems and maternal depression: Latent class individual participant data meta-analysis of the Incredible Years parenting program / P. LEIJTEN in Development and Psychopathology, 31-5 (December 2019)  

Public ISBD [article]  inDevelopment and Psychopathology > 31-5 (December 2019) . - p.1851-1862 Titre : Co-occurring change in children's conduct problems and maternal depression: Latent class individual participant data meta-analysis of the Incredible Years parenting program Type de document : Texte imprimé et/ou numérique Auteurs : P. LEIJTEN, Auteur ; F. GARDNER, Auteur ; G. J. MELENDEZ-TORRES, Auteur ; J. WEELAND, Auteur ; J. HUTCHINGS, Auteur ; S. LANDAU, Auteur ; S. MCGILLOWAY, Auteur ; G. OVERBEEK, Auteur ; J. VAN AAR, Auteur ; A. MENTING, Auteur ; Bram OROBIO DE CASTRO, Auteur ; V. BERRY, Auteur ; M. F. GASPAR, Auteur ; U. AXBERG, Auteur ; W. T. MORCH, Auteur ; S. SCOTT, Auteur Année de publication : 2019 Article en page(s) : p.1851-1862 Langues : Anglais (eng) Mots-clés : conduct problems  individual participant data meta-analysis  maternal depression  parenting program Index. décimale : PER Périodiques Résumé : Children vary in the extent to which they benefit from parenting programs for conduct problems. How does parental mental health change if children benefit less or more? We assessed whether changes in conduct problems and maternal depressive symptoms co-occur following participation in the Incredible Years parenting program. We integrated individual participant data from 10 randomized trials (N = 1280; children aged 2-10 years) and distinguished latent classes based on families' baseline and post-test conduct problems and maternal depressive symptoms, using repeated measures latent class analysis (RMLCA) and latent transition analysis (LTA). Classes differed mainly in severity of conduct problems and depression (RMLCA; 4 classes). Conduct problems reduced in all classes. Depressive symptoms did not change in most classes, except in a class of families where conduct problems and depression were particularly severe. Incredible Years led to a greater likelihood of families with particularly severe conduct problems and depression moving to a class with mild problems (LTA; 3 classes). Our findings suggest that for the majority of families, children's conduct problems reduce, but maternal depressive symptoms do not, suggesting relative independence, with the exception of families with severe depression and severe conduct problems where changes for the better do co-occur. En ligne : http://dx.doi.org/10.1017/s0954579419001068 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412 [article] Co-occurring change in children's conduct problems and maternal depression: Latent class individual participant data meta-analysis of the Incredible Years parenting program [Texte imprimé et/ou numérique] / P. LEIJTEN, Auteur ; F. GARDNER, Auteur ; G. J. MELENDEZ-TORRES, Auteur ; J. WEELAND, Auteur ; J. HUTCHINGS, Auteur ; S. LANDAU, Auteur ; S. MCGILLOWAY, Auteur ; G. OVERBEEK, Auteur ; J. VAN AAR, Auteur ; A. MENTING, Auteur ; Bram OROBIO DE CASTRO, Auteur ; V. BERRY, Auteur ; M. F. GASPAR, Auteur ; U. AXBERG, Auteur ; W. T. MORCH, Auteur ; S. SCOTT, Auteur . - 2019 . - p.1851-1862. Langues : Anglais (eng) in Development and Psychopathology > 31-5 (December 2019) . - p.1851-1862 Mots-clés : conduct problems  individual participant data meta-analysis  maternal depression  parenting program Index. décimale : PER Périodiques Résumé : Children vary in the extent to which they benefit from parenting programs for conduct problems. How does parental mental health change if children benefit less or more? We assessed whether changes in conduct problems and maternal depressive symptoms co-occur following participation in the Incredible Years parenting program. We integrated individual participant data from 10 randomized trials (N = 1280; children aged 2-10 years) and distinguished latent classes based on families' baseline and post-test conduct problems and maternal depressive symptoms, using repeated measures latent class analysis (RMLCA) and latent transition analysis (LTA). Classes differed mainly in severity of conduct problems and depression (RMLCA; 4 classes). Conduct problems reduced in all classes. Depressive symptoms did not change in most classes, except in a class of families where conduct problems and depression were particularly severe. Incredible Years led to a greater likelihood of families with particularly severe conduct problems and depression moving to a class with mild problems (LTA; 3 classes). Our findings suggest that for the majority of families, children's conduct problems reduce, but maternal depressive symptoms do not, suggesting relative independence, with the exception of families with severe depression and severe conduct problems where changes for the better do co-occur. En ligne : http://dx.doi.org/10.1017/s0954579419001068 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=412

First 1,000 days: enough for mothers but not for children? Long-term outcomes of an early intervention on maternal depressed mood and child cognitive development: follow-up of a randomised controlled trial / M. TOMLINSON in Journal of Child Psychology and Psychiatry, 63-3 (March 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-3 (March 2022) . - p.261-272 Titre : First 1,000 days: enough for mothers but not for children? Long-term outcomes of an early intervention on maternal depressed mood and child cognitive development: follow-up of a randomised controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : M. TOMLINSON, Auteur ; S. SKEEN, Auteur ; G. J. MELENDEZ-TORRES, Auteur ; X. HUNT, Auteur ; C. DESMOND, Auteur ; B. MORGAN, Auteur ; L. MURRAY, Auteur ; Peter J. COOPER, Auteur ; S. D. RATHOD, Auteur ; M. MARLOW, Auteur ; P. FEARON, Auteur Article en page(s) : p.261-272 Langues : Anglais (eng) Mots-clés : Infants  adolescence  cognitive development  home visiting intervention  low- and middle-income countries  parenting Index. décimale : PER Périodiques Résumé : BACKGROUND: Child cognitive development is often compromised in contexts of poverty and adversity, and these deficits tend to endure and affect the child across the life course. In the conditions of poverty and violence that characterise many low- and middle-income countries (LMIC), the capacity of parents to provide the kind of care that promotes good child development may be severely compromised, especially where caregivers suffer from depression. One avenue of early intervention focuses on the quality of the early mother-infant relationship. The aim of this study was to examine the long-term impact of an early intervention to improve the mother-infant relationship quality on child cognitive outcomes at 13?years of age. We also estimated the current costs to replicate the intervention. METHOD: We re-recruited 333 children from an early childhood maternal-infant attachment intervention, 'Thula Sana', when the children were 13?years old, to assess whether there were impacts of the intervention on child cognitive outcomes, and maternal mood. We used the Kaufman Assessment Battery to assess the child cognitive development and the Patient Health Questionnaire (PHQ-9) and the Self-Reporting Questionnaire (SRQ-20) to assess maternal mental health. RESULTS: Effect estimates indicated a pattern of null findings for the impact of the intervention on child cognitive development. However, the intervention had an effect on caregiver psychological distress (PHQ-9, ES?=?-0.17 [CI: -1.95, 0.05] and SRQ-20, ES?=?-0.30 [CI: -2.41, -0.19]), but not anxiety. The annual cost per mother-child pair to replicate the Thula Sana intervention in 2019 was estimated at ZAR13,365 ($780). CONCLUSION: In a socio-economically deprived peri-urban settlement in South Africa, a home visiting intervention, delivered by community workers to mothers in pregnancy and the first six postpartum months, had no overall effect on child cognitive development at 13?years of age. However, those caregivers who were part of the original intervention showed lasting improvements in depressed mood. Despite the fact that there was no intervention effect on long-term child outcomes, the improvements in maternal mood are important. En ligne : http://dx.doi.org/10.1111/jcpp.13482 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 [article] First 1,000 days: enough for mothers but not for children? Long-term outcomes of an early intervention on maternal depressed mood and child cognitive development: follow-up of a randomised controlled trial [Texte imprimé et/ou numérique] / M. TOMLINSON, Auteur ; S. SKEEN, Auteur ; G. J. MELENDEZ-TORRES, Auteur ; X. HUNT, Auteur ; C. DESMOND, Auteur ; B. MORGAN, Auteur ; L. MURRAY, Auteur ; Peter J. COOPER, Auteur ; S. D. RATHOD, Auteur ; M. MARLOW, Auteur ; P. FEARON, Auteur . - p.261-272. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-3 (March 2022) . - p.261-272 Mots-clés : Infants  adolescence  cognitive development  home visiting intervention  low- and middle-income countries  parenting Index. décimale : PER Périodiques Résumé : BACKGROUND: Child cognitive development is often compromised in contexts of poverty and adversity, and these deficits tend to endure and affect the child across the life course. In the conditions of poverty and violence that characterise many low- and middle-income countries (LMIC), the capacity of parents to provide the kind of care that promotes good child development may be severely compromised, especially where caregivers suffer from depression. One avenue of early intervention focuses on the quality of the early mother-infant relationship. The aim of this study was to examine the long-term impact of an early intervention to improve the mother-infant relationship quality on child cognitive outcomes at 13?years of age. We also estimated the current costs to replicate the intervention. METHOD: We re-recruited 333 children from an early childhood maternal-infant attachment intervention, 'Thula Sana', when the children were 13?years old, to assess whether there were impacts of the intervention on child cognitive outcomes, and maternal mood. We used the Kaufman Assessment Battery to assess the child cognitive development and the Patient Health Questionnaire (PHQ-9) and the Self-Reporting Questionnaire (SRQ-20) to assess maternal mental health. RESULTS: Effect estimates indicated a pattern of null findings for the impact of the intervention on child cognitive development. However, the intervention had an effect on caregiver psychological distress (PHQ-9, ES?=?-0.17 [CI: -1.95, 0.05] and SRQ-20, ES?=?-0.30 [CI: -2.41, -0.19]), but not anxiety. The annual cost per mother-child pair to replicate the Thula Sana intervention in 2019 was estimated at ZAR13,365 ($780). CONCLUSION: In a socio-economically deprived peri-urban settlement in South Africa, a home visiting intervention, delivered by community workers to mothers in pregnancy and the first six postpartum months, had no overall effect on child cognitive development at 13?years of age. However, those caregivers who were part of the original intervention showed lasting improvements in depressed mood. Despite the fact that there was no intervention effect on long-term child outcomes, the improvements in maternal mood are important. En ligne : http://dx.doi.org/10.1111/jcpp.13482 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457

Research Review: The most effective parenting program content for disruptive child behavior - a network meta-analysis / P. LEIJTEN in Journal of Child Psychology and Psychiatry, 63-2 (February 2022)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 63-2 (February 2022) . - p.132-142 Titre : Research Review: The most effective parenting program content for disruptive child behavior - a network meta-analysis Type de document : Texte imprimé et/ou numérique Auteurs : P. LEIJTEN, Auteur ; G. J. MELENDEZ-TORRES, Auteur ; F. GARDNER, Auteur Article en page(s) : p.132-142 Langues : Anglais (eng) Mots-clés : Parenting program  disruptive child behavior  effective components  network meta-analysis  systematic review Index. décimale : PER Périodiques Résumé : BACKGROUND: Programs to support parents are the recommended strategy to reduce disruptive child behavior problems. Efforts have been made to demonstrate which program components (i.e., clusters of techniques taught) increase program effects, but these methods fail to account for the fact that components rarely operate in isolation. We examine how combinations of components cluster together to form program types and use network meta-analysis to estimate the relative effects of these program types. METHODS: We updated an existing systematic review of parenting programs for disruptive child behavior and identified 197 randomized trials. We modeled clusters of components in each trial arm and chose the best-fitting model. We subsequently took 20 draws from the probability distribution of the latent class for each arm, entered each draw into a network meta-analysis model and combined findings using Rubin's rules. Combined estimates were bootstrapped to rank the clusters. We estimated main models and separate models for prevention and treatment settings. RESULTS: A five-class solution fit the data best: (1) behavior management; (2) behavior management with parental self-management; (3) behavior management with psychoeducation and relationship enhancement; (4) maximal component loading and (5) no/minimal component loading (i.e. control). In the main model and in treatment settings, all four program types were effective compared to no/minimal components. In prevention settings, only behavior management and behavior management with parental self-management were effective compared to no/minimal components. Probabilistic ranking showed that overall and in treatment settings, behavior management had the largest chance, and in prevention settings, behavior management with self-management had the largest chance, of being most effective compared to no/minimal components. CONCLUSIONS: Programs with more focused content seem more likely to yield stronger effects, and different foci may be needed in treatment versus prevention settings. Next steps include identifying individual family differences in optimal program content. En ligne : http://dx.doi.org/10.1111/jcpp.13483 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457 [article] Research Review: The most effective parenting program content for disruptive child behavior - a network meta-analysis [Texte imprimé et/ou numérique] / P. LEIJTEN, Auteur ; G. J. MELENDEZ-TORRES, Auteur ; F. GARDNER, Auteur . - p.132-142. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 63-2 (February 2022) . - p.132-142 Mots-clés : Parenting program  disruptive child behavior  effective components  network meta-analysis  systematic review Index. décimale : PER Périodiques Résumé : BACKGROUND: Programs to support parents are the recommended strategy to reduce disruptive child behavior problems. Efforts have been made to demonstrate which program components (i.e., clusters of techniques taught) increase program effects, but these methods fail to account for the fact that components rarely operate in isolation. We examine how combinations of components cluster together to form program types and use network meta-analysis to estimate the relative effects of these program types. METHODS: We updated an existing systematic review of parenting programs for disruptive child behavior and identified 197 randomized trials. We modeled clusters of components in each trial arm and chose the best-fitting model. We subsequently took 20 draws from the probability distribution of the latent class for each arm, entered each draw into a network meta-analysis model and combined findings using Rubin's rules. Combined estimates were bootstrapped to rank the clusters. We estimated main models and separate models for prevention and treatment settings. RESULTS: A five-class solution fit the data best: (1) behavior management; (2) behavior management with parental self-management; (3) behavior management with psychoeducation and relationship enhancement; (4) maximal component loading and (5) no/minimal component loading (i.e. control). In the main model and in treatment settings, all four program types were effective compared to no/minimal components. In prevention settings, only behavior management and behavior management with parental self-management were effective compared to no/minimal components. Probabilistic ranking showed that overall and in treatment settings, behavior management had the largest chance, and in prevention settings, behavior management with self-management had the largest chance, of being most effective compared to no/minimal components. CONCLUSIONS: Programs with more focused content seem more likely to yield stronger effects, and different foci may be needed in treatment versus prevention settings. Next steps include identifying individual family differences in optimal program content. En ligne : http://dx.doi.org/10.1111/jcpp.13483 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=457

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