Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial
ObjectiveThis single-blinded, randomized, parallel group superiority trial evaluates whether the Non-Violent Resistance (NVR) program, a 10-session parental-group intervention, was more effective in reducing stress in parents of children aged 6–20 years and displaying severe tyrannical behavior (STB...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2023-05-01
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| Series: | Frontiers in Psychiatry |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1124028/full |
| _version_ | 1797833594720223232 |
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| author | Erica Fongaro Erica Fongaro Safa Aouinti Marie-Christine Picot Marie-Christine Picot Florence Pupier Haim Omer Nathalie Franc Diane Purper-Ouakil Diane Purper-Ouakil |
| author_facet | Erica Fongaro Erica Fongaro Safa Aouinti Marie-Christine Picot Marie-Christine Picot Florence Pupier Haim Omer Nathalie Franc Diane Purper-Ouakil Diane Purper-Ouakil |
| author_sort | Erica Fongaro |
| collection | DOAJ |
| description | ObjectiveThis single-blinded, randomized, parallel group superiority trial evaluates whether the Non-Violent Resistance (NVR) program, a 10-session parental-group intervention, was more effective in reducing stress in parents of children aged 6–20 years and displaying severe tyrannical behavior (STB) compared to a treatment as usual (TAU) intervention that provided supportive counseling and psychoeducation.MethodsEighty two parents of youth aged 6–20 years with STB were enrolled by the Child and Adolescent Psychiatry Department at the University Hospital of Montpellier (France). A random block and stratified by age (6–12 and 13–20 years) randomization, was performed. All participants were interviewed by independent, blinded to group assignments, research assistants, and completed their assessments at baseline and treatment completion (4 months from baseline). Since this program has not been previously evaluated in this population, the study primarily evaluated the efficacy, using the Parenting Stress Index/Short Form (PSI-SF). The primary outcome was the change from baseline to treatment completion of the PSI-SF total score.ResultsSeventy three participants completed the study and were available for analysis (36 NVR and 37 TAU). At completion, between-groups comparison of the change (completion minus baseline) in the total score of PSI-SF was not significant (NVR: −4.3 (± 13.9); TAU: −7.6 (± 19.6); two-sample t-test p = 0.43; effect size of −0.19 [−0.67, 0.28]).ConclusionContrary to our expectation, NVR was not superior to TAU in reducing parental stress at completion for parents of children with STB. However, NVR showed positive outcomes in the follow-up, pointing to the importance to implement parental strategies and following this population over longer time periods in future projects.Clinical trial registration: Clinicaltrials.gov, identifier NCT05567276. |
| first_indexed | 2024-04-09T14:26:43Z |
| format | Article |
| id | doaj.art-fdbf7b03a773460fb85d5bfce4b2d6ed |
| institution | Directory Open Access Journal |
| issn | 1664-0640 |
| language | English |
| last_indexed | 2024-04-09T14:26:43Z |
| publishDate | 2023-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Psychiatry |
| spelling | doaj.art-fdbf7b03a773460fb85d5bfce4b2d6ed2023-05-04T04:34:45ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402023-05-011410.3389/fpsyt.2023.11240281124028Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trialErica Fongaro0Erica Fongaro1Safa Aouinti2Marie-Christine Picot3Marie-Christine Picot4Florence Pupier5Haim Omer6Nathalie Franc7Diane Purper-Ouakil8Diane Purper-Ouakil9Centre Hospitalier Universitaire de Montpellier, Saint Eloi Hospital, Montpellier, FranceCESP INSERM U 1018 UVSQ Psychiatry Development and Trajectories, Villejuif, FranceCentre Hospitalier Universitaire de Montpellier, Unité de Recherche Clinique and Epidémiologie, DIM, Montpellier, FranceCESP INSERM U 1018 UVSQ Psychiatry Development and Trajectories, Villejuif, FranceCentre Hospitalier Universitaire de Montpellier, Unité de Recherche Clinique and Epidémiologie, DIM, Montpellier, FranceCentre Hospitalier Universitaire de Montpellier, Saint Eloi Hospital, Montpellier, FranceDepartment of Psychology, Tel Aviv University, Tel Aviv, IsraelCentre Hospitalier Universitaire de Montpellier, Saint Eloi Hospital, Montpellier, FranceCentre Hospitalier Universitaire de Montpellier, Saint Eloi Hospital, Montpellier, FranceCESP INSERM U 1018 UVSQ Psychiatry Development and Trajectories, Villejuif, FranceObjectiveThis single-blinded, randomized, parallel group superiority trial evaluates whether the Non-Violent Resistance (NVR) program, a 10-session parental-group intervention, was more effective in reducing stress in parents of children aged 6–20 years and displaying severe tyrannical behavior (STB) compared to a treatment as usual (TAU) intervention that provided supportive counseling and psychoeducation.MethodsEighty two parents of youth aged 6–20 years with STB were enrolled by the Child and Adolescent Psychiatry Department at the University Hospital of Montpellier (France). A random block and stratified by age (6–12 and 13–20 years) randomization, was performed. All participants were interviewed by independent, blinded to group assignments, research assistants, and completed their assessments at baseline and treatment completion (4 months from baseline). Since this program has not been previously evaluated in this population, the study primarily evaluated the efficacy, using the Parenting Stress Index/Short Form (PSI-SF). The primary outcome was the change from baseline to treatment completion of the PSI-SF total score.ResultsSeventy three participants completed the study and were available for analysis (36 NVR and 37 TAU). At completion, between-groups comparison of the change (completion minus baseline) in the total score of PSI-SF was not significant (NVR: −4.3 (± 13.9); TAU: −7.6 (± 19.6); two-sample t-test p = 0.43; effect size of −0.19 [−0.67, 0.28]).ConclusionContrary to our expectation, NVR was not superior to TAU in reducing parental stress at completion for parents of children with STB. However, NVR showed positive outcomes in the follow-up, pointing to the importance to implement parental strategies and following this population over longer time periods in future projects.Clinical trial registration: Clinicaltrials.gov, identifier NCT05567276.https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1124028/fullparent trainingparent–child interactionbehavior problemscopingoppositional defiant disorder |
| spellingShingle | Erica Fongaro Erica Fongaro Safa Aouinti Marie-Christine Picot Marie-Christine Picot Florence Pupier Haim Omer Nathalie Franc Diane Purper-Ouakil Diane Purper-Ouakil Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial Frontiers in Psychiatry parent training parent–child interaction behavior problems coping oppositional defiant disorder |
| title | Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial |
| title_full | Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial |
| title_fullStr | Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial |
| title_full_unstemmed | Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial |
| title_short | Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial |
| title_sort | non violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior a randomized controlled trial |
| topic | parent training parent–child interaction behavior problems coping oppositional defiant disorder |
| url | https://www.frontiersin.org/articles/10.3389/fpsyt.2023.1124028/full |
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