Examining Predictors, Moderators, and Mediators of Parent Management Training and Collaborative and Proactive Solutions for Children with Oppositional Defiant Disorder

Dedousis-Wallace, Anna

Examining Predictors, Moderators, and Mediators of Parent Management Training and Collaborative and Proactive Solutions for Children with Oppositional Defiant Disorder

Dedousis-Wallace, Anna

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Publication Type:: Thesis
Issue Date:: 2024

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Field	Value	Language
dc.contributor.author	Dedousis-Wallace, Anna
dc.date.accessioned	2025-05-08T07:43:24Z
dc.date.available	2025-05-08T07:43:24Z
dc.date.issued	2024
dc.identifier.uri	http://hdl.handle.net/10453/187279
dc.description	University of Technology Sydney. Graduate School of Health.	en_US.UTF-8
dc.description.abstract	Disruptive behaviour disorders, such as Oppositional Defiant Disorder (ODD), are associated with significant impairments, as well as a considerable societal and economic burden. Parent Management Training (PMT) and Collaborative and Proactive Solutions (CPS) are established treatments for ODD, yet their effectiveness leaves room for improvement. This thesis explores potential predictors, moderators, and mediators that may enhance treatment outcomes for youth with ODD. Study 1 is a systematic review examining parental and familial factors influencing improvement in PMT for conduct problems. Findings underscore the importance of a positive parent-child relationship but reveal limited consistency across studies. Study 2 investigates specific predictors and moderators in PMT and CPS for ODD treatment, such as initial problem severity, inconsistent discipline, and parental attributions. Parental attributions moderated treatment outcomes, with CPS yielding better results when parents had high child-responsible attributions. Study 3 uses longitudinal mediation analysis to assess lagging skills, inconsistent discipline, and parental attributions as mediators of behavioural improvement. Inconsistent discipline significantly mediated changes in disruptive behaviours, underscoring the complexity of treatment mechanisms. Collectively, this thesis provides insights into factors impacting treatment efficacy for ODD, highlighting pathways through which PMT and CPS may yield beneficial outcomes.	en_US.UTF-8
dc.format	Thesis (PhD)
dc.language.iso	en_US	en_US.UTF-8
dc.relation	https://opus.lib.uts.edu.au/bitstream/10453/187279/1/thesis.pdf
dc.rights	info:eu-repo/semantics/openAccess
dc.rights	The author owns the copyright in this thesis including all reproduction and reuse rights for the work. The work may not be altered without the permission of the copyright owner. Attribution is essential when quoting or paraphrasing from this thesis.
dc.rights	© 2024 Anna Dedousis-Wallace
dc.rights	au.edu.uts.lib/cph
dc.title	Examining Predictors, Moderators, and Mediators of Parent Management Training and Collaborative and Proactive Solutions for Children with Oppositional Defiant Disorder	en_US.UTF-8
dc.type	Thesis
utslib.copyright.status	open_access	*

Abstract:

Disruptive behaviour disorders, such as Oppositional Defiant Disorder (ODD), are associated with significant impairments, as well as a considerable societal and economic burden. Parent Management Training (PMT) and Collaborative and Proactive Solutions (CPS) are established treatments for ODD, yet their effectiveness leaves room for improvement. This thesis explores potential predictors, moderators, and mediators that may enhance treatment outcomes for youth with ODD. Study 1 is a systematic review examining parental and familial factors influencing improvement in PMT for conduct problems. Findings underscore the importance of a positive parent-child relationship but reveal limited consistency across studies. Study 2 investigates specific predictors and moderators in PMT and CPS for ODD treatment, such as initial problem severity, inconsistent discipline, and parental attributions. Parental attributions moderated treatment outcomes, with CPS yielding better results when parents had high child-responsible attributions. Study 3 uses longitudinal mediation analysis to assess lagging skills, inconsistent discipline, and parental attributions as mediators of behavioural improvement. Inconsistent discipline significantly mediated changes in disruptive behaviours, underscoring the complexity of treatment mechanisms. Collectively, this thesis provides insights into factors impacting treatment efficacy for ODD, highlighting pathways through which PMT and CPS may yield beneficial outcomes.

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http://hdl.handle.net/10453/187279