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Effects of Parent Training in the Treatment of Disruptive Behavior Problems in Children: A Comparison of Cognitive-Behavioral and Behavioral Parent Training

Abstract

This study evaluated the comparative effects of cognitive-behavioral parent training(CBPT) and behavioral parent training(BPT) on mothers of children(ages 6-11 years) with disruptive behavior disorders. BPT consisted of basic behavior modification procedures such as improving parental selective-attending skills, improving parental deliverance of commands, improving children's play behavior, parental use of time out, behavior contracting with response cost as disciplinary methods, and parental planning/ activity scheduling as problem prevention measures. Additionally, CBPT consisted of BPT procedures and more component such as cognitive reattribution of the disruptiveness of one's children(changing dysfunctional parent thoughts), problem solving training, anger control training, and enhancing communication skills of parents. 26 mothers of children with disruptive behavior disorders were recruited from 3 child psychiatric clinics in Seoul. Among them, 14 mothers were assigned to CBPT and 12 mothers to BPT with consideration of children's similarities on age, sex, and clinical problems. Both of parent training programs have 6 one and half hour sessions over the course of 6 weeks. After 6 weeks of training, there was significant improvement in children's disruptive behaviors, parent stress, dysfunctional thoughts, parent efficacy, and subjective satisfaction of family members in both CBPT and BPT groups with repeated ANOVA procedure, The improvement in both of parent training groups were maintained in the 6 weeks follow-up as supporting clinical effects of parent training. The post and follow-up assessment compared to pre-assessment, there were no differences between the two parent training groups on most of the outcome measures. Finally, limitations of the present study and suggestions were discussed for further studies.

keywords
cognitive-behavioral parent training, behavioral parent training, disruptive behavior problems, parent stress, dysfunctional parent thoughts, parent efficacy, 아동의 외현적 문제행동, 부모훈련, 양육스트레스, 역기능적 양육사고, 양육효능감외현적 행동장애를 지닌 아동의 부모를 대상으로 하는 부모훈련은 아동의 문제행동 개선과 부모의 양육 만족도 증진에 효과적이다(Forehand & McMahon, 1981, Barkley, 1997). 아동의 치료과정에서 부모의 개입이 강조되는 근거로서 부모는 (1) 아동의 행동문제를 정의하는 역할을 하며, (2) 치료되어야할 아동의 문제행동의 원인을 제공하거나 악화시, cognitive-behavioral parent training, behavioral parent training, disruptive behavior problems, parent stress, dysfunctional parent thoughts, parent efficacy

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