Problem-solving skills training and parent management training for conduct disorder.

Abstract

This study evaluated the effects of problem-solving skills training (PSST) and parent management training (PMT) on children (JV = 97, ages 7-13 years) referred for severe antisocial behavior. Chil-dren and families were assigned randomly to 1 of 3 conditions: PSST, PMT, or PSST and PMT combined. It was predicted that (a) each treatment would improve child functioning (reduce overall deviance and aggressive, antisocial, and delinquent behavior, and increase prosocial competence); and (b) PSST and PMT combined would lead to more marked, pervasive, and durable changes in child functioning and greater changes in parent functioning (parental stress, depression, and over-all symptoms). Expectations were supported by results at posttreatment and 1-year follow-up. PSST and PMT combined led to more marked changes in child and parent functioning and placed a greater proportion of youth within the range of nonclinic (normative) levels of functioning. Antisocial child behavior includes aggressive acts, theft, van-dalism, fire setting, lying, truancy, running away, and other acts that violate major social rules and expectations. A persistent pattern of antisocial behavior, referred to as conduct disorder, affects diverse domains of current functioning and for many

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