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Mechanisms of child behavior change in parent training: Comment on Weeland et al. (2018)

Published online by Cambridge University Press:  04 September 2018

Theodore P. Beauchaine  and
Amy Slep
Theodore P. Beauchaine*
Affiliation:
Ohio State University
Amy Slep
Affiliation:
New York University
*
Address correspondence and reprint requests to: Theodore P. Beauchaine, Department of Psychology, Ohio State University, 1835 Neil Avenue, Columbus, OH 43210; E-mail: beauchaine.1@osu.edu.
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Abstract

Recently in this journal, Weeland et al. (2018) published a thought-provoking article reporting moderating effects of children's serotonin transporter-linked polymorphisms (5-HTTLPR) on negative parenting during prevention with the Incredible Years series. Participants were parents and young children of 387 families enrolled in the Observational Randomized Control Trial of Childhood Differential Susceptibility study. An equally important finding, which we focus on in this comment, involved null effects for all tests of parenting as a mediator of prevention-induced improvements in children's externalizing behavior. Although such findings may seem surprising, both confirmations of and failures to confirm parenting change as a mediator of child behavior change are common in the prevention and intervention literatures. In this comment, we explore likely reasons for heterogeneity in findings, including both moderators of treatment effect size and methods used to test mediation. Common moderators of prevention and intervention response to Incredible Years include dose, parenting problems at intake, high-risk versus clinical nature of samples, how parenting is measured, and whether child training is included with parent training. All of these moderators affect power to detect mediation. We then discuss conceptual criteria for testing mediation in randomized clinical trials, and problems with interpreting mediating paths in cross-lag panel models. Although the gene effect reported by Weeland et al. is important, their cross-lag panel models do not provide strong tests of parenting as a mediator of child behavior change. We conclude with recommendations for testing mediation in randomized clinical trials.

Type
Commentary
Information
Development and Psychopathology , Volume 30 , Issue 4 , October 2018 , pp. 1529 - 1534
Copyright
Copyright © Cambridge University Press 2018 

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Footnotes

Work on this comment was supported by Grant DE025980 from the National Institutes of Health, and by the National Institutes of Health Science of Behavior Change (SoBC) Common Fund.

References

Agler, R., & De Boeck, P. (2017). On the interpretation and use of mediation: Multiple perspectives on mediation analysis. Frontiers in Psychology, 8, 1.Google Scholar
Atkins, D. C., Bedics, J., McGlinchey, J. B., & Beauchaine, T. P. (2005). Assessing clinical significance: Does it matter which method we use? Journal of Consulting and Clinical Psychology, 73, 982–989.Google Scholar
Baker-Henningham, H., Walker, S., Powell, C., & Meeks Gardner, J. (2009). A pilot study of the Incredible Years Teacher Training programme and a curriculum unit on social and emotional skills in community pre-schools in Jamaica. Child Care Health and Development, 35, 624–631.Google Scholar
Baydar, N., Reid, M. J., & Webster-Stratton, C. (2003). The role of mental health factors and program engagement in the effectiveness of a preventive parenting program for Head Start Mothers. Child Development, 74, 1433–1453.Google Scholar
Beauchaine, T. P., Gatzke-Kopp, L. M., Neuhaus, E., Chipman, J., Reid, M. J., & Webster-Stratton, C. (2013). Sympathetic- and parasympathetic-linked cardiac function and prediction of externalizing behavior, emotion regulation, and prosocial behavior among preschoolers treated for ADHD. Journal of Consulting and Clinical Psychology, 81, 481–493.Google Scholar
Beauchaine, T. P., Webster-Stratton, C., & Reid, M. J. (2005). Mediators, moderators, and predictors of one-year outcomes among children treated for early-onset conduct problems: A latent growth curve analysis. Journal of Consulting and Clinical Psychology, 73, 371–388.Google Scholar
Beauchaine, T. P., & Zalewski, M. (2016). Physiological and developmental mechanisms of emotional lability in coercive relationships. In Dishion, T. J. & Snyder, J. J. (Eds.), The Oxford handbook of coercive relationship dynamics (pp. 39–52). New York: Oxford University Press.Google Scholar
Beauchaine, T. P., Zisner, A., & Sauder, C. L. (2017). Trait impulsivity and the externalizing spectrum. Annual Review of Clinical Psychology, 13, 343–368.Google Scholar
Bell, Z., Shader, T. M., Webster-Stratton, C., Reid, M. J., & Beauchaine, T. P. (2018). Improvements in negative parenting mediate changes in children's autonomic responding following a preschool intervention for ADHD. Clinical Psychological Science, 6, 134–144.Google Scholar
Brestan, E. V., & Eyberg, S. M. (1998). Effective psychosocial treatments of conduct-disordered children and adolescents: 29 years, 82 studies, and 5,272 kids. Journal of Clinical Child Psychology, 27, 180–189.Google Scholar
Chhangur, R. R., Weeland, J., Overbeek, G., Matthys, W., & Orobio de Castro, B. (2012). ORCHIDS: An observational randomized controlled trial on childhood differential susceptibility. BMC Public Health, 12, 917.Google Scholar
Cohen, J. (1988). Statistical power analysis for the behavioral sciences (2nd ed.). Hillsdale, NJ: Erlbaum.Google Scholar
Cole, D. A., & Maxwell, S. E. (2003). Testing mediational models with longitudinal data: Questions and tips in the use of structural equation modeling. Journal of Abnormal Psychology, 112, 558–577.Google Scholar
Conduct Problems Prevention Research Group. (2007). Fast Track randomized controlled trial to prevent externalizing psychiatric disorders: Findings from Grades 3 to 9. Journal of the American Academy of Child & Adolescent Psychiatry, 46, 1250–1262.Google Scholar
Eyberg, S. M., Nelson, M. M., & Boggs, S. R. (2008). Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. Journal of Clinical Child and Adolescent Psychology, 37, 215–237.Google Scholar
Forehand, R., Lafko, N., Parent, J., & Burt, K. B. (2014). Is parenting the mediator of change in behavioral parent training for externalizing problems of youth? Clinical Psychology Review, 34, 608–619.Google Scholar
Hayes, A. F. (2013). Introduction to mediation, moderation, and conditional process analysis: A regression-based approach. New York: Guilford Press.Google Scholar
Hurlburt, M. S., Nguyen, K., Reid, J., Webster-Stratton, C., & Zhang, J. (2013). Efficacy of the Incredible Years group parent program with families in Head Start who self-reported a history of child maltreatment. Child Abuse and Neglect, 37, 531–543.Google Scholar
Incredible Years. (2018a). Tailoring the Incredible Years BASIC parenting programs to the parent population: School-age version. Retrieved on February 22, 2018, from www.incredibleyears.com/download/administrators/tailor-basic-schoolage-article.pdfGoogle Scholar
Incredible Years. (2018b). Tailoring the Incredible Years BASIC parenting programs to the parent population: Early childhood. Retrieved on February 22, 2018, from www.incredibleyears.com/download/administrators/tailor-pgrms_basic_early-child.pdfGoogle Scholar
Jaffee, S. R., Caspi, A., Moffitt, T. E., Dodge, K. A., Rutter, M., Taylor, A., & Tully, L. A. (2005). Nature × Nurture: Genetic vulnerabilities interact with physical maltreatment to promote conduct problems. Development and Psychopathology, 17, 67–84.Google Scholar
Kazdin, A. E., Esveldt-Dawson, K., French, N. H., & Unis, A. S. (1987). Effects of parent management training and problem-solving skills training combined in the treatment of antisocial child behavior. Journal of the American Academy of Child & Adolescent Psychiatry, 26, 416–424.Google Scholar
Kearney, M. W. (in press). Cross-lagged panel analysis. In Allen, M. R. (Ed.), Sage encyclopedia of communication research methods. Thousand Oaks, CA: SageGoogle Scholar
Kenny, D. A., & Judd, C. M. (2014). Power anomalies in testing mediation. Psychological Science, 25, 334–339.Google Scholar
Kim, E., Cain, K. C., & Webster-Stratton, C. (2008). The preliminary effect of a parenting program for Korean American mothers: A randomized controlled experimental study. International Journal of Nursing Studies, 45, 1261–1273.Google Scholar
Kraemer, H. C., Wilson, G. T., Fairburn, C. G., & Agras, W. S. (2002). Mediators and moderators of treatment effects in randomized clinical trials. Archives of General Psychiatry, 59, 877–883.Google Scholar
Lavigne, J. V., LeBailly, S. A., Gouze, K. R., Cicchetti, C., Jessup, B. W., Arend, R., … Binns, H. J. (2008). Predictor and moderator effects in the treatment of oppositional defiant disorder in pediatric primary care. Journal of Pediatric Psychology, 33, 462–472.Google Scholar
Leijten, P., Raaijmakers, M. A. J., Orobio de Castro, B., van den Ban, E., & Matthys, W. (2017). Effectiveness of the Incredible Years parenting program for families with socioeconomically disadvantaged and ethnic minority backgrounds. Journal of Clinical Child and Adolescent Psychology, 46, 59–73.Google Scholar
Lochman, J. E., Boxmeyer, C., Powell, N., Roth, D. L., & Windle, M. (2006). Masked intervention effects: Analytic methods for addressing low dosage of intervention. New Directions for Evaluation, 110, 19–32.Google Scholar
McDonough-Caplan, H., Klein, D. N., & Beauchaine, T. P. (2018). Comorbidity and continuity of depression and conduct problems from elementary school to adolescence. Journal of Abnormal Psychology, 127, 326–327.Google Scholar
Menting, A. T. A., de Castro, B. O., & Matthys, W. (2013). Effectiveness of the Incredible Years parent training to modify disruptive and prosocial child behavior: A meta-analytic review. Clinical Psychology Review, 33, 901–913.Google Scholar
Menting, A. T. A., de Castro, B. O., Wijngaards-de Meij, L. D., & Matthys, W. (2014). A trial of parent training for mothers being released from incarceration and their children. Journal of Clinical Child and Adolescent Psychology, 43, 381–396.Google Scholar
Montoya, A. K., & Hayes, A. F. (2016). Two condition within-participant statistical mediation analysis: A path-analytic framework. Psychological Methods, 22, 6–27.Google Scholar
Pasalich, D. S., Witkiewitz, K., McMahon, R. J., Pinderhughes, E. E., & Conduct Problems Prevention Research Group. (2016). Indirect effects of the Fast Track intervention on conduct disorder symptoms and callous-unemotional traits: Distinct pathways involving discipline and warmth. Journal of Abnormal Child Psychology, 44, 587–597.Google Scholar
Reid, M. J., Webster-Stratton, C., & Beauchaine, T. P. (2001). Parent training in Head Start: A comparison of program response among African American, Asian American, Caucasian, and Hispanic mothers. Prevention Science, 2, 209–227.Google Scholar
Samek, D. R., Hicks, B. M., Keyes, M. A., Bailey, J., McGue, M., & Iacono, W. G. (2015). Gene-environment interplay between parent-child relationship problems and externalizing disorders in adolescence and young adulthood. Psychological Medicine, 45, 333–344.Google Scholar
Scott, S., Briskman, J., & O'Connor, T. G. (2014). Early prevention of antisocial personality: Long-term follow-up of two randomized controlled trials comparing indicated and selective approaches. American Journal of Psychiatry, 171, 649–657.Google Scholar
Webster-Stratton, C., & Hammond, M. (1997). Treating children with early-onset conduct problems: A comparison of child and parent training interventions. Journal of Consulting and Clinical Psychology, 65, 93–109.Google Scholar
Webster-Stratton, C., & Reid, M. J. (2010). Adapting the Incredible Years, an evidence-based parenting programme, for families involved in the child welfare system. Journal of Children's Services, 5, 25–42.Google Scholar
Webster-Stratton, C., Reid, M. J., & Beauchaine, T. P. (2011). Combining parent and child training for young children with attention-deficit/hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology, 40, 191–203.Google Scholar
Webster-Stratton, C., Reid, M. J., & Beauchaine, T. P. (2013). One-year follow-up of combined parent and child intervention for young children with ADHD. Journal of Clinical Child and Adolescent Psychology, 42, 251–261.Google Scholar
Webster-Stratton, C., Reid, M. J., & Hammond, M. (2004). Treating children with early-conduct problems: Intervention outcomes for parent, child, and teacher training. Journal of Clinical Child and Adolescent Psychology, 33, 105–124.Google Scholar
Webster-Stratton, C., Rinaldi, J., & Reid, M. J. (2011). Long-term outcomes of Incredible Years parenting program: Predictors of adolescent adjustment. Child and Adolescent Mental Health, 16, 38–46.Google Scholar
Weeland, J., Chhangur, R. R., Jaffee, S. R., Van Der Giessen, D., Matthys, W., Orobio De Castro, B., & Overbeek, G. (2018). Does the Incredible Years reduce child externalizing problems through improved parenting? The role of child negative affectivity and serotonin transporter linked polymorphic region (5-HTTLPR) genotype. Development and Psychopathology, 30, 93–112.Google Scholar