Barriers to Treatment Participation and Therapeutic Change Among Children Referred for Conduct Disorder

• Published in: Journal of clinical child and adolescent psychology Vol. 28; no. 2; pp. 160 - 172
• Main Authors: Kazdin, Alan E., Wassell, Gloria
• Format: Journal Article
• Language: English
• Published: United States Lawrence Erlbaum Associates, Inc 01.06.1999; Routledge, Taylor & Francis Group
• Subjects: Adolescent; Adult; Barriers; Behavior disorders; Behavior modification; Child; Child psychology; Child, Preschool; Children & youth; Conduct Disorder - therapy; Conduct disordered children; Humans; Outcomes; Outpatient treatment; Patient Compliance; Perception; Prognosis; Psychotherapy; Relationship; Risk Factors; Social Behavior; Stress, Psychological; Therapy; Treatment Outcome
• ISSN: 0047-228X; 1537-4416; 1532-7639; 1537-4424
• DOI: 10.1207/s15374424jccp2802_4

Examined predictors of therapeutic change among children seen in outpatient therapy. Children (N = 200) referred for oppositional, aggressive, and antisocial behavior and their families participated. The major findings were that (a) socioeconomic disadvantage, parent psychopathology and stress, and child dysfunction predicted therapeutic change from pretreatment to posttreatment; (b) barriers to participation in treatment also were significantly associated with therapeutic change and this effect was not explained by the other family, parent, and child predictors; (c) as the level of perceived barriers to participation in treatment increased among families, the amount of therapeutic change decreased; and (d) among children at risk for relatively little therapeutic change, the perception of few barriers to treatment increased the degree of child improvement. The implications for further work on predictors of therapeutic change and the role of barriers in the treatment process are discussed.