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Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial

OBJECTIVE: This single-blinded, randomized, parallel group superiority trial evaluates whether the Non-Violent Resistance (NVR) program, a 10-session parental-group intervention, was more effective in reducing stress in parents of children aged 6–20 years and displaying severe tyrannical behavior (S...

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Autores principales: Fongaro, Erica, Aouinti, Safa, Picot, Marie-Christine, Pupier, Florence, Omer, Haim, Franc, Nathalie, Purper-Ouakil, Diane
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10195028/
https://www.ncbi.nlm.nih.gov/pubmed/37215679
http://dx.doi.org/10.3389/fpsyt.2023.1124028
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author Fongaro, Erica
Aouinti, Safa
Picot, Marie-Christine
Pupier, Florence
Omer, Haim
Franc, Nathalie
Purper-Ouakil, Diane
author_facet Fongaro, Erica
Aouinti, Safa
Picot, Marie-Christine
Pupier, Florence
Omer, Haim
Franc, Nathalie
Purper-Ouakil, Diane
author_sort Fongaro, Erica
collection PubMed
description OBJECTIVE: This single-blinded, randomized, parallel group superiority trial evaluates whether the Non-Violent Resistance (NVR) program, a 10-session parental-group intervention, was more effective in reducing stress in parents of children aged 6–20 years and displaying severe tyrannical behavior (STB) compared to a treatment as usual (TAU) intervention that provided supportive counseling and psychoeducation. METHODS: Eighty two parents of youth aged 6–20 years with STB were enrolled by the Child and Adolescent Psychiatry Department at the University Hospital of Montpellier (France). A random block and stratified by age (6–12 and 13–20 years) randomization, was performed. All participants were interviewed by independent, blinded to group assignments, research assistants, and completed their assessments at baseline and treatment completion (4 months from baseline). Since this program has not been previously evaluated in this population, the study primarily evaluated the efficacy, using the Parenting Stress Index/Short Form (PSI-SF). The primary outcome was the change from baseline to treatment completion of the PSI-SF total score. RESULTS: Seventy three participants completed the study and were available for analysis (36 NVR and 37 TAU). At completion, between-groups comparison of the change (completion minus baseline) in the total score of PSI-SF was not significant (NVR: −4.3 (± 13.9); TAU: −7.6 (± 19.6); two-sample t-test p = 0.43; effect size of −0.19 [−0.67, 0.28]). CONCLUSION: Contrary to our expectation, NVR was not superior to TAU in reducing parental stress at completion for parents of children with STB. However, NVR showed positive outcomes in the follow-up, pointing to the importance to implement parental strategies and following this population over longer time periods in future projects. Clinical trial registration: Clinicaltrials.gov, identifier NCT05567276.
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spelling pubmed-101950282023-05-19 Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial Fongaro, Erica Aouinti, Safa Picot, Marie-Christine Pupier, Florence Omer, Haim Franc, Nathalie Purper-Ouakil, Diane Front Psychiatry Psychiatry OBJECTIVE: This single-blinded, randomized, parallel group superiority trial evaluates whether the Non-Violent Resistance (NVR) program, a 10-session parental-group intervention, was more effective in reducing stress in parents of children aged 6–20 years and displaying severe tyrannical behavior (STB) compared to a treatment as usual (TAU) intervention that provided supportive counseling and psychoeducation. METHODS: Eighty two parents of youth aged 6–20 years with STB were enrolled by the Child and Adolescent Psychiatry Department at the University Hospital of Montpellier (France). A random block and stratified by age (6–12 and 13–20 years) randomization, was performed. All participants were interviewed by independent, blinded to group assignments, research assistants, and completed their assessments at baseline and treatment completion (4 months from baseline). Since this program has not been previously evaluated in this population, the study primarily evaluated the efficacy, using the Parenting Stress Index/Short Form (PSI-SF). The primary outcome was the change from baseline to treatment completion of the PSI-SF total score. RESULTS: Seventy three participants completed the study and were available for analysis (36 NVR and 37 TAU). At completion, between-groups comparison of the change (completion minus baseline) in the total score of PSI-SF was not significant (NVR: −4.3 (± 13.9); TAU: −7.6 (± 19.6); two-sample t-test p = 0.43; effect size of −0.19 [−0.67, 0.28]). CONCLUSION: Contrary to our expectation, NVR was not superior to TAU in reducing parental stress at completion for parents of children with STB. However, NVR showed positive outcomes in the follow-up, pointing to the importance to implement parental strategies and following this population over longer time periods in future projects. Clinical trial registration: Clinicaltrials.gov, identifier NCT05567276. Frontiers Media S.A. 2023-05-04 /pmc/articles/PMC10195028/ /pubmed/37215679 http://dx.doi.org/10.3389/fpsyt.2023.1124028 Text en Copyright © 2023 Fongaro, Aouinti, Picot, Pupier, Omer, Franc and Purper-Ouakil. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Psychiatry
Fongaro, Erica
Aouinti, Safa
Picot, Marie-Christine
Pupier, Florence
Omer, Haim
Franc, Nathalie
Purper-Ouakil, Diane
Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial
title Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial
title_full Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial
title_fullStr Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial
title_full_unstemmed Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial
title_short Non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial
title_sort non-violent resistance parental training versus treatment as usual for children and adolescents with severe tyrannical behavior: a randomized controlled trial
topic Psychiatry
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10195028/
https://www.ncbi.nlm.nih.gov/pubmed/37215679
http://dx.doi.org/10.3389/fpsyt.2023.1124028
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