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Effects of parent management training and problem-solving skills training combined in the treatment of antisocial child behavior.

Abstract This investigation evaluated the combined effects of parent management training (PMT) and cognitive-behavioral problem-solving skills training (PSST) for the treatment of antisocial behavior. Psychiatric inpatient children (N = 40, ages 7 to 12) and their parents were assigned randomly to either PMT-PSST combined or to a contact-control condition. In the combined treatment, parents received PMT and the children received PSST. In the control condition, parents received contact meetings in which the child's treatment was discussed; children met with a therapist in individual sessions where they discussed activities on the ward. All children participated in a short-term hospital program before their return to the community. Children in the PMT-PSST condition showed significantly less aggression and externalizing behavior at home and at school and greater prosocial behavior and overall adjustment than contact-control children. These results were evident immediately after treatment and at a 1-year follow-up assessment.