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Journal of Emotional and Behavioral Disorders
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Article

Comparing Child, Parent, and Family Characteristics in Usual Care and Empirically Supported Treatment Research Samples for Children With Disruptive Behavior Disorders

Mary J. Baker-Ericzén1*, Michael S. Hurlburt2, Lauren Brookman-Frazee3, Melissa M. Jenkins4, and Richard L. Hough5

1 Rady Children’s Hospital, Child and Adolescent Services Research Center, and University of San Diego, San Diego
2 Rady Children’s Hospital, San Diego
3 Child and Adolescent Services Research Center, and University of California, San Diego
4 University of North Carolina–Chapel Hill
5 University of New Mexico, Albuquerque, and Child and Adolescent Services Research Center, San Diego

* To whom correspondence should be addressed. E-mail: mbaker{at}casrc.org.


   Abstract
This study compared data from 34 research trials of five empirically supported treatments (ESTs) with one large usual care (UC) sample on child, parent, and family characteristics for children with Disruptive Behavior Disorders. Large variations were found within and across ESTs on sample characteristics during the past two decades. Most parent and family characteristics were not reported in EST studies. Statistical comparisons between UC and EST samples revealed that occurrences of child demographics and symptom severity levels were similar, but occurrences of most parent and family characteristics were different, with higher rates of problems for the UC sample. Results indicate that UC clients have complex needs, with multiple child, parent, and family issues. The findings are discussed in relation to the importance of acknowledging parent and family contextual variables in implementation efforts.

First published on June 9, 2009
Journal of Emotional and Behavioral Disorders 2009, doi:10.1177/1063426609336956


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