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Use of a Direct Observational Measure in a Trial of Risperidone and Parent Training in Children with Pervasive Developmental Disorders

A Structured Observational Analog Procedure (SOAP), an analogue measure of parent-child interactions, was used to assess treatment outcome in children with Autism Spectrum Disorder and serious behavior problems. It served as a secondary outcome measure in a 24-week, randomized trial of risperidone (...

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Published in:Journal of developmental and physical disabilities 2013-06, Vol.25 (3), p.355-371
Main Authors: Handen, Benjamin L., Johnson, Cynthia R., Butter, Eric M., Lecavalier, Luc, Scahill, Lawrence, Aman, Michael G., McDougle, Christopher J., Arnold, L. Eugene, Swiezy, Naomi B., Sukhodolsky, Denis G., Mulick, James A., White, Susan W., Bearss, Karen, Hollway, Jill A., Stigler, Kimberly A., Dziura, James, Yu, Sunkyung, Sacco, Kelley, Vitiello, Benedetto
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container_title Journal of developmental and physical disabilities
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creator Handen, Benjamin L.
Johnson, Cynthia R.
Butter, Eric M.
Lecavalier, Luc
Scahill, Lawrence
Aman, Michael G.
McDougle, Christopher J.
Arnold, L. Eugene
Swiezy, Naomi B.
Sukhodolsky, Denis G.
Mulick, James A.
White, Susan W.
Bearss, Karen
Hollway, Jill A.
Stigler, Kimberly A.
Dziura, James
Yu, Sunkyung
Sacco, Kelley
Vitiello, Benedetto
description A Structured Observational Analog Procedure (SOAP), an analogue measure of parent-child interactions, was used to assess treatment outcome in children with Autism Spectrum Disorder and serious behavior problems. It served as a secondary outcome measure in a 24-week, randomized trial of risperidone (MED; N  = 49) versus risperidone plus parent training (COMB; n  = 75) (ages 4–13 years). At 24-weeks, there was 28 % reduction in child inappropriate behavior during a Demand Condition ( p  = .0002) and 12 % increase in compliance to parental requests ( p  = .004) for the two treatment conditions combined. Parents displayed 64 % greater use of positive reinforcement ( p  = .001) and fewer repeated requests for compliance ( p  
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It served as a secondary outcome measure in a 24-week, randomized trial of risperidone (MED; N  = 49) versus risperidone plus parent training (COMB; n  = 75) (ages 4–13 years). At 24-weeks, there was 28 % reduction in child inappropriate behavior during a Demand Condition ( p  = .0002) and 12 % increase in compliance to parental requests ( p  = .004) for the two treatment conditions combined. Parents displayed 64 % greater use of positive reinforcement ( p  = .001) and fewer repeated requests for compliance ( p  &lt; .0001). In the analysis of covariance (ANCOVA), COMB parents used significantly more positive reinforcement ( p  = .01) and fewer restrictive statements ( p  &lt; .05) than MED parents. 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Eugene</creatorcontrib><creatorcontrib>Swiezy, Naomi B.</creatorcontrib><creatorcontrib>Sukhodolsky, Denis G.</creatorcontrib><creatorcontrib>Mulick, James A.</creatorcontrib><creatorcontrib>White, Susan W.</creatorcontrib><creatorcontrib>Bearss, Karen</creatorcontrib><creatorcontrib>Hollway, Jill A.</creatorcontrib><creatorcontrib>Stigler, Kimberly A.</creatorcontrib><creatorcontrib>Dziura, James</creatorcontrib><creatorcontrib>Yu, Sunkyung</creatorcontrib><creatorcontrib>Sacco, Kelley</creatorcontrib><creatorcontrib>Vitiello, Benedetto</creatorcontrib><title>Use of a Direct Observational Measure in a Trial of Risperidone and Parent Training in Children with Pervasive Developmental Disorders</title><title>Journal of developmental and physical disabilities</title><addtitle>J Dev Phys Disabil</addtitle><addtitle>J Dev Phys Disabil</addtitle><description>A Structured Observational Analog Procedure (SOAP), an analogue measure of parent-child interactions, was used to assess treatment outcome in children with Autism Spectrum Disorder and serious behavior problems. 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source Applied Social Sciences Index & Abstracts (ASSIA); Social Science Premium Collection (Proquest) (PQ_SDU_P3); Sociology Collection; Springer Link; Education Collection
subjects Analysis of covariance
Antipsychotics
Autism
Autism Spectrum Disorders
Autistic children
Behavior problems
Behavioral Science and Psychology
Behaviour disordered children
Child and School Psychology
Compliance
Developmental disorders
Inappropriateness
Original Article
Outcome Measures
Outcomes of Treatment
Parent Child Relationship
Parent-child relations
Parenthood education
Parents & parenting
Pediatrics
Pervasive developmental disorders
Positive reinforcement
Psychology
Public Health
Reinforcement
Risperidone
Statistical Analysis
title Use of a Direct Observational Measure in a Trial of Risperidone and Parent Training in Children with Pervasive Developmental Disorders
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