:: Volume 32, Issue 3 (Fall 2022) ::
MEDICAL SCIENCES 2022, 32(3): 229-238 Back to browse issues page
The eeffectiveness of psychological treatments on oppositional defiant disorder in Iran: meta-analysis
Nasere Shakeri1 , Mahboobe Taher 2, AbbasAli Hossein Khanzade3 , MohammadReza Mohammadi Soleimani4
1- Phd of General Psychology, Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran
2- Department of Psychology, Shahrood Branch, Islamic Azad University, Shahrood, Iran , nasereshakeri@gmail.com
3- Department of Psychology, Guilan University, Rasht, Iran
4- Department of Psychology, Kerman Branch, Islamic Azad University, Kerman, Iran
Abstract:   (1186 Views)
Background: Childhood is the most important stage of development of every human being. One of the most common childhood disorders is oppositional defiant disorder (ODD), so the aim of this study was to review and meta-analyze the effectiveness of psychological therapies (including improving parenting styles, life skills training and Social, play and story therapy) on this disorder.
Materials and methods: This meta-analysis was carried out on articles published from 2005 to 2020 in the databases of SID, Magiran, Noormags and the Comprehensive Portal of Humanities. Search on scientific databases was done with keywords related to the research topic and 74 scientific research articles with clinical trials were extracted. After removing duplicates and reviewing the quality of articles according to the Consort checklist by three psychologists and statisticians, 5 articles had necessary conditions to participate in meta­-analysis. By using Random model, articles meta-analyzed at a significance level of 0.05 using 5.4 Review Manager Software.
Results: Results of meta-analysis and comparing the mean difference of the scores of ODD between the intervention and control groups showed significant higher reduction of symptoms in the intervention group compared to control group in all studies. The mean difference of standardized score for all studies was 2.88 (2.36-3.40; P <0.001) that indicated the effect of psychological interventions.
Conclusion: This study showed that psychological therapies (including improving parenting styles, life and social skills training, play and story therapy) are effective in reducing the symptoms of oppositional defiant disorder. Therefore, psychological therapies is useful to treat ODD
Keywords: Psychological Therapies, Oppositional defiant disorder, Meta-analysis
Full-Text [PDF 813 kb]   (513 Downloads)    
Semi-pilot: Meta Analysis | Subject: psychology
Received: 2022/01/3 | Accepted: 2022/02/14 | Published: 2022/09/1
1. Schachar R, Wachsmuth R. Oppositional disorder in children: a validation study comparing conduct disorder, oppositional disorder and normal control children. J Child Psychol Psychiatry 1990;31:1089-102. [DOI:10.1111/j.1469-7610.1990.tb00848.x]
2. Ngee ST, Ping, OL. Parent Physical Punishment and Child Aggression in a Singapore Chinese Preschool Sample. J Marriage Fam 2015;67:85-99. [DOI:10.1111/j.0022-2445.2005.00007.x]
3. Pandina GJ, Zhu Y, Cornblatt B. Cognitive function with long-term risperidone in children and adolescents with disruptive behavior disorder. J Child Adolesc Psychopharmacol 2009;19:749-56. [DOI:10.1089/cap.2008.0159]
4. Carr A, ed. The handbook of child and adolescent clinical psychology. A contextual approach. London and New York: Rutledge; 2017.
5. Sadock BJ, Sadock VA, Ruiz P, Sadock BJ, eds. Kaplan & Sadock's Concise Textbook of Clinical Psychiatry. Philadelphia: Wolters Kluwer; 2017.
6. American Psychiatric Association. Diagnostic and Statistical Manual of Mental Disorders. Available from: https://dsm.psychiatryonline.org/doi/book/10.1176/appi.books.9780890425596.
7. Sigurdson JF, Wallander J, Sund AM. Is involvement in school bullying associated with general health and psychosocial adjustment outcomes in adulthood? Child Abuse Negl 2014;38:1607-17. [DOI:10.1016/j.chiabu.2014.06.001]
8. Granero R, Louwaars L, Ezpeleta L. Socioeconomic status and Oppositional Defiant Disorder in preschoolers: parenting practices and executive functioning as mediating variables. Front Psychol 2015; 4: 1-33. [DOI:10.3389/fpsyg.2015.01412]
9. Leadbeater BJ, Ames ME. The Longitudinal Effects of Oppositional Defiant Disorder Symptoms on Academic and Occupational Functioning in the Transition to Young Adulthood. J Abnorm Child Psychol 2017; 45: 749-763. [DOI:10.1007/s10802-016-0190-4]
10. Huaqing C, Kaiser AP. Behavior Problems of Preschool Children From Low-Income Families: Review of the Literature. Top Early Child Spec Educ 2003; 23: 188- 216. [DOI:10.1177/02711214030230040201]
11. Beauchaine T, Hinshaw S, Pang KL. Comorbidity of attention‐deficit/hyperactivity disorder and earlyonset conduct disorder: Biological, environmental, and developmental mechanisms. Clin Psychol Sci Prac 2010; 17: 327-36. [DOI:10.1111/j.1468-2850.2010.01224.x]
12. Carpenter AL, Puliafico AC, Kurtz SM, Pincus DB, Comer JS. Extending parent-child interaction therapy for early childhood internalizing problems: new advances for an overlooked population. Clin Child Fam Psychol Rev 2014;17:340-56. [DOI:10.1007/s10567-014-0172-4]
13. Komijani M. A look at treatment strategies for conduct disorder. Excep Edu 2011; 6: 45-40.
14. Shahabizadeh F, Khaje AF. The effectiveness of narrative therapy based on cognitive-behavioral perspective on anxiety of primary school female student. Knowledg Res Appl Psychology. 2018; 19:70-80. doi: 10.30486/JSRP.2018.540484. [In Persian]
15. Falahi V, Karimi Thani P. The effectiveness of Narrative Therapy on improvement of ‎communication ‎and ‎social ‎ Interaction of children with autism. Appl Psychol 2016; 2: 104-71. [In Persian]
16. Chang EC, Sanna LJ, Riley MM, Thornburg MA, Zumberg KM, Edwards MC. Relations between problem solving styles and psychological adjustment in young adults: is stress a mediating variable? Pers Individ Dif 2007; 42: 135-144. [DOI:10.1016/j.paid.2006.06.011]
17. Reebye P. Affect Regulation and the Development of Psychopathology. Can Child Adolesc Psychiatr Rev 2003;12:21-22.
18. Salesi M, Maghari A, Mohammadi E, Yekaninejad MS, Ghanbari A. Quality Assessment of Published Randomized Controlled Trials in the Journal of Military Medicine during 1999-2015. J Mil Med 2017; 19 : 106- 125. [in Persian]
19. Howiit D, Cramer D, eds. Introduction to Statistics in Psychology. Pasha Sharifi H, Najafi Zand J, Mirhashemi M, Sharifi N, Manavipoor D, translators. Third edition. Tehran: Sokhan; 2017. [In Persian]
20. Kheirie M, Sheri M, Azadfallah P, RasoulzadehTabatabai, K. The effectiveness of positive parenting education method on children with disobedient-coping disorder. Refining Sci 2008; 3: 58-53. [In Persian]
21. Roshanchelsi R. The effect of storytelling based on social skills training on improving social skills and behavioral problems of eight- to 10-year-old male students with coping disorder and neglect. Clin Psychol Stud 2013; 3: 93-73. [In Persian]
22. Beyrami M, Poorahmadi A, Jalali M. The effect of life skills training on reducing the severity of the symptoms of coping disorder and indifference of 8 to 10-year-old male students. New Psychol Res 2006; 2: 32-15.
23. Mohammadloo Ch, Ghalandari A, Khanbani M. The effectiveness of cognitive-social skills training on reducing the symptoms of students' disobedience-coping disorder. Appl Psychol 2019; 3: 113-99. [In Persian]
24. Pazhoohinia S, Eskandari Ch, Porjalali A, Delavar A, Motamedi A. Develop and validate a social cognition training program and determine its effectiveness on the symptoms of confrontational disobedience in children aged 7 to 9 years. Shefaye Khatam 2019; 8: 20-11. [In Persian] [DOI:10.29252/shefa.8.1.11]
25. Shaffer DR, ed. Social and personality development. Massachusetts, United States: Cengage Learning; 2020.
26. Gharaei N, Fathabadi J. The effect of puppet play therapy on improving social skills of preschool children with Down syndrome. Appl Psychol 2012; 2: 40-250. [In Persian]
27. Kim MJ, Doh HS, Hong JS, Choi MK. Social skills training and parent education programs for aggressive preschoolers and their parents in South Korea. Child Youth Serv 2011; 33: 838-845. [DOI:10.1016/j.childyouth.2010.12.001]
28. O'Reilly MF, Lancioni GE, Sigafoos J, O'Donoghue D, Lacey C, Edrisinha C. Teaching social skills to adults with intellectual disabilities: a comparison of external control and problem solving interventions. Res Dev Disabil 2004; 25: 412-399. [DOI:10.1016/j.ridd.2003.07.003]
29. Ray D. Supervision of basic and advanced skills in play therapy. Journal of Professional Counseling: Practice, Theory & Research 2019; 32:28. [DOI:10.1080/15566382.2004.12033805]
30. Kottman T, Meany-Walen K. Partners in play: An Adlerian approach to play therapy. Hoboken, NJ: Wiley; 2016. [DOI:10.1002/9781119272205]
31. Hoshina A, Horie R, Giannopulu I, Sugaya M. Measurement of the effect of digital play therapy using biological information. Procedia Comput Sci 2017. [DOI:10.1016/j.procs.2017.08.104]
32. Rajabpur Farrokhi, S, Jahanshahi, F. The effect of story therapy in reducing behavioral disorders in primary school male students. Thinking and child 2011; 2: 35-190. [In Persian]
33. Friedberg RD, Wilt LH. Metaphors and Stories in Cognitive Behavioral Therapy with Children. J Rat-Emo Cog-Behav Ther 2010; 28: 100-113. [DOI:10.1007/s10942-009-0103-3]
34. Crawford R, Brown B, Crawford P. Storytelling in therapy. CUHK Primary Education 2019; 2: 37-45.

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