@article{ref1,
title="Patterns and predictors of different youth responses to attachment-based parent intervention",
journal="Journal of clinical child and adolescent psychology",
year="2021",
author="Pasalich, Dave S. and Craig, Stephanie G. and Goulter, Natalie and O'Donnell, Katherine A. and Sierra Hernandez, Carlos and Moretti, Marlene M.",
volume="ePub",
number="ePub",
pages="ePub-ePub",
abstract="OBJECTIVE: Few studies have evaluated attachment-based parent interventions for pre-teens and teens, and in particular, differential adolescent trajectories of response. This study examined distinct patterns, and multi-level predictors, of intervention response among youth with serious behavioral and mental health problems whose parents participated in Connect, an attachment- and trauma-informed parent program.<br><br>METHOD: Participants included 682 parents (M(age) = 42.83, 86% mothers) and 487 youth (M(age) = 13.95, 53% female, 28.1% ethnic minority) enrolled in a community-based evaluation of Connect. Parents and youth reported on youth externalizing and internalizing problems (EXT and INT) at six time points from baseline through 18-months post-intervention. Demographic and youth and family level predictors were assessed at baseline.<br><br>RESULTS: Growth mixture modeling revealed three distinct trajectory classes in both the parent and youth models based on different patterns of co-occurring EXT and INT and degree of improvement over time. Youth with severe EXT showed the largest and fastest improvement, and, interestingly, were characterized by higher callous-unemotional traits and risk-taking at program entry. Youth with comorbid EXT/INT demonstrated a partial or moderate response to intervention in the parent and youth model, respectively, and were characterized by more attachment anxiety at baseline. Most youth showed relatively moderate/low levels of EXT/INT at baseline which gradually improved. Caregiver strain also predicted trajectory classes.<br><br>CONCLUSIONS: These results have significance for tailoring and personalizing interventions for high-risk youth and provide new understanding regarding the profiles of subgroups of youth who show different responses to an attachment-based parent intervention.<p /> <p>Language: en</p>",
language="en",
issn="1537-4416",
doi="10.1080/15374416.2021.1923022",
url="http://dx.doi.org/10.1080/15374416.2021.1923022"
}