Evidence map›Paper›PMID 40380321›Full record

ArticleChild and adolescent psychiatry and mental health2025

Effectiveness of group-based indicated prevention in children identified with disruptive behavior problems: results of an implementation study in the German health care system.

Maria McDonald, Theresia Fippel, Susanne Knappe, Patricia Theresa Porst, Cornelia Beate Siegmund, Julia Zink, Max Weniger, Katja Beesdo-Baum, Veit Roessner

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Article in Child and adolescent psychiatry and mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Maria McDonaldDepartment of Child and Adolescent Psychiatry and Psychotherapy, Faculty of Medicine, TUD Dresden University of Technology, Fetscherstr 74, 01307, Dresden, Germany. maria.mcdonald@ukdd.de.
Theresia FippelDepartment of Child and Adolescent Psychiatry and Psychotherapy, Faculty of Medicine, TUD Dresden University of Technology, Fetscherstr 74, 01307, Dresden, Germany.
Susanne KnappeBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.
Patricia Theresa PorstBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.
Cornelia Beate SiegmundBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.
Julia ZinkBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.
Max WenigerBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.
Katja Beesdo-BaumBehavioral Epidemiology, Institute of Clinical Psychology and Psychotherapy, TUD Dresden University of Technology, Dresden, Germany.
Veit RoessnerDepartment of Child and Adolescent Psychiatry and Psychotherapy, Faculty of Medicine, TUD Dresden University of Technology, Fetscherstr 74, 01307, Dresden, Germany.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundSubclinical disruptive behavior problems often occur during childhood and are a risk factor for developing a mental disorder later in life. To prevent a manifestation of dysfunctional disruptive behavior, early intervention is critical. This study aimed to examine the effectiveness of an indicated prevention program in children with disruptive behavior problems.

methodsScreening for disruptive behavior problems was conducted using the Strength and Difficulties Questionnaire during routine pediatric health check-ups. Depending on their risk status (normal vs. borderline vs. abnormal), children received a recommendation for no intervention, an indicated prevention program (i.a. "Baghira") or further diagnostics. Questionnaires such as the Child Behavior Checklist and the Parent Rating Scale for Conduct Disorder (DISYPS Competence scale) were administered at three time points (T0: pre-intervention, T1: 6 months after screening/ post-intervention, T2: 6 months after T1). Children who participated in "Baghira" (BA n = 171), a cognitive-behavioral group program for children with disruptive behaviors, were compared to children screened as normal (NOR n = 881) or received a recommendation for "Baghira" but refused participation (NO BA n = 46).

resultsDisruptive behavior problems decreased (BA: β = - 3.61, p <.001) and prosocial behavior increased (BA: β = 1.67, p <.001) in the BA compared to the NOR group from T0 to T1. These effects were maintained at T2 follow-up (BA: β = - 1.60; p =.035; β = 1.12; p =.019). However, the NO BA group also improved in prosocial behavior and from T0 to T1.

conclusionAlthough an improvement in disruptive behavior symptoms as well as an increase in prosocial behavior were observed, controlled studies using matched or stratified designs are needed to replicate the effectiveness of "Baghira" in a prevention context, apart from the Covid-19 pandemic, to improve children's mental health.

Indexed as

ChildhoodDisruptive behavior problemsIndicated preventionMental health

Identifiers

PMID40380321
PMCPMC12085012

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