Journal Article

Effects of Topper Training on psychosocial problems, self-esteem, and peer victimisation in Dutch children: A randomised trial

Vliek, Lilian, Orobio de Castro, Bram, Overbeek, Geertjan

2019

Overview

Most interventions aimed at improving social interactions either target internalising or externalising problem behaviour in children. However, a recent review shows that a transdiagnostic approach might fit better to the diversity of problems within a group and within an individual (comorbidity). We examined the effectiveness of a transdiagnostic intervention, called Topper Training: a cognitive behavioural intervention in the peer group with parents included, that targets both internalising and externalising behaviour problems. A randomised trial with a waiting list control group was conducted, using 132 children with mild to severe psychosocial problems. Children were randomised into 77 intervention and 55 waiting list children (50% boys; age = 8-11 years). GLM repeated measures analyses yielded significant intervention effects directly after the training on parent-reported (but not teacher-reported) emotional symptoms (Cohen's d = .70), peer relationship problems (d = .41), and impact of these problems (d = .59). Significant effects were also found for child-perceived peer victimisation (d = .62), self-esteem (d = .45) and teacher-reported conduct problems (d = .42). Parent-reported effects on emotional, conduct problems and impact of the problems and child-reported effects on self-esteem were clinically relevant. No significant effects of Topper Training were found for prosocial behaviour and bullying. Within-participant t-tests in the intervention group between post-intervention and follow-up indicated that effects extended over a six-month follow-up period. Depression decreased significantly from post-test to follow-up. In conclusion, children with mild to severe internalising and/or externalising problems can benefit from the transdiagnostic Topper Training intervention.

• Publisher: Public Library of Science,Public Library of Science (PLoS)
• Subject: Adolescent / Analysis / Behavior problems / Biology and Life Sciences / Bullying / Bullying - statistics & numerical data / Child / Child & adolescent psychiatry / Child behavior / Child Behavior Disorders - psychology / Child Behavior Disorders - therapy / Child psychology / Children / Children & youth / Classrooms / Cognitive ability / Cognitive behavioral therapy / Cognitive Behavioral Therapy - methods / Comorbidity / Crime Victims - rehabilitation / Depressive Disorder - therapy / Developmental psychology / Dissertations & theses / Early Intervention, Educational / Emotions / Female / Humans / Intervention / Male / Medicine and Health Sciences / Mental depression / Mental disorders / Mental health / Parents / Parents - education / Parents - psychology / Peer Group / People and Places / Problem Behavior / Psychological aspects / Quantitative psychology / Randomization / Self Concept / Self esteem / Self image / Social aspects / Social behavior / Social factors / Social interactions / Social Sciences / Teachers / Training / Victimization