The Effect of Family Training on Salivary Cortisol in Children with Disruptive Behavior Disorder


Masoud Motamedi 1 , * , Abbas Attar Attar 2 , Mansour Siavash 2 , Fereshteh Shakibaei 2 , Mohammad Masoud Azhar 2 , Reza Jafarie Harandi 2 , Akbar Hassanzadeh 2

1 Behavioral Sciences Research Center, Khorshid (Noor) Hospital, Ostandari St, Isfahan, Iran

2 Psychiatrist of Behavioral Sciences and Health Services, Research Center and Department of Psychiatry, Isfahan University of Medical Sciences, Isfahan, Iran

How to Cite: Motamedi M, Attar A A, Siavash M, Shakibaei F, Azhar M M, et al. The Effect of Family Training on Salivary Cortisol in Children with Disruptive Behavior Disorder, Iran J Psychiatry Behav Sci. 2008 ; 2(1):26-30.


Iranian Journal of Psychiatry and Behavioral Sciences: 2 (1); 26-30
Published Online: January 31, 2008
Article Type: Original Article
Received: December 07, 2007
Accepted: January 01, 2008


Objective: Antisocial, aggressive and delinquent behaviors in adults often begin early in life. Basal cortisol is a valuable biological marker in children with disruptive behavior disorder (DBD). To investigate the association between biological factor (cortisol) and disruptive behaviors, we studied the effect of family training on salivary cortisol level in children with DBD.

Methods: Basal salivary cortisol levels were studied in 19 children with DBD, (aged 8 -13 years old) prior and 2 months after the treatment. The disruptive behavior of the child was also assessed by Child Behavior Checklist (CBCL), before and 2 months after treatment.

Results: Children with lower basal cortisol level had more sever behavioral problems. Surprisingly, this group had a better response to family therapy.

Conclusion: Parental training is an effective method for behavioral modification of children with DBD. Salivary cortisol can be considered as a biological marker for the severity of disruptive behavior and response to therapy



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