{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,3]],"date-time":"2026-05-03T23:28:37Z","timestamp":1777850917848,"version":"3.51.4"},"reference-count":26,"publisher":"SAGE Publications","issue":"1","license":[{"start":{"date-parts":[[2014,12,10]],"date-time":"2014-12-10T00:00:00Z","timestamp":1418169600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Fam Nurs"],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Adolescents with disruptive behavior disorders (DBD), including oppositional defiant disorder and conduct disorder, present unique challenges for their families. Although, most empirically supported treatments for DBD are family-based, the emphasis is typically on the behavior of the child rather than on the life challenges and resultant distress experienced by the family members. Fifteen families of adolescents with DBD were recruited from a large publicly funded Community Mental Health Center. For this report, data from in-depth interviews with the adolescents\u2019 primary caregivers were analyzed by standard content analytic procedures to describe the challenges they experienced living with and caring for the adolescents. The primary caregivers reported that the challenges were overwhelming, demanding, and unrelenting. The two most salient challenges were (a) managing the adolescents\u2019 aggressive, defiant, and deceitful behaviors, and (b) interacting frequently with a number of child-serving agencies. A number of clinical implications are drawn from these findings.<\/jats:p>","DOI":"10.1177\/1074840714562027","type":"journal-article","created":{"date-parts":[[2014,12,10]],"date-time":"2014-12-10T22:08:47Z","timestamp":1418249327000},"page":"149-167","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":15,"title":["The Challenges for Primary Caregivers of Adolescents With Disruptive Behavior Disorders"],"prefix":"10.1177","volume":"21","author":[{"given":"Ukamaka M.","family":"Oruche","sequence":"first","affiliation":[{"name":"Indiana University\u2013Purdue University, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire Burke","family":"Draucker","sequence":"additional","affiliation":[{"name":"Indiana University\u2013Purdue University, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Halima","family":"Al-Khattab","sequence":"additional","affiliation":[{"name":"Indiana University\u2013Purdue University, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hillary A.","family":"Cravens","sequence":"additional","affiliation":[{"name":"Indiana University\u2013Purdue University, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Brittany","family":"Lowry","sequence":"additional","affiliation":[{"name":"Indiana University\u2013Purdue University, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Laura M.","family":"Lindsey","sequence":"additional","affiliation":[{"name":"Indiana University\u2013Purdue University, Indianapolis, IN, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2014,12,10]]},"reference":[{"key":"bibr1-1074840714562027","unstructured":"American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (Revised 4th ed.). Washington, DC: American Psychological Association."},{"key":"bibr2-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr3-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1111\/j.1475-3588.2011.00616.x"},{"key":"bibr4-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1037\/11638-003"},{"key":"bibr5-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1007\/s10862-006-7489-3"},{"key":"bibr6-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1606\/1044-3894.76"},{"key":"bibr7-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1037\/0893-3200.18.3.411"},{"key":"bibr8-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1080\/07317107.2011.545011"},{"key":"bibr9-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1007\/s10826-006-9096-z"},{"key":"bibr10-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2013.01.004"},{"key":"bibr11-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1177\/002214650804900305"},{"key":"bibr12-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1002\/9781118156391.ebcp001011"},{"key":"bibr13-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1177\/1362361305051403"},{"key":"bibr14-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2214.2012.01366.x"},{"key":"bibr15-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1300\/J002v06n01_02"},{"key":"bibr16-1074840714562027","doi-asserted-by":"publisher","DOI":"10.31887\/DCNS.2009.11.1\/krmerikangas"},{"key":"bibr17-1074840714562027","volume-title":"Qualitative data analysis: An expanded sourcebook","author":"Miles M. B.","year":"1994","edition":"2"},{"key":"bibr18-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1177\/104973202129120043"},{"key":"bibr19-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-2788.2009.01231.x"},{"key":"bibr20-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1016\/j.apnu.2011.12.006"},{"key":"bibr21-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1080\/10522150802292376"},{"key":"bibr22-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)"},{"key":"bibr23-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1080\/01612840290052758"},{"key":"bibr24-1074840714562027","doi-asserted-by":"publisher","DOI":"10.1080\/00981380903158037"},{"key":"bibr25-1074840714562027","doi-asserted-by":"crossref","unstructured":"Sullivan-Bolyai S., Bova C., Harper D. (2005). Developing and refining interventions in persons with health disparities: The use of qualitative description. Nursing Outlook, 53, 127-133. Retrieved from http:\/\/dx.doi.org\/10.1016\/j.outlook.2005.03.005","DOI":"10.1016\/j.outlook.2005.03.005"},{"key":"bibr26-1074840714562027","volume-title":"Report of the Surgeon General\u2019s conference on children\u2019s mental health: A national agenda","author":"U.S. Public Health Service","year":"2000"}],"container-title":["Journal of Family Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1074840714562027","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/1074840714562027","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/1074840714562027","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,29]],"date-time":"2026-04-29T22:13:52Z","timestamp":1777500832000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/1074840714562027"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,12,10]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2015,2]]}},"alternative-id":["10.1177\/1074840714562027"],"URL":"https:\/\/doi.org\/10.1177\/1074840714562027","relation":{},"ISSN":["1074-8407","1552-549X"],"issn-type":[{"value":"1074-8407","type":"print"},{"value":"1552-549X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,12,10]]}}}