Estimated change in standard scores on caregiver report measures over time (years), specifically: (A) BRIEF Behavior Regulation, (B) BRIEF Metacognition Index, (C) CBCL Internalizing Problems, (D) CBCL Externalizing Problems, and (E) CBCL Total Problems. Standard score mean is 50 with a standard deviation of 10 points. The gray bars mark a standard deviation above and below the mean. Group differences were statistically significant (P < 0.05) at 1 year post diagnosis for BRIEF Behavior Regulation, BRIEF Metacognitive Index, and CBCL Total Problems. Group differences were statistically significant (P < 0.05) at 1 and 3 years post diagnosis for CBCL Externalizing Problems. There were near statistically significant group differences (P = 0.06) in change over time (slope) for BRIEF Metacognitive Index and CBCL Total Problems only.