Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder

被引:57
作者
Wells, Karen C.
Chi, Terry C.
Hinshaw, Stephen P.
Epstein, Jeffery N.
Pfiffner, Linda
Nebel-Schwalm, Marie
Owens, Elizabeth B.
Arnold, L. Eugene
Abikoff, Howard B.
Conners, C. Keith
Elliott, Glen R.
Greenhill, Laurence L.
Hechtman, Lily
Hoza, Betsy
Jensen, Peter S.
March, John
Newcorn, Jeffrey H.
Pelham, William E.
Severe, Joanne B.
Swanson, James
Vitiello, Benedetto
Wigal, Timothy
机构
[1] Duke Univ, Med Ctr, Dept Psychiat, Durham, NC 27706 USA
[2] Vanderbilt Univ, Dept Psychol & Human Dev, Nashville, TN 37240 USA
[3] Univ Calif Berkeley, Dept Psychol, Berkeley, CA 94720 USA
[4] Cincinnati Childrens Hosp, Med Ctr, Dept Pediat, Cincinnati, OH USA
[5] Univ Calif San Francisco, Dept Psychiat, San Francisco, CA 94143 USA
[6] Louisiana State Univ, Dept Psychol, Baton Rouge, LA 70803 USA
[7] Univ Calif Berkeley, Inst Human Dev, Berkeley, CA 94720 USA
[8] Long Isl Jewish Med Ctr, Dept Psychiat, New Hyde Pk, NY 11042 USA
[9] Columbia Univ, Dept Psychiat, New York, NY 10027 USA
[10] McGill Univ, Ctr Hlth, Dept Psychiat, Montreal, PQ H3A 2T5, Canada
[11] Montreal Childrens Hosp, Montreal, PQ H3H 1P3, Canada
[12] Univ Pittsburgh, Dept Psychiat, Pittsburgh, PA 15260 USA
[13] Univ Calif Irvine, Dept Pediat, Irvine, CA 92717 USA
关键词
ADHD; MTA study; parenting; parent-child interactions; direct observations;
D O I
10.1037/0022-006X.74.4.649
中图分类号
B849 [应用心理学];
学科分类号
040203 ;
摘要
The present study examined treatment outcomes for objectively measured parenting behavior in the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder (ADHD). Five hundred seventy-nine ethnically and socioeconomically diverse children with ADHD-combined type (ages 7.0-9.9 years) and their parent(s) were recruited at 6 sites in the United States and Canada and randomly assigned to 1 of 4 treatment groups for 14 months of active intervention: medication management (MedMgt), intensive behavior therapy, combination of the 2 (Comb), or a community treated comparison (CC). Baseline and posttreatment laboratory observations of parent-child interactions were coded by observers blind to treatment condition. Comb produced significantly greater improvements in constructive parenting than did MedMgt or CC, with effect sizes approaching medium for these contrasts. Treatment effects on child behaviors were not significant. The authors discuss the importance of changes in parenting behavior for families of children with ADHD and the need for reliable and objective measures in evaluating treatment outcome.
引用
收藏
页码:649 / 657
页数:9
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