Moderating Role of Individual and Familial Characteristics in the Improvement of Organizational Skills Following ADHD Youths’ Participation in the TRANSITION Project

IF 2.5 3区 心理学 Q2 PSYCHOLOGY, DEVELOPMENTAL School Mental Health Pub Date : 2023-11-15 DOI:10.1007/s12310-023-09618-6
Julie Girard-Lapointe, Sylvie Normandeau, Lily Hechtman
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Abstract

This study aims to examine the moderating role of individual (sex, symptom severity, and comorbid disorders) and familial (parental stress and parental depressive symptoms) factors on the improvement of organization, time management, and planning (OTMP) skills of youths with attention-deficit hyperactivity disorder (ADHD) following participation of families in a multimodal intervention targeting academic organizational skills. ADHD youths (M = 12.04 years, SD = 0.44; first language: 85.7% French, 11.4% English) under optimized psychostimulant treatment and their parents were randomly assigned to either an intervention group (n = 32; 21 boys and 11 girls) or a control group (n = 38; 28 boys and 10 girls). A two-dimensional questionnaire was used to measure improvement of OTMP skills: Time Management and Planning and Memorization and Material Management (MMM). Severity of inattention symptoms (p < .01) moderates MMM skills’ improvement. The intervention was more efficacious in improving MMM skills of youths with more severe inattention symptoms under optimized psychostimulant treatment. No other moderating factors were observed. The intervention was effective in supporting ADHD youths improve their OTMP skills. The intervention appears to buffer the negative impact of inattention symptoms severity on MMM skills improvement.

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个体和家庭特征对ADHD青少年参与过渡项目后组织技能改善的调节作用
本研究旨在探讨个体因素(性别、症状严重程度和共病)和家庭因素(父母压力和父母抑郁症状)对注意缺陷多动障碍(ADHD)青少年组织、时间管理和计划(OTMP)技能改善的调节作用,家庭参与以学术组织技能为目标的多模式干预。ADHD青少年(M = 12.04岁,SD = 0.44;第一语言:85.7%法语,11.4%英语),他们的父母被随机分配到干预组(n = 32;21名男孩和11名女孩)或对照组(n = 38;28个男孩和10个女孩)。采用二维问卷测量OTMP技能的改善:时间管理和计划、记忆和材料管理(MMM)。注意力不集中症状的严重程度(p < .01)缓和了MMM技能的改善。在优化的精神兴奋剂治疗下,干预对改善注意力不集中症状更严重的青少年的MMM技能更有效。未观察到其他调节因素。干预在支持ADHD青少年提高OTMP技能方面是有效的。干预措施似乎缓冲了注意力不集中症状严重程度对MMM技能改善的负面影响。
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来源期刊
CiteScore
4.30
自引率
7.70%
发文量
67
期刊介绍: School Mental Health: A Multidisciplinary Research and Practice Journal is a forum for the latest research related to prevention, treatment, and assessment practices that are associated with the pre-K to 12th-grade education system and focuses on children and adolescents with emotional and behavioral disorders. The journal publishes empirical studies, quantitative and qualitative research, and systematic and scoping review articles from authors representing the many disciplines that are involved in school mental health, including child and school psychology, education, pediatrics, child and adolescent psychiatry, developmental psychology, school counseling, social work and nursing.  Sample topics include: ·         Innovative school-based treatment practices·         Consultation and professional development procedures·         Dissemination and implementation science targeting schools·         Educational techniques for children with emotional and behavioral disorders·         Schoolwide prevention programs·         Medication effects on school behavior and achievement·         Assessment practices·         Special education services·         Developmental implications affecting learning and behavior·         Racial, ethnic, and cultural issues·         School policy·         Role of families in school mental health·         Prediction of impairment and resilience·         Moderators and mediators of response to treatment
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