Do Parents' ADHD Symptoms Affect Treatment for their Children? The Impact of Parental ADHD on Adherence to Behavioral Parent Training for Childhood ADHD.

Lauren M Friedman, Melissa R Dvorsky, Keith McBurnett, Linda J Pfiffner
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Abstract

Nearly half of all youth with Attention-Deficit Hyperactivity Disorder (ADHD) have at least one parent who also meets criteria for the disorder, and intergenerational ADHD is a significant risk factor for poor outcomes following evidence-based behavioral parent training (BPT) programs. Given that BPT is predicated on consistent parental involvement, symptoms of ADHD in parents may be a significant barrier to effective engagement with BPT treatment. In the present investigation, we examine the effect of parental ADHD symptoms on BPT treatment engagement for children with ADHD-predominantly inattentive presentation (N = 148, ages 7-11). We examine the following parent- and clinician-rated treatment engagement domains: between-session skill adherence, in-session participation, perceived skill understanding, treatment-engagement attitudes, and session attendance. Parent- and clinician-rated between-session adherence was the only treatment engagement domain related significantly to parental ADHD symptoms. This finding was robust and remained even after accounting for symptoms of parental anxiety and depression, child ADHD symptom severity, and various sociodemographic factors (parental education level, household income, employment status, and being a single parent). These findings suggest that targeting parental ADHD symptoms in the context of parenting interventions may be a promising approach for improving adherence and treatment outcomes for BPT interventions.

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父母的多动症症状会影响对子女的治疗吗?父母多动症对坚持进行儿童多动症家长行为训练的影响》(The Impact of Parental ADHD on Adherence to Behavioral Parent Training for Childhood ADHD)。
在所有患有注意力缺陷多动障碍(ADHD)的青少年中,有将近一半的人的父母中至少有一人也符合该障碍的标准,而隔代ADHD是导致循证家长行为训练(BPT)项目效果不佳的一个重要风险因素。鉴于 BPT 以父母的持续参与为前提,父母的多动症症状可能会成为有效参与 BPT 治疗的重大障碍。在本次调查中,我们研究了父母的多动症症状对多动症儿童(主要表现为注意力不集中,人数=148,年龄7-11岁)参与BPT治疗的影响。我们对以下由家长和临床医生评分的治疗参与度进行了研究:疗程间技能坚持度、疗程内参与度、感知技能理解度、治疗参与态度和疗程出勤率。家长和临床医生评定的疗程间坚持性是唯一一个与家长多动症症状显著相关的治疗参与领域。即使考虑了家长的焦虑和抑郁症状、儿童多动症症状的严重程度以及各种社会人口因素(家长的教育水平、家庭收入、就业状况以及是否为单亲),这一结果仍然是稳健的。这些研究结果表明,在进行亲职教育干预时,针对父母的多动症症状进行干预可能是一种很有前景的方法,可以提高对 BPT 干预的依从性和治疗效果。
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期刊介绍: Research on Child and Adolescent Psychopathology brings together the latest innovative research that advances knowledge of psychopathology from infancy through adolescence. The journal publishes studies that have a strong theoretical framework and use a diversity of methods, with an emphasis on empirical studies of the major forms of psychopathology found in childhood disorders (e.g., disruptive behavior disorders, depression, anxiety, and autism spectrum disorder). Studies focus on the epidemiology, etiology, assessment, treatment, prognosis, and developmental course of these forms of psychopathology. Studies highlighting risk and protective factors; the ecology and correlates of children''s emotional, social, and behavior problems; and advances in prevention and treatment are featured. Research on Child and Adolescent Psychopathology is the official journal of the International Society for Research in Child and Adolescent Psychopathology (ISRCAP), a multidisciplinary scientific society.
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