Abstract
This study examined changes in parent functioning resulting from parental participation in a behavioral parent training (PT) program specifically designed for school-aged children with attention-deficit hyperactivity disorder (ADHD). Relative to wait list controls, subjects who completed the nine-session PT program showed significant posttreatment gains in both child and parent functioning, which were maintained 2 months after treatment. In particular, there were PT-induced reductions in parenting stress and increases in parenting self-esteem, which accompanied parent-reported improvements in the overall severity of their child's ADHD symptoms. In addition to their statistical importance, these findings are discussed in terms of their clinical significance, utilizing methods developed by Jacobson and Truax (1991).
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References
Abidin, R. (1986).Parenting Stress Index (2nd ed.). Charlottesville, VA: Pediatric Psychology Press.
Achenbach, T. M., & Edelbrock, C. (1983).Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: Author.
American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed. rev.). Washington, DC: Author.
Anastopoulos, A. D., Guevremont, D. C., Shelton, T. L., & DuPaul, G. J. (1992). Parenting stress among families of children with attention deficit hyperactivity disorder.Journal of Abnormal Child Psychology, 20, 503–520.
Anastopoulos, A. D., Shelton, T. L., DuPaul, G. J., & Guevremont, D. C. (1992).Assessing parental knowledge of ADHD. Unpublished manuscript.
Barkley, R. A. (1987).Defiant children: A clinician's manual for parent treating. New York: Guilford Press.
Barkley, R. A. (1990).Attention deficit hyperactivity disorder A handbook for diagnosis and treatment. New York: Guilford Press.
Barkley, R. A., Anastopoulos, A. D., Guevremont, D. C., & Fletcher, K. E. (1992). Adolescents with ADHD: Mother-adolescent interactions, family beliefs and conflicts, and maternal psychopathology.Journal of Abnormal Child Psychology, 20, 263–288.
Barkley, R. A., Guevremont, D. C., Anastopoulos, A. D., & Fletcher, K. F. (1992). A comparison of three family therapy programs for training family conflicts in adolescents with ADHD.Journal of Consulting and Clinical Psychology, 60, 450–462.
Cunningham, C. E., & Barkley, R. A. (1979). The interactions of hyperactive and normal children with their mothers during free play and structured task.Child Development, 50, 217–224.
Cunningham, C. E., Benness, B. B., & Siegel, L. S. (1988). Family functioning, time allocation, and parental depression in the families of normal and ADDH children.Journal of Clinical Child Psychology, 17, 169–177.
Derogatis, L. (1983).Manual for the Symptom Checklist 90 Revised (SCL-90R). Baltimore, MD: Author.
Dubey, D. R. O'Leary, S. G., & Kaufman, K. F. (1983). Training parents of hyperactive children in child management: A comparative outcome study.Journal of Abnormal Child Psychology, 11, 229–246.
DuPaul, G. J. (1991). Parent and teacher ratings of ADHD symptoms: Psychometric properties in a community based sample.Journal of Clinical Child Psychology, 20, 245–253.
DuPaul, G. J., & Barkley, R. A. (1992). Situational variability of attention problems: Psychometric properties of the revised Home and School Situations Questionnaires.Journal of Clinical Child Psychology, 21, 178–188.
DuPaul, G. J., & Rapport, M. D. (1993). Does methylphenidate normalize the classroom performance of children with attention deficit disorder?Journal of the American Academy of Child and Adolescent Psychiatry, 32, 190–198.
Fischer, M. (1990). Parenting stress and the child with attention deficit hyperactivity disorder.Journal of Clinical Child Psychology, 19, 337–346.
Gittelman-Klein, R., Abikoff, H., Pollack, E., Klein, D., Katz, S., & Mattes, J. (1980). A controlled trial of behavior modification and methylphenidate in hyperactive children. In C. Whalen & B. Henker (Eds.),Hyperactive children: The social ecology of identification and treatment New York: Academic Press.
Hollingshead, A. B. (1975).Four factor index of social status. New Haven, CT: Yale University.
Horn, W. F., Ialongo, N., Popovich, S., & Peradotto, D. (1987). Behavioral parent training and cognitive-behavioral self-control therapy with ADD-H children: Comparative and combined effects.Journal of Clinical Child Psychology, 16, 57–68.
Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.Journal of Consulting and Clinical Psychology, 59, 12–19.
Johnston, C., & Mash, E. J. (1989). A measure of parenting satisfaction and efficacy.Journal of Clinical Child Psychology, 18, 167–175.
Locke, H. J., & Wallace, K. M. (1959). Short marital adjustment and prediction tests: Their reliability and validity.Journal of Marriage and Family Living, 21, 251–255.
Mash, E. J., & Johnston, C. (1983). Parental perceptions of child behavior problems, parenting self-esteem, and mother's reported stress in younger and older hyperactive and normal children.Journal of Consulting and Clinical Psychology, 51, 68–99.
Pelham, W. W., Schnedler, R. W., Bender, M. E., Nilsson, D. E., Miller, J., Budrow, M. S., Ronnel, M., Paluchowski, C., & Marks, D. A. (1988). The combination of behavior therapy and methylphenidate in the treatment of ADD: A therapy outcome study. In L. Bloomingdale (Ed.),Attention deficit disorders (Vol. 3). New York: Spectrum.
Pisterman, S., McGrath, P., Firestone, P., & Goodman, J. T. (1989). Outcome of parent-mediated treatment of preschoolers with attention deficit disorder with hyperactivity.Journal of Consulting and Clinical Psychology, 57, 636–643.
Pisterman, S., McGrath, P., Firestone, P., Goodman, J., Webster, I., Mallory, R., & Goffin, B. (1992). The effects of parent training on parenting stress and sense of competence.Canadian Journal of Behavioral Science, 24, 41–58.
Pollard, S., Ward, E. M., & Barkley, R. A. (1983). The effects of parent training and Ritalin on the parent-child interactions of hyperactive boys.Child & Family Behavior Therapy, 5, 51–69.
Wechsler, D. (1974).The Wechsler Intelligence Scale for Children-Revised. New York: Psychological Corporation.
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This project was supported in part through BRSG grant S07RR05712-19 awarded to Arthur D. Anastopoulos by the Biomedical Research Support Program, Division of Research Resources, National Institutes of Health.
The authors are grateful to Paula Nevins, Mary Maher, and Heidi Mosher for their assistance in scoring, coding, and entering the data. The authors would also like to extend thanks to Dr. Kenneth Fletcher for his statistical assistance and to Dr. Russell Barkley for his helpful comments on an earlier draft of this manuscript.
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Anastopoulos, A.D., Shelton, T.L., DuPaul, G.J. et al. Parent training for attention-deficit hyperactivity disorder: Its impact on parent functioning. J Abnorm Child Psychol 21, 581–596 (1993). https://doi.org/10.1007/BF00916320
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DOI: https://doi.org/10.1007/BF00916320