COMORBIDITY AND ADHD PARENT TRAINING OUTCOME

合并症和多动症家长培训结果

• 批准号: 3386335
• 负责人: ARTHUR David ANASTOPOULOS
• 金额: $ 20.32万
• 依托单位: UNIV OF MASSACHUSETTS MED SCH WORCESTER
• 依托单位国家: 美国
• 财政年份: 1992
• 资助国家: 美国
• 起止时间: 1992-09-01 至 1995-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/3386335
• 关键词: aggression; attention deficit disorder; behavior test; family; human subject; interview; longitudinal human study; mental disorder diagnosis; middle childhood (6-11); parent offspring interaction; parents; psychological stressor; psychosocial rehabilitation; stress; training; videotape /videodisc

Children with Attention Deficit-Hyperactivity Disorder (ADHD) routinely experience significant difficulties in many areas of their psychosocial functioning. When a secondary diagnosis of Oppositional Defiant Disorder (ODD) is also present, children with ADHD are at even greater risk for developing serious family conflict, affective disorders, and other complications. Given these differences, there is reason to question whether children with ADHD/ODD respond to treatment as do children with ADHD alone. To date, the research on ADHD parent training has not addressed the impact of this type of comorbidity. Nor has it systematically examined how treatment outcome may be affected by parent variables, such as parental distress. In response to this situation, this investigation proposes to evaluate the separate and joint impact of ODD and parental distress on ADHD parent training outcome within the same factorial design. Using a parent training program specifically designed for the ADHD population, the proposed study will involve 120 school-aged children, half of whom will carry a secondary ODD diagnosis. In addition to this ADHD versus ADHD/ODD distinction, subjects will be further subdivided as a function of high versus low parental distress. Multiple measures of child, parent, and family functioning will be collected at pretreatment, posttreatment, and during a 6 month follow-up assessment. It is expected that group differences will be found, with the ADHD/ODD-high parental stress group being the least responsive to parent training. The results from this study may then be used to establish a better fit between this form of treatment and the individual clinical management needs of children with ADHD and their parents. In addition, the obtained findings will provide insight as to what adjunctive procedures might need to be added to parent training to maximize its therapeutic impact.

患有注意力缺陷 - 经历性障碍（ADHD）的儿童常规 在他们的社会心理的许多领域遇到了重大困难 功能。 当对立反抗疾病的次要诊断 （奇数）也存在，患有多动症的孩子的风险更大 发展严重的家庭冲突，情感障碍和其他 并发症。 考虑到这些差异，有理由质疑 患有多动症/奇数的孩子是否像儿童一样对待治疗 独自一人。 迄今为止，有关多动症父母培训的研究尚未 解决了这种合并症的影响。 也没有 系统地检查了父母如何影响治疗结果 变量，例如父母遇险。 为了应对这种情况， 调查提议评估奇数和共同影响的奇数和联合影响 同一阶乘中的ADHD父母培训结果的父母困扰 设计。 使用专门为多动症设计的家长培训计划 人口，拟议的研究将涉及120名年龄儿童，一半 其中将进行次要奇数诊断。 除了这个多动症 与ADHD/奇数区别相比，受试者将被进一步细分为 高父母遇险与低父母的功能。 多种措施的孩子， 父母和家庭功能将在预处理时收集 治疗后以及6个月的随访评估。 预计 将发现该组差异，并有多动症/奇怪的父母 压力小组对父母培训的反应最低。 结果 然后，可以使用这项研究来建立更好的拟合 治疗形式和儿童的个人临床管理需求 与多动症和他们的父母在一起。 此外，获得的发现将 提供有关可能需要添加哪些辅助程序的见解 父母培训以最大程度地发挥其治疗影响。