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Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): an empirical analysis in the MTA study.

Authors :
Wells KC
Epstein JN
Hinshaw SP
Conners CK
Klaric J
Abikoff HB
Abramowitz A
Arnold LE
Elliott G
Greenhill LL
Hechtman L
Hoza B
Jensen PS
March JS
Pelham W
Pfiffner L
Severe J
Swanson JM
Vitiello B
Wigal T
Source :
Journal of abnormal child psychology [J Abnorm Child Psychol] 2000 Dec; Vol. 28 (6), pp. 543-53.
Publication Year :
2000

Abstract

Parenting and family stress treatment outcomes in the MTA study were examined. Male and female (579), 7-9-year-old children with combined type Attention Deficit Hyperactivity Disorder (ADHD), were recruited at six sites around the United States and Canada, and randomly assigned to one of four groups: intensive, multi-faceted behavior therapy program alone (Beh); carefully titrated and monitored medication management strategy alone (MedMgt); a well-integrated combination of the two (Comb); or a community comparison group (CC). Treatment occurred over 14 months, and assessments were taken at baseline, 3, 9, and 14 months. Parenting behavior and family stress were assessed using parent-report and child-report inventories. Results showed that Beh alone, MedMgt alone, and Comb produced significantly greater decreases in a parent-rated measure of negative parenting, Negative/Ineffective Discipline, than did standard community treatment. The three MTA treatments did not differ significantly from each other on this domain. No differences were noted among the four groups on positive parenting or on family stress variables. Results are discussed in terms of the theoretical and empirically documented importance of negative parenting in the symptoms, comorbidities and long-term outcomes of ADHD.

Details

Language :
English
ISSN :
0091-0627
Volume :
28
Issue :
6
Database :
MEDLINE
Journal :
Journal of abnormal child psychology
Publication Type :
Academic Journal
Accession number :
11104316
Full Text :
https://doi.org/10.1023/a:1005131131159