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Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): an empirical analysis in the MTA study.
- 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.
- Subjects :
- Adult
Attention Deficit Disorder with Hyperactivity drug therapy
Attention Deficit Disorder with Hyperactivity epidemiology
Attention Deficit Disorder with Hyperactivity psychology
Canada epidemiology
Child
Child Behavior Disorders therapy
Combined Modality Therapy
Comorbidity
Factor Analysis, Statistical
Female
Humans
Male
Negativism
Psychiatric Status Rating Scales
Treatment Outcome
United States epidemiology
Attention Deficit Disorder with Hyperactivity therapy
Behavior Therapy
Central Nervous System Stimulants therapeutic use
Parenting
Stress, Psychological therapy
Subjects
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