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PMID: 11104316 Published · ppublish English Clinical Trial Comparative Study Journal Article Multicenter Study Randomized Controlled Trial Research Support, U.S. Gov't, P.H.S.

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

Journal of abnormal child psychology ·Vol. 28 ·No. 6 ·2000-12-00 ·Pages 543-53

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

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.

MeSH Terms
Adult Attention Deficit Disorder with Hyperactivity/drug therapy,epidemiology,psychology,therapy Behavior Therapy Canada/epidemiology Central Nervous System Stimulants/therapeutic use Child Child Behavior Disorders/therapy Combined Modality Therapy Comorbidity Factor Analysis, Statistical Female Humans Male Negativism Parenting Psychiatric Status Rating Scales Stress, Psychological/therapy Treatment Outcome United States/epidemiology
Chemicals
Central Nervous System Stimulants
Authors & Affiliations
20 authors, click to expand affiliations / ORCID
Wells K C
Duke University Medical Center, Durham, North Carolina, USA. [email protected]
Epstein J N
Hinshaw S P
Conners C K
Klaric J
Abikoff H B
Abramowitz A
Arnold L E
Elliott G
Greenhill L L
Hechtman L
Hoza B
Jensen P S
March J S
Pelham W
Pfiffner L
Severe J
Swanson J M
Vitiello B
Wigal T
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Article Info
Journal
Journal of abnormal child psychology
Abbr.
J Abnorm Child Psychol
ISSN
0091-0627
DOI
10.1023/a:1005131131159
Email
[email protected]
Published
2000-12-00
Pages
543-53
Language
English
Region
United States
NLM ID
0364547
Subset
IM
Grants
NIMH NIH HHS · UO1 MH50447 · United States
NIMH NIH HHS · UO1 MH50461 · United States
NIMH NIH HHS · UO1 MH50440 · United States
Corrections
CommentIn
PMID: 11104320
External Links
PubMed source DOI: 10.1023/a:1005131131159
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