Effect of parent training in combination with methylphenidate treatment on family relationships for children with attention deficit/hyperactivity disorder
ZHANG Yan, KANG Chuan-Yuan, ZHAO Xing-Rong, XUAN Xu, DING Kai-Jing, LIU Rui-Xiang, WANG Yan-Jiao, YANG Run-Xu, LI Xue-Rong, WAN Shuai
Department of Psychiatry, First Affiliated Hospital of Kunming Medical University, Kunming 650032, China
Abstract Objective To investigate the effect of parent training combined with methylphenidate treatment on family relationships in children with attention deficit/hyperactivity disorder (ADHD). Methods Fifty-nine parents of children with ADHD under methylphenidate treatment participated in a modified 5-week training program. The intervention effect was evaluated using the Conners Parent Symptom Questionnaire, ADHD Rating Scale-IV Home Version (ADHD-RS-IV Home Version), Caregiver Strain Questionnaire, Parent-Child Relationship Self-rating Scale and Piers-Harris Children's Self-Concept Scale. Parents also completed the training satisfaction survey before and after the intervention. Results After the 5-week parent training, compared with the baseline values, total scores of Conners Parent Symptom Questionnaire and scores of conduct problems and anxiety significantly decreased, and scores of attention deficit, hyperactivity, impulsivity and oppositional defiant behaviors of ADHD-RS-IV Home Version, and Caregiver Strain Questionnaire total scores were all significantly decreased (PPConclusions Modified 5-week parent training program may improve parent-child relationship and reduce parenting stress in ADHD families.
ZHANG Yan,KANG Chuan-Yuan,ZHAO Xing-Rong et al. Effect of parent training in combination with methylphenidate treatment on family relationships for children with attention deficit/hyperactivity disorder[J]. CJCP, 2014, 16(2): 185-189.
ZHANG Yan,KANG Chuan-Yuan,ZHAO Xing-Rong et al. Effect of parent training in combination with methylphenidate treatment on family relationships for children with attention deficit/hyperactivity disorder[J]. CJCP, 2014, 16(2): 185-189.
Lifford KJ, Harold GT, Thapar A, et al. Parent-child hostility and child ADHD symptoms: a genetically sensitive and longitudinal analysis[J]. J Child Psychol Psychiatry, 2009, 50 (12): 1468-1476.
Zhang S, Faries DE, Vowles M, et al. ADHD Rating Scale IV: psychometric properties from a multinational study as a clinicianadministered instrument.[J]. Int J Methods Psychiatr Res, 2005, 14(4): 186-201.
[9]
Brannan AM, Heflinger CA, Bickman L. The caregiver strain questionnaire: measuring the impact on the family of living with a child with serious emotional problems[J]. J Emot Behav Disord, 1997, 5(4): 212-222.
Yang P, Jong YJ, Hsu HY, et al. Psychiatric features and parenting Stress profiles of subtypes of attention-deficit/hyperactivity disorder: results from a clinically referred taiwanese sample[J]. J Dev Behav Pediatr, 2007, 28(5): 369-375.
[16]
Podolsk CL, Nigg JT. Parent stress and coping in relation to child ADHD severity and associated child disruptive behavior problems[J]. J Clin Child Adolesc Psychol, 2001, 30(4): 503-513.
[17]
Lin YF, Chung HH. Parenting stress and parents' willingness to accept treament in relation to behavioral problems of child with attention-deficit hyperactivity disorder[J]. J Nurs Res, 2002, 10(1): 43-55.
[18]
Anastopoulos AD, Shelton TL, Dupaul GJ, et al. Parent training for attention deficit hyperactivity disorder: its impact on parent functioning[J]. J Abnorm Child Psychol, 1993, 21(5): 581-596.
