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

doi:10.7499/j.issn.1008-8830.2014.02.018

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Chinese Journal of Contemporary Pediatrics ›› 2014, Vol. 16 ›› Issue (2) : 185-189. DOI: 10.7499/j.issn.1008-8830.2014.02.018

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

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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 (P<0.05), while total scores of the Parent-Child Relationship Self-Rating Scale and Piers-Harris Children's Self-Concept Scale were significantly increased (P<0.05). Conclusions Modified 5-week parent training program may improve parent-child relationship and reduce parenting stress in ADHD families.

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Attention deficit hyperactivity disorder / Parent training / Parent-child relationship / Parenting stress

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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. Effect of parent training in combination with methylphenidate treatment on family relationships for children with attention deficit/hyperactivity disorder[J]. Chinese Journal of Contemporary Pediatrics. 2014, 16(2): 185-189 https://doi.org/10.7499/j.issn.1008-8830.2014.02.018

References

[1] 王艳娇, 康传媛, 许秀峰. 昆明市区学龄儿童行为问题与家长压力关系的调查分析[J]. 湖北民族学院学报·医学版, 2011, 28(1): 7-9.
[2] 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.
[3] 刘津, 王玉凤. 父母培训对共患对立违抗性障碍的主意缺陷多动障碍的作用[J]. 北京大学学报(医学版), 2007, 39(3): 310-314.
[4] 胡正, 谢玲, 毛春婷, 等. 系统性家长培训对注意缺陷多动障碍儿童干预效果评估与分析[J]. 中国儿童保健杂志, 2010, 18(1): 9-10.
[5] Barkley RA. Attention-deficit hyperactivity disorder: a clinical work book[M]. 2nd ed. New York: Guildford, 1998, 279: 66-71.
[6] 杨莉, 王玉凤, 钱秋谨, 等. 注意缺陷多动障碍患儿的临床分型初探[J]. 中华精神科杂志, 2001, 34(4): 204-207.
[7] 范娟, 杜亚松, 王立伟. Conners 父母用症状问卷的中国城市常模和信度研究[J]. 上海精神医学, 2005, 17(6): 321-323.
[8] 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.
[10] 刘占克, 黄成毅. 初中生亲子关系与学习动机的相关研究[J]. 科教文汇, 2012, 6(2): 56-57.
[11] 心理卫生评定量表手册[J]．中国心理卫生杂志, 1999(增刊): 306-310．
[12] 施意, 林英明, 杜亚松. 注意缺陷多动障碍自我意识和家庭环境情况的初步研究[J]. 四川精神卫生, 1998, 11(4): 245-247.
[13] 徐韦, 朱云霞, 陈灵, 等. 家庭环境与儿童行为的相关性研究[J]. 中国行为医学科学, 2002, 1(1): 77-78.
[14] 郭全芳, 张云红, 张增. 家庭干预对ADHD 患儿家庭环境及父母教养方式的影响[J]. 中国心理卫生杂志, 2008, 22(6): 423-428.
[15] 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.
[19] 王梦龙, 黄旭, 静进, 等. ADHD 儿童的自我意识和行为特征的相关研究[J]. 中国妇幼保健, 2007, 22(22): 3087-3089.
[20] 黄广文, 苏林雁, 苏巧荣, 等. 家庭环境因素对7~13 岁儿童自我意识的影响研究[J]. 中华全科医学, 2010, 8(11): 1433-1435.