Which Type of Parent Training Works Best for Preschoolers with Comorbid ADHD and ODD? A Secondary Analysis of a Randomized Controlled Trial Comparing Generic and Specialized Programs.
Which Type of Parent Training Works Best for Preschoolers with Comorbid ADHD and ODD? A Secondary Analysis of a Randomized Controlled Trial Comparing Generic and Specialized Programs.
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DOI：
10.1007/s10802-016-0138-8
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发表时间：
2016-11
影响因子：
3.6
通讯作者：
Abikoff HB
中科院分区：
文献类型：
--
作者：
Forehand R;Parent J;Sonuga-Barke E;Peisch VD;Long N;Abikoff HB
本研究考察了在ADHD学龄前儿童样本中，共病ODD的存在是否对两个行为父母培训(BPT)项目的结果产生了不同的调节作用：一个是专门为ADHD设计的(NFPP：新森林育儿计划)，另一个是主要为ODD设计的(HNC：帮助不顺从的儿童)。在第二次分析中，130名父母和他们被诊断为ADHD的3-4岁的孩子被分配到两个项目中的一个。44.6%的儿童也符合ODD标准。治疗条件(NFPP与HNC)和儿童奇怪诊断(存在与不存在)之间的显著交互作用表明，根据一些家长和老师的报告，HNC在处理破坏性行为方面比NFPP更有效，但只有当孩子有共同的诊断时。此外，根据教师报告，当儿童仅被诊断为ADHD时，NFPP对这些行为更有效，而HNC仅对ADHD和合并奇怪诊断的儿童同样有效。当父母或老师报告ADHD症状作为结果时，共病特征与治疗计划没有交互作用。对临床干预的意义进行了讨论，并为未来的工作提供了方向。
The present study examined whether the presence of comorbid ODD differentially moderated the outcome of two Behavioral Parent Training (BPT) programs in a sample of preschoolers with ADHD: One designed specifically for ADHD (NFPP: New Forest Parenting Programme) and one designed primarily for ODD (HNC: Helping the Noncompliant Child). In a secondary analysis, 130 parents and their 3–4 year-old children diagnosed with ADHD were assigned to one of the two programs. 44.6 % of the children also met criteria for ODD. Significant interactions between treatment conditions (NFPP vs. HNC) and child ODD diagnosis (presence vs. absence) indicated that based on some parent and teacher reports, HNC was more effective with disruptive behaviors than NFPP but only when children had a comorbid diagnosis. Further, based on teacher report, NFPP was more effective with these behaviors when children had a diagnosis of only ADHD whereas HNC was equally effective across ADHD only and comorbid ODD diagnoses. Comorbidity profile did not interact with treatment program when parent or teacher reported ADHD symptoms served as the outcome. Implications for clinical interventions are discussed and directions for future work are provided.