Behavioral Parent Training for Preschool ADHD: Family-Centered Profiles Predict Changes in Parenting and Child Outcomes.
Behavioral Parent Training for Preschool ADHD: Family-Centered Profiles Predict Changes in Parenting and Child Outcomes.
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DOI：
10.1080/15374416.2020.1867987
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发表时间：
2022-09
期刊：
影响因子：
--
通讯作者：
Abikoff HB
中科院分区：
文献类型：
--
作者：
Dale C;Parent J;Forehand R;DiMarzio K;Sonuga-Barke E;Long N;Abikoff HB
父母行为训练(BPT)是治疗注意缺陷多动障碍(ADHD)学龄前儿童的一线治疗方法；然而，临床上显著的改善并不是普遍的。在目前的研究中，我们采用以人为中心的方法来创建基于多个父母、孩子和家庭预治疗因素的交集的家庭子组。此外，我们探讨了治疗前家庭概况在预测治疗后观察到的父母行为(即行为控制、父母温暖)的差异以及儿童ADHD和敌对症状的临床显著变化方面的作用。使用观察性评估和家长、教师和临床医生报告的评估收集了参加BPT的130名亲子二人组(MAGE=3.57，范围=3.0-4.11，73.8%男性，69.2%白人，25.6%西班牙裔)的纵向数据。目前的研究结果提出了三个不同的家庭特征，其中包括一个具有高家庭压力(HFS)的特征，其证据是父母、孩子和家庭层面的症状增加，第二个特征具有父母焦虑(PA)，以及最后一个特征(PD)。这些以家庭为中心的概况与观察到的育儿做法的变化有不同的关联。具体地说，帕金森病患者(39%)在治疗后的行为控制和温暖方面表现出极小的改善。相反，HFS(30%)仅在行为控制方面有所改善，PA(31%)在治疗后的两个育儿领域都有所改善。此外，在儿童对立和ADHD症状方面也观察到了轻微的显著差异。以家庭为中心的方法对于选择和实施干预措施可能是有用的。
Behavioral parent training (BPT) is the first line of treatment for preschool-aged children with attention deficit hyperactivity disorder (ADHD); however, clinically significant improvements are not universal. In the current study, we employ a person-centered approach to create subgroups of families based on the intersection of multiple parent, child, and family pre-treatment factors. Further, we explore the utility of pre-treatment family profiles in predicting post-treatment differences in observed parenting behavior (i.e., behavioral control, parental warmth) and clinically significant change in child ADHD and oppositional symptoms. Longitudinal data were collected using observational and parent-, teacher- and clinician-reported assessments from 130 parent-child dyads (Mage= 3.57, range = 3.0 - 4.11, 73.8% male, 69.2% White, 25.6% Hispanic) participating in BPT. Findings from the current study suggest three distinct family profiles, which consisted of one profile with high family stress (HFS) as evidenced by elevated symptomatology across parent, child, and family-level domains, a second profile with elevated parental anxiety (PA), and a final profile with elevated parental depression (PD). These family-centered profiles were differentially associated with changes in observed parenting practices. Specifically, the PD profile (39%) demonstrated minimal improvements in behavioral control and warmth following treatment. In contrast, the HFS profile (30%) only improved in behavioral control and the PA profile (31%) improved in both parenting domains following treatment. In addition, marginally significant differences in child oppositional and ADHD symptoms were observed across profiles. Family-centered approaches may be useful for selecting and implementing interventions.
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影响因子：
4.1
作者：
Forehand R;Parent J;Peisch VD;Sonuga-Barke E;Long N;Breslend NL;Abikoff HB
通讯作者：
Abikoff HB
影响因子：
5.9
作者：
Beauchaine, TP;Webster-Stratton, C;Reid, MJ
通讯作者：
Reid, MJ
影响因子：
6.8
作者：
AKAIKE, H
通讯作者：
AKAIKE, H
影响因子：
3.6
作者：
Conners, CK;Sitarenios, G;Epstein, JN
通讯作者：
Epstein, JN
影响因子：
2.3
作者：
FOREHAND, R;STURGIS, ET;BREINER, J
通讯作者：
BREINER, J