Integrated Tx for Depressed Mothers of ADHD Children

针对多动症儿童抑郁母亲的综合治疗

• 批准号: 7034264
• 负责人: ANDREA CHRONIS-TUSCANO
• 金额: $ 20.11万
• 依托单位: UNIV OF MARYLAND, COLLEGE PARK
• 依托单位国家: 美国
• 财政年份: 2006
• 资助国家: 美国
• 起止时间: 2006-03-15 至 2008-12-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/7034264
• 关键词: attention deficit disorder; behavior test; behavioral /social science research tag; child rearing; clinical depression; clinical research; clinical trials; cognitive behavior therapy; human subject; human therapy evaluation; maternal behavior; mother child interaction; outcomes research; patient care planning; patient oriented research; personal log /diary; self concept; stress management; training

DESCRIPTION (provided by applicant): Parents of children with attention-deficit/hyperactivity disorder (ADHD) experience a great deal of parenting stress and are far more likely than parents of non-disordered children to experience psychopathology themselves. It has been theorized that such parental problems may negatively impact parenting, which then exacerbates child behavior problems, creating a reciprocal pattern of negative parent-child interactions within the families of children with ADHD. There are also important implications of parental psychopathology on child treatment. Given that both behavioral and pharmacological treatments for childhood ADHD rely on parents (particularly mothers) to obtain and consistently administer treatment, it is no surprise that parental psychopathology (particularly maternal depression) predicts poorer child treatment response. Yet, existing ADHD treatments largely fail to directly address parental problems. The objective of the proposed project is to develop and evaluate a novel, integrated approach to behavioral parent training for mothers of children with ADHD with elevated depressive symptoms in order to facilitate successful outcomes following treatment. In Phase 1, we will complete the development and refinement of a manualized treatment, integrating the two empirically validated treatments: cognitive-behavioral depression intervention (specifically, the Coping with Depression Course) and behavioral parent training for ADHD. In Phase 2, 88 mothers with children with ADHD and elevated depressive symptoms will be recruited and randomly assigned to either: 1) standard behavioral parent training or 2) integrated parent intervention (IPI-A). Outcome measures include maternal self-reports of depressed mood (primary), parenting stress, self-esteem, expectations and attributions for child behavior, parenting sense of competence, self-reported and observed parenting behavior and parental reports of child behavior and associated family impairment. Based on the outcome of this preliminary trial the IPI-A protocol will be further refined and prepared for larger-scale clinical trials.

描述（由申请人提供）：患有注意力缺陷/多动症障碍（ADHD）的儿童的父母经历了很大的育儿压力，并且比非级儿童的父母本身更有可能经历心理病理学。从理论上讲，这种父母的问题可能会对育儿产生负面影响，然后加剧了儿童行为问题，从而在患有多动症儿童家庭中产生了负面亲子互动的相互互动模式。父母心理病理学对儿童治疗也有重要意义。鉴于儿童多动症的行为和药理治疗都依赖父母（尤其是母亲）来获得并持续进行治疗，因此父母心理病理学（尤其是母性抑郁症）预测儿童治疗反应较差也就不足为奇了。但是，现有的多动症治疗基本上未能直接解决父母问题。拟议项目的目的是为患有抑郁症状升高的儿童的母亲开发和评估一种新颖的，综合的行为父母培训方法，以促进治疗后的成功结果。在第1阶段，我们将完成手动治疗的发展和完善，整合了两种经验验证的治疗方法：认知行为抑郁症干预（特别是应对抑郁症的应对）和对ADHD的行为父母培训。在第2阶段，将招募有多动症儿童和抑郁症状升高的儿童的88位母亲，并随机分配给：1）标准行为父母培训或2）综合父母干预（IPI-A）。结果措施包括情绪低落的母亲自我报告，育儿压力，自尊，对儿童行为的期望和归因，育儿能力，自我报告和观察到的育儿行为以及父母对儿童行为以及相关家庭障碍的报告。根据该初步试验的结果，将进一步完善IPI-A方案，并准备大规模临床试验。