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Parent-based therapies for preschool attention deficit/hyperactivity disorder: a randomized, controlled trial with a community sample

Parent-based therapies for preschool attention deficit/hyperactivity disorder: a randomized, controlled trial with a community sample
Parent-based therapies for preschool attention deficit/hyperactivity disorder: a randomized, controlled trial with a community sample
Objective: To evaluate two different parent-based therapies for preschool attention-deficit/hyperactivity disorder (ADHD) in a community sample.
Method: Three-year-old children displaying a preschool equivalent of ADHD (n = 78) were randomly assigned to either a parent training (PT;n = 30), a parent counseling and support (PC&S;n = 28), or a waiting-list control group (n = 20). The PT group received coaching in child management techniques. The PC&S group received nondirective support and counseling. Measures of child symptoms and mothers' well-being were taken before and after intervention and at 15 weeks follow-up.
Results: ADHD symptoms were reduced (F2,74 = 11.64;p < .0001) and mothers' sense of well-being was increased by PT relative to both other groups (F2,74 = 10.32;p < .005). Fifty-three percent of children in the PT group displayed clinically significant improvement ([chi]2 = 4.08;p = .048).
Conclusions: PT is a valuable treatment for preschool ADHD. PC&S had little effect on children's behavior. Constructive training in parenting strategies is an important element in the success of parent-based interventions. Psychostimulants are not a necessary component of effective treatment for many children with preschool ADHD.
1527-5418
402-408
Sonuga-Barke, Edmund J.S.
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
Daley, David
651d0b29-8790-4a13-aa18-ad9a499d34e8
Thompson, Margaret
bfe8522c-b252-4771-8036-744e93357c67
Laver-Bradbury, Cathy
50942ef0-9cc9-4250-99dc-e9f8fe91d17c
Weeks, Anne
ac408d11-020e-42bb-b63c-deada1b5b56c
Sonuga-Barke, Edmund J.S.
bc80bf95-6cf9-4c76-a09d-eaaf0b717635
Daley, David
651d0b29-8790-4a13-aa18-ad9a499d34e8
Thompson, Margaret
bfe8522c-b252-4771-8036-744e93357c67
Laver-Bradbury, Cathy
50942ef0-9cc9-4250-99dc-e9f8fe91d17c
Weeks, Anne
ac408d11-020e-42bb-b63c-deada1b5b56c

Sonuga-Barke, Edmund J.S., Daley, David, Thompson, Margaret, Laver-Bradbury, Cathy and Weeks, Anne (2001) Parent-based therapies for preschool attention deficit/hyperactivity disorder: a randomized, controlled trial with a community sample. Journal of the American Academy of Child and Adolescent Psychiatry, 40 (4), 402-408. (doi:10.1097/00004583-200104000-00008).

Record type: Article

Abstract

Objective: To evaluate two different parent-based therapies for preschool attention-deficit/hyperactivity disorder (ADHD) in a community sample.
Method: Three-year-old children displaying a preschool equivalent of ADHD (n = 78) were randomly assigned to either a parent training (PT;n = 30), a parent counseling and support (PC&S;n = 28), or a waiting-list control group (n = 20). The PT group received coaching in child management techniques. The PC&S group received nondirective support and counseling. Measures of child symptoms and mothers' well-being were taken before and after intervention and at 15 weeks follow-up.
Results: ADHD symptoms were reduced (F2,74 = 11.64;p < .0001) and mothers' sense of well-being was increased by PT relative to both other groups (F2,74 = 10.32;p < .005). Fifty-three percent of children in the PT group displayed clinically significant improvement ([chi]2 = 4.08;p = .048).
Conclusions: PT is a valuable treatment for preschool ADHD. PC&S had little effect on children's behavior. Constructive training in parenting strategies is an important element in the success of parent-based interventions. Psychostimulants are not a necessary component of effective treatment for many children with preschool ADHD.

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Published date: 2001

Identifiers

Local EPrints ID: 18271
URI: http://eprints.soton.ac.uk/id/eprint/18271
ISSN: 1527-5418
PURE UUID: 5622ff15-8cfa-4b3e-81bf-a959117dd5aa

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Date deposited: 19 Jan 2006
Last modified: 15 Mar 2024 06:03

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Contributors

Author: Edmund J.S. Sonuga-Barke
Author: David Daley
Author: Margaret Thompson
Author: Cathy Laver-Bradbury
Author: Anne Weeks

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