The effect of behavior parent training to mothers of children with Attention Deficit Hyperactivity Disorder

Authors

1 Assistant Professor, Department of Psychology, University of Zanjan, Zanjan, Iran

2 Department of Exceptional child Psychology, University of Tehran

Abstract

Introduction: The purpose of the current study was to investigate the effect of training behavior modification methods to mothers of children with Attention Deficit Disorder (ADHD) on reducing behavior problems and ADHD symptoms in their children’s.Method: The research method was quasi-experimental with pre-test and post-test design and cotrol group. To do so, 24 mothers of children with ADHD were selected and divided into experimental and control groups (12 mothers in each group). Participants filled the Revised Conners’ Parent Rating scale (CPRS-R) and Children’s Behavioral Performance at Home questionnaires. In the next step, the experimental group was instructed behavior modification methods in 9 ninety-minute sessions while the mothers in control group went on their normal procedures. At the end of the instructional session, both groups filled out the mentioned questioners as the post-test. Covariance analysis and t test was used for analyzing data. Result: Results from t-test showed behavior modification improved children’s behavioral problems. At the same time, Analysis of Covariance showed the training had decreased hyperactivity symptoms and ADHD index among children of the experimental group, as compared to those of the control group; however, the training was shown to have no effect on attention deficit.Conclusion: In conclusion, findings of this study suggest behavior modification training to mothers can help them decline their children’s behavioral problems.        

Keywords


  1. American, Psychiatric, Association. Diagnostic and statiscal manual of mental disorder: DSM-5. — 5th ed. Washington, DC: American Psychiatric Association2013.
  2. Bussing R, Zima B, Mason D, Meyer J. ADHD Knowledge, Perceptions, and Information Sources: Perspectives From a Community Sample of Adolescents and Their Parents. J Adolesc Health. 2012;8:222-30.
  3. Willcutt E. The Prevalence of DSM-IV Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review. Neurother. 2012;9:490–9.
  4. Barkley R. Attention deficit hyperactivity disorder- A handbook for diagnosis and treatment (3rdEds.), editor. New York: Guilford Press; 2006.
  5. Johnston C. Parenting in adults with attention-deficit/hyperactivity disorder (ADHD). Clin Psychol Rev. 2012;32:215-28.
  6. Whalen C, Henker B, Jamner L, Ishikawa S, Floro J, Swindle R. Toward mapping daily challenges of living with ADHD: Maternal and child perspectives using electronic diaries. J Abnorm Child Psychol. 2006;34:115-30.
  7. Essau C. Child and Adolescent Psychopathology. New york: Routledge Taylor and francis group. 2006.
  8. Fabiano G, Pelham W, Coles E, Gnagy E, Chornis-Tuscano A, OConnor B. A meta-analysis of behavior treatment for attention-deficit /hyperactivity disorder. Clin Psychol Rev. 2008;52:1-12.
  9. Johnston C, Jassy J. Attention deficit hyperactivity disorder and oppositional/conduct problem: Link to parent –child interaction. J Canadian Academ Child and Adolesc Psychiatr. 2007;16:74-9.
  10. Rogers M, Wiener J, Marton I, Tannock R. Parental involvement in children's learning: Comparing parents of children with and without Attention-Deficit/Hyperactivity Disorder (ADHD). J School Psychol. 2009;47:167-85.
  11. Huang H, Chao C, Tu C, Yang P. Behavior Parent training for Taiwanese parent of children with attention-deficit hyperactivity disorder. Psychiatr Clin Neurosci. 2003;57:275-81.
  12. Fabino G, Chacko A, Pelham J, Robb J, Walker K, Arnold F, et al. A comparision of behavior parent training programs for fathers of children with attention-deficit / hyperactivity disorder J Behav Ther. 2008;3:29-48.
  13. Nixon R. Treatment of behavior problems in preschoolers: Areview of parent training program. Clin Psychol Rev. 2002;22:525-46.
  14. Schroeder C, Gordon B. Assessment and Treatment of Childhood Problems: A Clinician's Guide. New York: Guilford Press; 2002.
  15. Barkley R. Taking Charge of ADHD:The Complete, Authoritative Guide for Parents(rev.ed.). New York: Guilford Press; 2000.
  16. Hauth-Charlier S, Clement C. Behavioral Parent Training Programs for Parents of Children with ADHD: Practical Consideration and cilinical impilication. Pract Psychol. 2009;15:223-34.
  17. Kutcher S, Aman M, Brooks S, Buitelaar J, dalen EV. International consensus on attention-deficit / hyperactivity disorder (ADHD) and disruptive behavior disorder (DBDs): Clinical impilication and treatment practice suggestion. Eur Neuropsychophamacol. 2004;14:11-28.
  18. Carr A. The Handbook Of Child and Adolescent Clinical Psychology a Contextual Approach (2nd Ed). New York: Routledge Taylor and Francis group2006.
  19. Anastopoulos A, Shaffer S. Attention Deficit/Hyperactivity Disorder. Inc. Eugend walker and Michael, C. Roberts (2001). Handbook of Clinical child Psychiatry. Canada: John Wiley and sons. 2001.
  20. Gerdes A, HaackL M, Schneider B. Parental Functioning in Families of Children With ADHD: Evidence for Behavioral Parent Training and Importance of Clinically Meaningful Change. J Attention Disord. 2010;16(2):147-56.
  21. Greenhill L, Osman B. Ritalin: Theory and practice. USA: Mary Ann Libert.2000.
  22. Semple D, Mash E, Ninowski J, Benzies K. The relation between maternal symptoms of attention-deficit/hyperactivity disorder and mother-infant interaction. J Child Fam Stud. 2011;20:460-72.
  23. Weinberg A. Parent training for Attention-deficit hyperactivity disorder: Parent and child outcome. J Clin Psychol. 1999;55(2):907-13.
  24. Matos M, Bauermeister J, Bernal G. Parent-child interaction therapy for puerto rican preschool children with ADHD and behavior problems: A pilot efficacy study. Fam Process. 2009;48:233-52.
  25. Gall J, Gall M, Borg W. Educational Research: An Introduction (8th Edition) New York. 2010.
  26. Conners C, Parker J, Sitarenios A, Epstein J. The Revised Conners’ Parent Rating Scale (CPRS-R):Factor structure, reliability, and criterion validity. J Abnorm Child Psychol. 1998;26:257-68.
  27. Goldstein S, Goldstein M. Managing attention deficit hyperactivity disorder in children: A guide for Practioner (2nd ed). New York: Wiley1998.
  28. Bjork M, Sand T, Brathen G. Quantitative EEG finding in patients with acute, brief depression psychiatric symptoms: A controlled study from an acute psychiatric department. BMC Psychiatr. 2008;8:22-231.
  29. Chabot R, Dimichelr F, Prichep L. The Clinical Role of Computerized EEG In Evaluation And Treatment of Learning And Attention Disorders In Children And Adolescents. J Clin Neuropsychiatr. 2001;13:171-86.
  30. Murray D, Bussing R, Fernandez M, W Hou, CW Garvan, Swanson J, Eyberg S. Psychometric properties of teacher SKAMP ratings from a community sample. Asses. 2009;16:193-208.
  31. Barkley R. Defiant Children: A Clinician’s Manual for Assessment and Parent training, 2nd edn. Guilford, New York1997.
  32. Danforth J, Harvey E, Ulaszek W, Mckee T. The outcome of group parent training for families of children with attention deficit hyper activity disorder and defiant aggression behavior. J Behav Ther Experiment Psychiatr. 2006;37:188-205.
  33. LaForett D, Murray D, Kollins S. Psychosocial treatments for preschool-aged children with attention-deficit hyperactivity disorder. Dev Disabil Res Rev. 2008;14:300-10.
  34. Durston S, Konard K. Integrating genetic, psychopharmacological and neuroimaging studies: a converging methods approach to understanding the neurobiology of ADHD. Dev Rev. 2007;27:374-95.