title: Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder.
abstract: The present study examined treatment outcomes for objectively measured parenting behavior in the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder (ADHD). Five hundred seventy-nine ethnically and socioeconomically diverse children with ADHD-combined type (ages 7.0-9.9 years) and their parent(s) were recruited at 6 sites in the United States and Canada and randomly assigned to 1 of 4 treatment groups for 14 months of active intervention: medication management (MedMgt), intensive behavior therapy, combination of the 2 (Comb), or a community-treated comparison (CC). Baseline and posttreatment laboratory observations of parent-child interactions were coded by observers blind to treatment condition. Comb produced significantly greater improvements in constructive parenting than did MedMgt or CC, with effect sizes approaching medium for these contrasts. Treatment effects on child behaviors were not significant. The authors discuss the importance of changes in parenting behavior for families of children with ADHD and the need for reliable and objective measures in evaluating treatment outcome.
authors.affiliation: Department of Psychiatry, Duke University Medical Center, Durham, NC, USA. wells020@mc.duke.edu
authors.forename: Karen C
authors.initials: KC
authors.lastname: Wells
authors.forename: Terry C
authors.initials: TC
authors.lastname: Chi
authors.forename: Stephen P
authors.initials: SP
authors.lastname: Hinshaw
authors.forename: Jeffery N
authors.initials: JN
authors.lastname: Epstein
authors.forename: Linda
authors.initials: L
authors.lastname: Pfiffner
authors.forename: Marie
authors.initials: M
authors.lastname: Nebel-Schwalm
authors.forename: Elizabeth B
authors.initials: EB
authors.lastname: Owens
authors.forename: L Eugene
authors.initials: LE
authors.lastname: Arnold
authors.forename: Howard B
authors.initials: HB
authors.lastname: Abikoff
authors.forename: C Keith
authors.initials: CK
authors.lastname: Conners
authors.forename: Glen R
authors.initials: GR
authors.lastname: Elliott
authors.forename: Laurence L
authors.initials: LL
authors.lastname: Greenhill
authors.forename: Lily
authors.initials: L
authors.lastname: Hechtman
authors.forename: Betsy
authors.initials: B
authors.lastname: Hoza
authors.forename: Peter S
authors.initials: PS
authors.lastname: Jensen
authors.forename: John
authors.initials: J
authors.lastname: March
authors.forename: Jeffrey H
authors.initials: JH
authors.lastname: Newcorn
authors.forename: William E
authors.initials: WE
authors.lastname: Pelham
authors.forename: Joanne B
authors.initials: JB
authors.lastname: Severe
authors.forename: James
authors.initials: J
authors.lastname: Swanson
authors.forename: Benedetto
authors.initials: B
authors.lastname: Vitiello
authors.forename: Timothy
authors.initials: T
authors.lastname: Wigal
mesh_terms: D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000188:drug therapy / Q000453:epidemiology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D000697:Central Nervous System Stimulants / Q000627:therapeutic use*; D002648:Child; D003131:Combined Modality Therapy; D005260:Female; D006801:Humans; D008297:Male; D008774:Methylphenidate / Q000627:therapeutic use*; D015588:Observer Variation; D010287:Parent-Child Relations; D016487:Parenting; D012959:Socioeconomic Factors
chemical_list: D000697:Central Nervous System Stimulants; D008774:Methylphenidate