Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder

Karen C. Wells; Terry C. Chi; Stephen P. Hinshaw; Jeffery N. Epstein; Linda Pfiffner; Marie Nebel-Schwalm; Elizabeth B. Owens; L. Eugene Arnold; Howard B. Abikoff; C. Keith Conners; Glen R. Elliott; Laurence L. Greenhill; Lily Hechtman; Betsy Hoza; Peter S. Jensen; John March; Jeffrey H. Newcorn; William E. Pelham; Joanne B. Severe; James Swanson; Benedetto Vitiello; Timothy Wigal

doi:10.1037/0022-006X.74.4.649

Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder

Karen C. Wells, Terry C. Chi, Stephen P. Hinshaw, Jeffery N. Epstein, Linda Pfiffner, Marie Nebel-Schwalm, Elizabeth B. Owens, L. Eugene Arnold, Howard B. Abikoff, C. Keith Conners, Glen R. Elliott, Laurence L. Greenhill, Lily Hechtman, Betsy Hoza, Peter S. Jensen, John March, Jeffrey H. Newcorn, William E. Pelham, Joanne B. Severe, James SwansonBenedetto Vitiello, Timothy Wigal

Psychiatry and Psychology

Research output: Contribution to journal › Article › peer-review

65 Scopus citations

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.

Original language	English (US)
Pages (from-to)	649-657
Number of pages	9
Journal	Journal of Consulting and Clinical Psychology
Volume	74
Issue number	4
DOIs	https://doi.org/10.1037/0022-006X.74.4.649
State	Published - Aug 2006

Keywords

ADHD
Direct observations
MTA study
Parent-child interactions
Parenting

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

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10.1037/0022-006X.74.4.649

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Wells, K. C., Chi, T. C., Hinshaw, S. P., Epstein, J. N., Pfiffner, L., Nebel-Schwalm, M., Owens, E. B., Arnold, L. E., Abikoff, H. B., Conners, C. K., Elliott, G. R., Greenhill, L. L., Hechtman, L., Hoza, B., Jensen, P. S., March, J., Newcorn, J. H., Pelham, W. E., Severe, J. B., ... Wigal, T. (2006). Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder. Journal of Consulting and Clinical Psychology, 74(4), 649-657. https://doi.org/10.1037/0022-006X.74.4.649

Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder. / Wells, Karen C.; Chi, Terry C.; Hinshaw, Stephen P. et al.
In: Journal of Consulting and Clinical Psychology, Vol. 74, No. 4, 08.2006, p. 649-657.

Research output: Contribution to journal › Article › peer-review

Wells, KC, Chi, TC, Hinshaw, SP, Epstein, JN, Pfiffner, L, Nebel-Schwalm, M, Owens, EB, Arnold, LE, Abikoff, HB, Conners, CK, Elliott, GR, Greenhill, LL, Hechtman, L, Hoza, B, Jensen, PS, March, J, Newcorn, JH, Pelham, WE, Severe, JB, Swanson, J, Vitiello, B & Wigal, T 2006, 'Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder', Journal of Consulting and Clinical Psychology, vol. 74, no. 4, pp. 649-657. https://doi.org/10.1037/0022-006X.74.4.649

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Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder

Abstract

Keywords

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