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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)649-657
Number of pages9
JournalJournal of Consulting and Clinical Psychology
Volume74
Issue number4
DOIs
StatePublished - 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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    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