Behavioral Parent Training for Preschool ADHD: Family-Centered Profiles Predict Changes in Parenting and Child Outcomes. Issue 5 (3rd September 2022)
- Record Type:
- Journal Article
- Title:
- Behavioral Parent Training for Preschool ADHD: Family-Centered Profiles Predict Changes in Parenting and Child Outcomes. Issue 5 (3rd September 2022)
- Main Title:
- Behavioral Parent Training for Preschool ADHD: Family-Centered Profiles Predict Changes in Parenting and Child Outcomes
- Authors:
- Dale, Chelsea
Parent, Justin
Forehand, Rex
DiMarzio, Karissa
Sonuga-Barke, Edmund
Long, Nicholas
Abikoff, Howard B. - Abstract:
- ABSTRACT: Objective: Behavioral parent training (BPT) is the first line of treatment for preschool-aged children with attention-deficit hyperactivity disorder (ADHD); however, clinically significant improvements are not universal. In the current study, we employ a person-centered approach to create subgroups of families based on the intersection of multiple parent, child, and family pre-treatment factors. Further, we explore the utility of pre-treatment family profiles in predicting post-treatment differences in observed parenting behavior (i.e., behavioral control, parental warmth) and clinically significant change in child ADHD and oppositional symptoms. Method: Longitudinal data were collected using observational and parent-, teacher- and clinician-reported assessments from 130 parent-child dyads ( M age= 3.57, range = 3.0– 4.11, 73.8% male, 69.2% White, 25.6% Hispanic) participating in BPT. Results: Findings from the current study suggest three distinct family profiles, which consisted of one profile with high family stress (HFS) as evidenced by elevated symptomatology across parent, child, and family-level domains, a second profile with elevated parental anxiety (PA), and a final profile with elevated parental depression (PD). These family-centered profiles were differentially associated with changes in observed parenting practices. Specifically, the PD profile (39%) demonstrated minimal improvements in behavioral control and warmth following treatment. In contrast, theABSTRACT: Objective: Behavioral parent training (BPT) is the first line of treatment for preschool-aged children with attention-deficit hyperactivity disorder (ADHD); however, clinically significant improvements are not universal. In the current study, we employ a person-centered approach to create subgroups of families based on the intersection of multiple parent, child, and family pre-treatment factors. Further, we explore the utility of pre-treatment family profiles in predicting post-treatment differences in observed parenting behavior (i.e., behavioral control, parental warmth) and clinically significant change in child ADHD and oppositional symptoms. Method: Longitudinal data were collected using observational and parent-, teacher- and clinician-reported assessments from 130 parent-child dyads ( M age= 3.57, range = 3.0– 4.11, 73.8% male, 69.2% White, 25.6% Hispanic) participating in BPT. Results: Findings from the current study suggest three distinct family profiles, which consisted of one profile with high family stress (HFS) as evidenced by elevated symptomatology across parent, child, and family-level domains, a second profile with elevated parental anxiety (PA), and a final profile with elevated parental depression (PD). These family-centered profiles were differentially associated with changes in observed parenting practices. Specifically, the PD profile (39%) demonstrated minimal improvements in behavioral control and warmth following treatment. In contrast, the HFS profile (30%) only improved in behavioral control and the PA profile (31%) improved in both parenting domains following treatment. In addition, marginally significant differences in child oppositional and ADHD symptoms were observed across profiles. Conclusions: Family-centered approaches may be useful for selecting and implementing interventions. … (more)
- Is Part Of:
- Journal of clinical child and adolescent psychology. Volume 51:Issue 5(2022)
- Journal:
- Journal of clinical child and adolescent psychology
- Issue:
- Volume 51:Issue 5(2022)
- Issue Display:
- Volume 51, Issue 5 (2022)
- Year:
- 2022
- Volume:
- 51
- Issue:
- 5
- Issue Sort Value:
- 2022-0051-0005-0000
- Page Start:
- 726
- Page End:
- 739
- Publication Date:
- 2022-09-03
- Subjects:
- Child psychology -- Periodicals
Child psychiatry -- Periodicals
Adolescent psychology -- Periodicals
Adolescent psychiatry -- Periodicals
Adolescent Psychology -- Periodicals
Child Psychology -- Periodicals
Psychology, Clinical -- Periodicals
Adolescent psychiatry
Adolescent psychology
Child psychiatry
Child psychology
Periodicals
155.4 - Journal URLs:
- http://www.tandfonline.com/toc/hcap20/current ↗
http://search.ebscohost.com/direct.asp?db=aph&jid=KYT&scope=site ↗
http://www.tandfonline.com/ ↗ - DOI:
- 10.1080/15374416.2020.1867987 ↗
- Languages:
- English
- ISSNs:
- 1537-4416
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4958.383000
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- 23238.xml