Skip to main content
Top
Gepubliceerd in: Child Psychiatry & Human Development 6/2019

11-05-2019 | Original Article

Do Comorbid Oppositional Symptoms Predict ADHD Behavioral Treatment Outcomes?

Auteurs: Sara R. Elkins, Mark A. Bond, David F. Curtis

Gepubliceerd in: Child Psychiatry & Human Development | Uitgave 6/2019

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Parent management training (PMT) is considered a best-practice for treating childhood ADHD. However, the magnitude of change in response to PMT differs across individuals. This study examined comorbid oppositional symptoms as a predictor of ADHD treatment outcomes. We predicted children with more severe baseline oppositionality would exhibit greater improvements in externalizing behaviors overall, including core ADHD symptoms. Participants consisted of 67 children aged 7–10 diagnosed with ADHD-Combined Type. Participants and their families received a manualized ten-session intervention, Family Skills Training for ADHD-Related Symptoms (Family STARS), combining PMT with a simultaneously occurring child skills training intervention. Pre- and post-treatment parent and teacher rating scales were collected to assess changes in ADHD and oppositional symptoms. Results demonstrated that children with more severe ratings of oppositional behaviors achieved commensurate ADHD symptom outcomes compared to those with less severe oppositionality. Implications are discussed with regard to the utilization of ADHD impairment-specific treatment targets.
Literatuur
1.
go back to reference Evans SW, Owens JS, Bunford N (2014) Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. J Clin Child Adolesc Psychol 43:527–551CrossRef Evans SW, Owens JS, Bunford N (2014) Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. J Clin Child Adolesc Psychol 43:527–551CrossRef
2.
go back to reference Fabiano GA, Pelham WE, Coles EK, Gnagy EM, Chronis-Tuscano A, O’Connor BC (2009) A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder. Clin Psychol Rev 29:129–140CrossRef Fabiano GA, Pelham WE, Coles EK, Gnagy EM, Chronis-Tuscano A, O’Connor BC (2009) A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder. Clin Psychol Rev 29:129–140CrossRef
3.
go back to reference Chacko A, Allan CC, Uderman J, Cornwell M, Anderson L, Chimklis A (2015) Training parents of youth with ADHD. In: Barkley RA (ed) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 4th edn. Guilford, New York, pp 513–536 Chacko A, Allan CC, Uderman J, Cornwell M, Anderson L, Chimklis A (2015) Training parents of youth with ADHD. In: Barkley RA (ed) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 4th edn. Guilford, New York, pp 513–536
4.
go back to reference Chacko A, Jensen SA, Lowry LS, Cornwell M, Chimklis A, Chan E et al (2016) Engagement in behavioral parent training: review of the literature and implications for practice. Clin Child Fam Psychol Rev 19:204–215CrossRef Chacko A, Jensen SA, Lowry LS, Cornwell M, Chimklis A, Chan E et al (2016) Engagement in behavioral parent training: review of the literature and implications for practice. Clin Child Fam Psychol Rev 19:204–215CrossRef
5.
go back to reference Hinshaw SP (2007) Moderators and mediators of treatment outcome for youth with ADHD: understanding for whom and how interventions work. J Pediatr Psychol 32:664–675CrossRef Hinshaw SP (2007) Moderators and mediators of treatment outcome for youth with ADHD: understanding for whom and how interventions work. J Pediatr Psychol 32:664–675CrossRef
6.
go back to reference Nock MK, Ferriter C (2005) Parent management of attendance and adherence in child and adolescent therapy: a conceptual and empirical review. Clin Child Fam Psychol Rev 8:149–166CrossRef Nock MK, Ferriter C (2005) Parent management of attendance and adherence in child and adolescent therapy: a conceptual and empirical review. Clin Child Fam Psychol Rev 8:149–166CrossRef
7.
go back to reference Nix RL, Bierman KL, McMahon RJ, The Conduct Problems Prevention Research Group (2009) How attendance and quality of participation affect treatment response to parent management training. J Consult Clin Psychol 77:429–438CrossRef Nix RL, Bierman KL, McMahon RJ, The Conduct Problems Prevention Research Group (2009) How attendance and quality of participation affect treatment response to parent management training. J Consult Clin Psychol 77:429–438CrossRef
8.
go back to reference Kazdin AE, Whitley MK (2006) Comorbidity, case complexity, and effects of evidence-based treatment for children referred for disruptive behavior. J Consult Clin Psychol 74:455–467CrossRef Kazdin AE, Whitley MK (2006) Comorbidity, case complexity, and effects of evidence-based treatment for children referred for disruptive behavior. J Consult Clin Psychol 74:455–467CrossRef
9.
go back to reference Kolko DJ, Pardini DA (2010) ODD dimensions, ADHD, and callous—unemotional traits as predictors of treatment response in children with disruptive behavior disorders. J Abnorm Psychol 119:713–725CrossRef Kolko DJ, Pardini DA (2010) ODD dimensions, ADHD, and callous—unemotional traits as predictors of treatment response in children with disruptive behavior disorders. J Abnorm Psychol 119:713–725CrossRef
10.
go back to reference Masi G, Muratori P, Manfredi A, Lenzi F, Polidor L, Ruglioni L et al (2013) Response to treatments in youth with disruptive behavior disorders. Compr Psychiatry 54:1009–1015CrossRef Masi G, Muratori P, Manfredi A, Lenzi F, Polidor L, Ruglioni L et al (2013) Response to treatments in youth with disruptive behavior disorders. Compr Psychiatry 54:1009–1015CrossRef
11.
go back to reference Plizka SR (2015) Comorbid psychiatric disorders in children with ADHD. In: Barkley RA (ed) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 4th edn. Guilford, New York, pp 140–168 Plizka SR (2015) Comorbid psychiatric disorders in children with ADHD. In: Barkley RA (ed) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 4th edn. Guilford, New York, pp 140–168
12.
go back to reference Barkley RA (2015) Emotion dysregulation is a core component of ADHD. In: Barkley RA (ed) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 4th edn. Guilford, New York, pp 81–115 Barkley RA (2015) Emotion dysregulation is a core component of ADHD. In: Barkley RA (ed) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 4th edn. Guilford, New York, pp 81–115
13.
go back to reference Martel MM (2009) Research review: a new perspective on attention-deficit/hyperactivity disorder: emotion dysregulation and trait models. J Child Psychol Psychiatry 50:1042–1051CrossRef Martel MM (2009) Research review: a new perspective on attention-deficit/hyperactivity disorder: emotion dysregulation and trait models. J Child Psychol Psychiatry 50:1042–1051CrossRef
14.
go back to reference Johnston C, Chronis-Tuscano A (2014) Families and ADHD. In: Barkley RA (ed) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 4th edn. Guilford, New York, pp 191–209 Johnston C, Chronis-Tuscano A (2014) Families and ADHD. In: Barkley RA (ed) Attention-deficit hyperactivity disorder: a handbook for diagnosis and treatment, 4th edn. Guilford, New York, pp 191–209
15.
go back to reference Jensen PS, Martin D, Cantwell DP (1997) Comorbidity in ADHD: Implications for research, practice, and DSM-V. J Am Acad Child Adolesc Psychiatry 36:1065–1079CrossRef Jensen PS, Martin D, Cantwell DP (1997) Comorbidity in ADHD: Implications for research, practice, and DSM-V. J Am Acad Child Adolesc Psychiatry 36:1065–1079CrossRef
16.
go back to reference Kazdin AE, Crowley M (1997) Moderators of treatment outcome in cognitively based treatment of antisocial children. Cogn Ther Res 21:185–207CrossRef Kazdin AE, Crowley M (1997) Moderators of treatment outcome in cognitively based treatment of antisocial children. Cogn Ther Res 21:185–207CrossRef
17.
go back to reference MTA Cooperative Group (1999) Moderators and mediators of treatment response for children with attention-deficit/hyperactivity disorder: The Multimodal treatment study of children with attention-deficit/hyperactivity disorder. Arch Gen Psychiatry 56:1088–1096CrossRef MTA Cooperative Group (1999) Moderators and mediators of treatment response for children with attention-deficit/hyperactivity disorder: The Multimodal treatment study of children with attention-deficit/hyperactivity disorder. Arch Gen Psychiatry 56:1088–1096CrossRef
18.
go back to reference Jarrett M, Siddiqui S, Lochman J, Qu L (2014) Internalizing problems as a predictor of change in externalizing problems in at-risk youth. J Clin Child Adolesc Psychol 43:27–35CrossRef Jarrett M, Siddiqui S, Lochman J, Qu L (2014) Internalizing problems as a predictor of change in externalizing problems in at-risk youth. J Clin Child Adolesc Psychol 43:27–35CrossRef
19.
go back to reference Weiss B, Harris V, Catron T, Han SS (2003) Efficacy of the RECAP intervention program for children with concurrent internalizing and externalizing problems. J Consult Clin Psychol 71:364–374CrossRef Weiss B, Harris V, Catron T, Han SS (2003) Efficacy of the RECAP intervention program for children with concurrent internalizing and externalizing problems. J Consult Clin Psychol 71:364–374CrossRef
20.
go back to reference Ollendick T, Jarrett M, Grillstaquechel A, Hovey L, Wolff J (2008) Comorbidity as a predictor and moderator of treatment outcome in youth with anxiety, affective, attention deficit/hyperactivity disorder, and oppositional/conduct disorders. Clin Psychol Rev 28:1447–1471CrossRef Ollendick T, Jarrett M, Grillstaquechel A, Hovey L, Wolff J (2008) Comorbidity as a predictor and moderator of treatment outcome in youth with anxiety, affective, attention deficit/hyperactivity disorder, and oppositional/conduct disorders. Clin Psychol Rev 28:1447–1471CrossRef
21.
go back to reference Jensen PS, Arnold LE, Swanson JM, Vitiello B, Abikoff HB, Greenhill LL et al (2007) 3-year follow-up of the NIMH MTA study. J Am Acad Child Adolesc Psychiatry 46:989–1002CrossRef Jensen PS, Arnold LE, Swanson JM, Vitiello B, Abikoff HB, Greenhill LL et al (2007) 3-year follow-up of the NIMH MTA study. J Am Acad Child Adolesc Psychiatry 46:989–1002CrossRef
22.
go back to reference Aitken M, Waxman JA, MacDonald K, Andrade BF (2018) Effect of comorbid psychopathology and conduct problem severity on response to a multi-component intervention for childhood disruptive behavior. Child Psychiatry Hum Dev 49:853–864CrossRef Aitken M, Waxman JA, MacDonald K, Andrade BF (2018) Effect of comorbid psychopathology and conduct problem severity on response to a multi-component intervention for childhood disruptive behavior. Child Psychiatry Hum Dev 49:853–864CrossRef
23.
go back to reference Bjørnebekk G, Kjøbli J, Ogden T (2015) Children with conduct problems and co-occurring ADHD: behavioral improvements following parent management training. Child Fam Behav Ther 37:1–19CrossRef Bjørnebekk G, Kjøbli J, Ogden T (2015) Children with conduct problems and co-occurring ADHD: behavioral improvements following parent management training. Child Fam Behav Ther 37:1–19CrossRef
24.
go back to reference Leijten P, Raaijmakers M, Wijngaards L, Matthys W, Menting A, Hemink-van Putten M et al (2018) Understanding who benefits from parenting interventions for children’s conduct problems: an integrative data analysis. Prev Sci 19:579–588CrossRef Leijten P, Raaijmakers M, Wijngaards L, Matthys W, Menting A, Hemink-van Putten M et al (2018) Understanding who benefits from parenting interventions for children’s conduct problems: an integrative data analysis. Prev Sci 19:579–588CrossRef
25.
go back to reference Costin J, Chambers SM (2007) Parent management training as a treatment for children with oppositional defiant disorder referred to a mental health clinic. Clin Child Psychol Psychiatry 12:511–524CrossRef Costin J, Chambers SM (2007) Parent management training as a treatment for children with oppositional defiant disorder referred to a mental health clinic. Clin Child Psychol Psychiatry 12:511–524CrossRef
26.
go back to reference Hartman RR, Stage SA, Webster-Stratton C (2003) A growth curve analysis of parent training outcomes: examining the influence of child risk factors (inattention, impulsivity, and hyperactivity problems), parental and family risk factors. J Child Psychol Psychiatry 44:388–398CrossRef Hartman RR, Stage SA, Webster-Stratton C (2003) A growth curve analysis of parent training outcomes: examining the influence of child risk factors (inattention, impulsivity, and hyperactivity problems), parental and family risk factors. J Child Psychol Psychiatry 44:388–398CrossRef
27.
go back to reference van den Hoofdakker BJ, van der Veen-Mulders L, Sytema S, Emmelkamp PMG, Minderaa RB, Nauta MH (2007) Effectiveness of behavioral parent training for children with adhd in routine clinical practice: a randomized controlled study. J Am Acad Child Adolesc Psychiatry 46:1263–1271CrossRef van den Hoofdakker BJ, van der Veen-Mulders L, Sytema S, Emmelkamp PMG, Minderaa RB, Nauta MH (2007) Effectiveness of behavioral parent training for children with adhd in routine clinical practice: a randomized controlled study. J Am Acad Child Adolesc Psychiatry 46:1263–1271CrossRef
28.
go back to reference Kaminski JW, Claussen AH (2017) Evidence base update for psychosocial treatments for disruptive behaviors in children. J Clin Child Adolesc Psychol 46:477–499CrossRef Kaminski JW, Claussen AH (2017) Evidence base update for psychosocial treatments for disruptive behaviors in children. J Clin Child Adolesc Psychol 46:477–499CrossRef
29.
go back to reference American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders: DSM-5, 5th edn. American Psychiatric Association, Washington, D.C.CrossRef American Psychiatric Association (2013) Diagnostic and statistical manual of mental disorders: DSM-5, 5th edn. American Psychiatric Association, Washington, D.C.CrossRef
30.
go back to reference Barkley RA, Murphy KR (2006) Attention-deficit hyperactivity disorder: a clinical workbook, 3rd edn. Guilford Press, New York Barkley RA, Murphy KR (2006) Attention-deficit hyperactivity disorder: a clinical workbook, 3rd edn. Guilford Press, New York
31.
go back to reference DuPaul GJ, Power TJ, Anastopoulos AD, Reid R (1998) ADHD rating scale-IV: checklists, norms, and clinical interpretation. Guilford Press, New York DuPaul GJ, Power TJ, Anastopoulos AD, Reid R (1998) ADHD rating scale-IV: checklists, norms, and clinical interpretation. Guilford Press, New York
32.
go back to reference DuPaul GJ, Power TJ, McGoey KE, Ikeda MJ, Anastopoulos AD (1998) Reliability and validity of parent and teacher ratings of attention-deficit/hyperactivity disorder symptoms. J Psychoeduc Assess 16:55–68CrossRef DuPaul GJ, Power TJ, McGoey KE, Ikeda MJ, Anastopoulos AD (1998) Reliability and validity of parent and teacher ratings of attention-deficit/hyperactivity disorder symptoms. J Psychoeduc Assess 16:55–68CrossRef
33.
go back to reference Reynolds C, Kamphaus R (2004) The behavior assessment system for children-second edition (BASC-2) Manual. AGS Publishing, Minnesota Reynolds C, Kamphaus R (2004) The behavior assessment system for children-second edition (BASC-2) Manual. AGS Publishing, Minnesota
34.
go back to reference Curtis DF (2010) ADHD symptom severity following participation in a pilot, 10-week, manualized, family-based behavioral intervention. Child Fam Behav Ther 32:231–241CrossRef Curtis DF (2010) ADHD symptom severity following participation in a pilot, 10-week, manualized, family-based behavioral intervention. Child Fam Behav Ther 32:231–241CrossRef
35.
go back to reference Ferguson CJ (2009) An effect size primer: a guide for clinicians and researchers. Prof Psychol 40:532–538CrossRef Ferguson CJ (2009) An effect size primer: a guide for clinicians and researchers. Prof Psychol 40:532–538CrossRef
36.
go back to reference Faul F, Erdfelder E, Lang A-G, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175–191CrossRef Faul F, Erdfelder E, Lang A-G, Buchner A (2007) G*Power 3: a flexible statistical power analysis program for the social, behavioral, and biomedical sciences. Behav Res Methods 39:175–191CrossRef
37.
go back to reference McNeil CB, Hembree-Kigin TL, Anhalt K, Hembree-Kigin TL (2010) Parent-child interaction therapy, 2nd edn. Springer Verlag, New YorkCrossRef McNeil CB, Hembree-Kigin TL, Anhalt K, Hembree-Kigin TL (2010) Parent-child interaction therapy, 2nd edn. Springer Verlag, New YorkCrossRef
38.
go back to reference Sanders MR, Kirby JN, Tellegen CL, Day JJ (2014) The Triple P-Positive Parenting Program: a systematic review and meta-analysis of a multi-level system of parenting support. Clin Psychol Rev 34:337–357CrossRef Sanders MR, Kirby JN, Tellegen CL, Day JJ (2014) The Triple P-Positive Parenting Program: a systematic review and meta-analysis of a multi-level system of parenting support. Clin Psychol Rev 34:337–357CrossRef
39.
go back to reference McMahon RJ, Forehand RL (2003) Helping the noncompliant child: family-based treatment for oppositional behavior, 2nd edn. Guilford Press, New York McMahon RJ, Forehand RL (2003) Helping the noncompliant child: family-based treatment for oppositional behavior, 2nd edn. Guilford Press, New York
40.
go back to reference Curtis DF, Heath CL, Chapman SG, Elkins SR (2013) Family skills training intervention for ADHD: Putting the child back into child therapy. J Psychol Abnorm Child 1:1–7 Curtis DF, Heath CL, Chapman SG, Elkins SR (2013) Family skills training intervention for ADHD: Putting the child back into child therapy. J Psychol Abnorm Child 1:1–7
Metagegevens
Titel
Do Comorbid Oppositional Symptoms Predict ADHD Behavioral Treatment Outcomes?
Auteurs
Sara R. Elkins
Mark A. Bond
David F. Curtis
Publicatiedatum
11-05-2019
Uitgeverij
Springer US
Gepubliceerd in
Child Psychiatry & Human Development / Uitgave 6/2019
Print ISSN: 0009-398X
Elektronisch ISSN: 1573-3327
DOI
https://doi.org/10.1007/s10578-019-00894-5

Andere artikelen Uitgave 6/2019

Child Psychiatry & Human Development 6/2019 Naar de uitgave