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Gepubliceerd in:

01-09-2017 | Original Paper

Evaluating the Effectiveness of a Group CBT for Parents of ADHD Children

Auteurs: Daniel F. K. Wong, Ting Kin Ng, Priscilla S. Y. Ip, Mei Ling Chung, Joe Choi

Gepubliceerd in: Journal of Child and Family Studies | Uitgave 1/2018

Abstract

Improvements in parenting skills do not necessarily lead to improvements in child and parent outcomes for children with attention deficit and hyperactivity disorder (ADHD). Cognitive factors such as parental cognitions and parenting self-efficacy may influence such outcomes. Clinical research on the effects of cognitive-behaviour therapy (CBT) on parental cognitions, parenting self-efficacy and mental health in Chinese parents of children with ADHD is lacking. This quasi-experimental study intended to assess the effects of a culturally attuned group CBT treatment on the mental health and quality of life of Chinese parents aged 26–58 years, with children with ADHD in Hong Kong. Participants in the experimental group received group CBT and standard treatment and their counterparts in the control group received standard treatment. Primary outcome variables of mental health and quality of life and process variables including parenting stress, parenting efficacy and dysfunctional attitudes were measured at baseline, post-treatment and 3-month follow-up. Data were analysed using 2 × 3 ANCOVAs, Cohen’s d statistics and multiple mediation analyses. Group by time interactions were found for most outcome variables. Effect size statistics indicated that group CBT had small to moderate effects on most outcome variables at post-treatment and follow-up assessments. The effect of CBT on mental health was mediated by the reduction in parenting stress and the effect of CBT on quality of life was mediated by the reductions in parenting stress and dysfunctional attitudes. Given its potential benefit, it is worth considering incorporating this group CBT programme into interventions for Chinese parents with ADHD children.

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Abidin, R. R. (1983). Parenting stress index. Virginia: Paediatric Psychology Press.

Au, A., Lau, K. M., Wong, A. H. C., Lam, C., Leung, C., Lau, J., & Lee, Y. K. (2014). The efficacy of a group Triple P (positive parenting program) for Chinese parents with a child diagnosed with ADHD in Hong Kong: a pilot randomized controlled study. Australian Psychologist, 49, 151–162. CrossRef

Barkley, R. A. (2005). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York, NY: Guilford.

Beck, J. S. (2011). Cognitive therapy: Basics and beyond. New York, NY: Guilford.

Beck, A. T., Brown, G., Steer, R. A., & Weissman, A. N. (1991). Factor analysis of the Dysfunctional Attitude Scale in a clinical population. Psychological Assessment, 3, 478–483. CrossRef

Boey, K. W., & Chiu, H. F. K. (1998). Assessing psychological well-being of the old-old: A comparative study of GDS-15 and GHQ-12. Clinical Gerontologist, 19, 65–75. CrossRef

Cedar, B., & Levant, R. F. (1990). A meta-analysis of the effects of parent effectiveness training. The American Journal of Family Therapy, 18, 373–384. CrossRef

Chronis, A. M., Gamble, S. A., Roberts, G. E., & Pelham, W. E. (2006). Cognitive-behavioral depression treatment for mothers of children with attention-deficit/hyperactivity disorder. Behavior Therapy, 37, 143–158. CrossRefPubMed

Chronis-Tuscano, A., O’Brien, K. A., Johnston, C., Jones, H. A., Clarke, T. L., Raggi, V. L., & Seymour, K. E. (2011). The relation between maternal ADHD symptoms & improvement in child behavior following brief behavioral parent training is mediated by change in negative parenting. Journal of Abnormal Child Psychology, 39, 1047–1057. CrossRefPubMedPubMedCentral

Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, N.J: Lawrence Earlbaum Associates.

Endicott, J., Nee, J., Harrison, W., & Blumenthal, R. (1993). Quality of life enjoyment and satisfaction questionnaire: A new measure. Psychopharmacology Bulletin, 29, 321–326. PubMed

Fabiano, G. A., Pelham, W. E., Coles, E. K., Gnagy, E. M., Chronis-Tuscano, A., & O’Connor, B. C. (2009). A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder. Clinical Psychology Review, 29, 129–140. CrossRefPubMed

Gau, S. (2007). Parental and family factors for attention-deficit hyperactivity disorder in Taiwanese children. Australian and New Zealand Journal of Psychiatry, 41, 688–696. CrossRefPubMed

Gibaud-Wallston, J., & Wandersman, L. P. (1978). Development and utility of the Parenting Sense of Competence Scale. Paper presented at the meeting of the American Psychological Association, Toronto, Canada.

Ha, E. H., & Oh, K. J. (2006). Effects of cognitive-behavioural group therapy for depression mothers of children with behavioural problems. Child and Family Behavior Therapy, 28, 1–13. CrossRef

Harold, G. T., Leve, L. D., Barrett, D., Elam, K., Neiderhiser, J. M., Natsuaki, M. N., & Thapar, A. (2013). Biological and rearing mother influences on child ADHD symptoms: Revisiting the developmental interface between nature and nature. Journal of Child Psychology and Child Psychiatry and Allied Disciplines, 54, 1038–1046. CrossRef

Heath, C. L., Curtis, D. F., Fan, W., & McPherson, R. (2015). The association between parenting stress, parenting self-efficacy, and the clinical significance of child ADHD symptom change following behavior therapy. Child Psychiatry and Human Development, 46, 118–129. CrossRefPubMed

Herschell, A. D., Calzada, E. J., Eyberg, S. M., & McNeil, C. B. (2002). Parent-child interaction therapy: New directions in research. Cognitive and Behavioral Practice, 9, 9–16. CrossRef

Hoeymans, N., Garssen, A. A., Westert, G. P., & Verhaak, P. F. M. (2004). Measuring mental health of the Dutch population: A comparison of GHQ-12 and the MHI-5. Health Quality Life Outcomes, 2, 23. CrossRef

Howell, D. (2013). Statistical methods for psychology (8th ed.). Belmont, CA: Wadsworth.

Huang, H. L., Chao, C. C., Tu, C. C., & Yang, P. C. (2003). Behavioral parent training for Taiwanese parents of children with attention-deficit/hyperactivity disorder. Psychiatry and Clinical Neurosciences, 57, 275–281. CrossRefPubMed

Johnston, C., & Ohan, J. L. (2005). The importance of parental attributions in families of children with attention-deficit/hyperactivity and disruptive behavior disorders. Clinical Child and Family Psychology Review, 8, 167–182. CrossRefPubMed

Kraemer, H. C., Stice, E., Kazdin, A., Offord, D., & Kupfer, D. (2001). How do risk factors work together? Mediators, moderators, and independent, overlapping, and proxy risk factors. American Journal of Psychiatry, 158, 848–856. CrossRefPubMed

Lam, A. K. S., & Ho, T. P. (2010). Early adolescent outcome of attention-deficit hyperactivity disorder in a Chinese population: 5-year follow-up study. Hong Kong Medicine Journal, 16, 257–264.

Lee, L. C., Harrington, R. A., Louie, B. B., & Newschaffer, C. J. (2008). Children with autism: Quality of life and parental concerns. Journal of Autism and Developmental Disorders, 38, 1147–1160. CrossRefPubMed

Lee, P., Niew, W. I., Yang, H. J., Chen, V. V., & Lin, K. C. (2012). A meta-analysis of behavioral parent training for children with attention deficit hyperactivity disorder. Research in Developmental Disabilities, 33, 2040–2049. CrossRefPubMed

Leung, P. W., Hung, S. F., Ho, T. P., Lee, C. C., Liu, W. S., Tang, C. P., & Kwong, S. L. (2008). Prevalence of DSM-IV disorders in Chinese adolescents and the effects of an impairment criterion: A pilot community study. European Child & Adolescent Psychiatry, 17, 452–461. CrossRef

Lin, Y. N. (2002). The application of cognitive-behavioral therapy to counseling Chinese. American Journal of Psychotherapy, 56, 48–56.

Lundahl, B., Risser, H. J., & Lovejoy, M. C. (2006). A meta-analysis of parent training: Moderators and follow-up effects. Clinical Psychology Review, 26, 86–104. CrossRefPubMed

Mah, J. W. T., & Johnston, C. (2007). Cultural variations in mothers’ attributions: Influence of child attention-deficit/hyperactivity disorder. Child Psychiatry and Human Development, 38, 135–153. CrossRefPubMed

Matos, M., Bauermeister, J. J., & Bernal, G. (2009). Parent-child interaction therapy for Puerto Rican preschool children with ADHD and behavior problems: A pilot efficacy study. Family Process, 48, 232–252. CrossRefPubMed

Ngai, F. W., Chan, S. W., & Holroyd, E. (2007). Translation and validation of a Chinese version of the parenting sense of competence scale in Chinese mothers. Nursing Research, 56, 348–354. CrossRefPubMed

Ngai, F. W., Wong, P. W. C., Chung, K. F., & Leung, K. Y. (2016). The effect of telephone-based cognitive-behavioural therapy on parenting stress: A randomised controlled trial. Journal of Psychosomatic Research, 86, 34–38. CrossRefPubMed

Preacher, K. J., & Hayes, A. F. (2008). Asymptotic and resampling strategies for assessing and comparing indirect effects in multiple mediator models. Behavior Research Methods, 40, 879–891. CrossRefPubMed

Primack, B. A., Hendricks, K. M., Longacre, M. R., Adachi-Mejia, A. M., Weiss, J. E., Titus, L. J., Beach, M. L., & Dalton, M. A. (2012). Parental efficacy and child behavior in a community sample of children with and without attention-deficit hyperactive disorder (ADHD). Attention Deficit Hyperactivity Disorders, 4, 189–197. CrossRefPubMedPubMedCentral

Singer, G. H. S., Ethridge, B. L., & Aldana, S. I. (2007). Primary and secondary effects of parenting stress management intervention for parents of children with developmental disabilities: a meta-analysis. Mental Retardation and Developmental Disabilities Research Reviews, 13, 357–369. CrossRefPubMed

Spencer, M. B., & McLloyd, V. C. (Eds.) (1990). Minority children (special issue). Child Development, 36, 263–589.

Tam, K. K., Chan, Y. C., & Wong, C. K. M. (1994). Validation of the parenting stress index among Chinese mothers in Hong Kong. Journal of Community Psychology, 22(3), 211–223. CrossRef

Theule, J., Wiener, J., Rogers, M. A., & Marton, I. (2011). Predicting parenting stress in families of children with ADHD: Parent and contextual factors. Journal of Child and Family Studies, 20, 640–647. CrossRef

Theule, J., Wiener, J., Rannock, R., & Jenkins, J. M. (2013). Parenting stress in families of children with ADHD: a meta-analysis. Journal of Emotional and Behavioral Disorders, 21, 3–17. CrossRef

Weissman, A.N., & Beck, A.T. (1978, March). Development and validation of the Dysfunctional Attitude Scale: a preliminary investigation. Paper presented at the meeting of the Association for the Advancement of Behavior Therapy, Chicago, IL.

Wiener, J., Biondic, D., Grimbos, T., Herbert, M. (2015). Parenting stress of parents of adolescents with attention-deficit hyperactivity disorder. Journal of Abnormal Child Psychology, 1-17, https://doi.org/10.1007/s10802-015-0050-7.

Whalen, C. K., Jamner, L. D., Henker, B., Delfino, R. J., & Lozano, J. M. (2002). The ADHD spectrum and everyday life: experience sampling of adolescent moods, activities, smoking and drinking. Society for Research in Child Development, 73, 209–227. CrossRef

Wong, F. K., & Poon, A. (2010). Cognitive behavioural group treatment for Chinese parents with children with developmental disabilities in Melbourne, Australia: an efficacy study. Australian and New Zealand Journal of Psychiatry, 44, 742–749. CrossRefPubMed

Wong, D. F., Poon, A., & Kwok, Y. C. L. (2011). The maintenance effect of cognitive-behavioural treatment groups for the Chinese parents of children with intellectual disabilities in Melbourne, Australia: a 6-month follow-up study. Journal of Intellectual Disability Research, 55, 1043–1053. CrossRefPubMed

Xiang, Y. T., Luk, E. S. L., & Lai, K. Y. C. (2009). Quality of life in parents of children with attention-deficit hyperactivity disorder in Hong Kong. Australian and New Zealand Journal of Psychiatry, 43, 731–738. CrossRefPubMed

Titel: Evaluating the Effectiveness of a Group CBT for Parents of ADHD Children
Auteurs: Daniel F. K. Wong
Ting Kin Ng
Priscilla S. Y. Ip
Mei Ling Chung
Joe Choi
Publicatiedatum: 01-09-2017
Uitgeverij: Springer US
Gepubliceerd in: Journal of Child and Family Studies / Uitgave 1/2018
Print ISSN: 1062-1024
Elektronisch ISSN: 1573-2843
DOI: https://doi.org/10.1007/s10826-017-0868-4

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