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

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

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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.
Literatuur
go back to reference Abidin, R. R. (1983). Parenting stress index. Virginia: Paediatric Psychology Press. Abidin, R. R. (1983). Parenting stress index. Virginia: Paediatric Psychology Press.
go back to reference 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 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
go back to reference Barkley, R. A. (2005). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York, NY: Guilford. Barkley, R. A. (2005). Attention deficit hyperactivity disorder: A handbook for diagnosis and treatment. New York, NY: Guilford.
go back to reference Beck, J. S. (2011). Cognitive therapy: Basics and beyond. New York, NY: Guilford. Beck, J. S. (2011). Cognitive therapy: Basics and beyond. New York, NY: Guilford.
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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, 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
go back to reference 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 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
go back to reference Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, N.J: Lawrence Earlbaum Associates. Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Hillsdale, N.J: Lawrence Earlbaum Associates.
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference Howell, D. (2013). Statistical methods for psychology (8th ed.). Belmont, CA: Wadsworth. Howell, D. (2013). Statistical methods for psychology (8th ed.). Belmont, CA: Wadsworth.
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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, 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
go back to reference 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 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
go back to reference 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 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
go back to reference Lin, Y. N. (2002). The application of cognitive-behavioral therapy to counseling Chinese. American Journal of Psychotherapy, 56, 48–56. Lin, Y. N. (2002). The application of cognitive-behavioral therapy to counseling Chinese. American Journal of Psychotherapy, 56, 48–56.
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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., 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference 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 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
go back to reference Spencer, M. B., & McLloyd, V. C. (Eds.) (1990). Minority children (special issue). Child Development, 36, 263–589. Spencer, M. B., & McLloyd, V. C. (Eds.) (1990). Minority children (special issue). Child Development, 36, 263–589.
go back to reference 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 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
go back to reference 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., 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
go back to reference 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 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
go back to reference 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. 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.
go back to reference 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 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
go back to reference 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, 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
go back to reference 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 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
go back to reference 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 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
Metagegevens
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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