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Gepubliceerd in: Journal of Autism and Developmental Disorders 4/2018

11-10-2017 | Original Paper

Parent Stress in a Randomized Clinical Trial of Atomoxetine and Parent Training for Children with Autism Spectrum Disorder

Auteurs: Luc Lecavalier, Xueliang Pan, Tristram Smith, Benjamin L. Handen, L. Eugene Arnold, Laura Silverman, Rameshwari V. Tumuluru, Jill Hollway, Michael G. Aman

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 4/2018

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Abstract

We previously reported a 2 × 2 randomized clinical trial of atomoxetine (ATX) and parent training (PT) for attention deficit hyperactivity disorder (ADHD) symptoms and behavioral noncompliance in 128 children with autism spectrum disorder, ages 5–14 years. Children were randomized to one of four conditions: ATX alone, placebo alone, ATX + PT, or PT + placebo. Both ATX and PT improved some indices of ADHD and behavioral compliance. In this report, we describe parent stress over time and across conditions. All four treatments improved parent self-rated stress from baseline to week 10. However, there were no statistically significant differences between treatment groups. Significantly more improvement in parent stress scores was observed for clinical responders than non-responders.
ClinicalTrials.gov Title: Atomoxetine, Placebo and Parent Management Training in Autism (Strattera) ClinicalTrials.gov Identifier: NCT00844753.
Literatuur
go back to reference Abidin, R. R. (1995). Parenting stress index (3rd ed). Odessa, FL: Psychological Assessment Resource. Abidin, R. R. (1995). Parenting stress index (3rd ed). Odessa, FL: Psychological Assessment Resource.
go back to reference Abikoff, H. B., Vitiello, B., Riddle, M. A., Cunningham, C., Greenhill, L. L., & …Wigal, T. (2007). Methylphenidate effects on functional outcomes in the preschoolers with attention-deficit/hyperactivity disorder treatment study (PATS). Journal of Child and Adolescent Psychopharmacology, 17, 581–592.CrossRefPubMed Abikoff, H. B., Vitiello, B., Riddle, M. A., Cunningham, C., Greenhill, L. L., & …Wigal, T. (2007). Methylphenidate effects on functional outcomes in the preschoolers with attention-deficit/hyperactivity disorder treatment study (PATS). Journal of Child and Adolescent Psychopharmacology, 17, 581–592.CrossRefPubMed
go back to reference Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985a). Psychometric characteristics of the aberrant behavior checklist. American Journal of Mental Deficiency, 89, 492–502.PubMed Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985a). Psychometric characteristics of the aberrant behavior checklist. American Journal of Mental Deficiency, 89, 492–502.PubMed
go back to reference Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985b). The Aberrant behavior checklist: A behavior rating scale for the assessment of treatment effects. American Journal of Mental Deficiency, 89, 485–491.PubMed Aman, M. G., Singh, N. N., Stewart, A. W., & Field, C. J. (1985b). The Aberrant behavior checklist: A behavior rating scale for the assessment of treatment effects. American Journal of Mental Deficiency, 89, 485–491.PubMed
go back to reference American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders-Text Revised, 4th ed.Washington, DC,American Psychiatric Publishing. American Psychiatric Association (2000). Diagnostic and Statistical Manual of Mental Disorders-Text Revised, 4th ed.Washington, DC,American Psychiatric Publishing.
go back to reference Baker, B. L., McIntyre, L. L., Blacher, J., Crnic, K., Edlebrock, C., & Low, C. (2003). Pre-school children with and without developmental delay: Behavior problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217–230.CrossRefPubMed Baker, B. L., McIntyre, L. L., Blacher, J., Crnic, K., Edlebrock, C., & Low, C. (2003). Pre-school children with and without developmental delay: Behavior problems and parenting stress over time. Journal of Intellectual Disability Research, 47, 217–230.CrossRefPubMed
go back to reference Bussing, R., Fernandez, M., Harwood, M., Hou, W., Garvan, C. W., Eyberg, S. M., et al. (2008). Parent and teacher SNAP-IV ratings of attention deficit hyperactivity disorder symptoms: Psychometric properties and normative ratings from a school district sample. Assessment, 15, 317–328.CrossRefPubMedPubMedCentral Bussing, R., Fernandez, M., Harwood, M., Hou, W., Garvan, C. W., Eyberg, S. M., et al. (2008). Parent and teacher SNAP-IV ratings of attention deficit hyperactivity disorder symptoms: Psychometric properties and normative ratings from a school district sample. Assessment, 15, 317–328.CrossRefPubMedPubMedCentral
go back to reference Chowdhury, M., Aman, M. G., Lecavalier, L., Smith, T., Johnson, C., Swiezy, N., et al. (2016). Factor structure and psychometric properties of the Home Situations Questionnaire for autism spectrum disorder: The Home Situations Questionnaire—Autism Spectrum Disorder. Autism, 20, 528–537.CrossRefPubMed Chowdhury, M., Aman, M. G., Lecavalier, L., Smith, T., Johnson, C., Swiezy, N., et al. (2016). Factor structure and psychometric properties of the Home Situations Questionnaire for autism spectrum disorder: The Home Situations Questionnaire—Autism Spectrum Disorder. Autism, 20, 528–537.CrossRefPubMed
go back to reference Chowdhury, M., Aman, M. G., Scahill, L., Sweizi, N., Arnold, L. E., Lecavalier, L., et al. (2010). The Home Situations Questionnaire-PDD Version: Factor structure and psychometric properties. Journal of Intellectual and Disability Research, 54, 281–291.CrossRef Chowdhury, M., Aman, M. G., Scahill, L., Sweizi, N., Arnold, L. E., Lecavalier, L., et al. (2010). The Home Situations Questionnaire-PDD Version: Factor structure and psychometric properties. Journal of Intellectual and Disability Research, 54, 281–291.CrossRef
go back to reference Gadow, K. D., DeVincent, C. J., Pomeroy, J., & Azizian, A. (2005). Comparison of DSM-IV symptoms in elementary school-aged children with PDD versus clinic and community samples. Autism, 9, 392–415.CrossRefPubMed Gadow, K. D., DeVincent, C. J., Pomeroy, J., & Azizian, A. (2005). Comparison of DSM-IV symptoms in elementary school-aged children with PDD versus clinic and community samples. Autism, 9, 392–415.CrossRefPubMed
go back to reference Guy, W. (1976). ECDEU assessment manual of psychopharmacology (pp. 218–222). Rockville, MD: National Institute of Mental Health, U.S. Department of Health, Education, and Welfare publication (ADM), Psychopharmacology Research Branch. Guy, W. (1976). ECDEU assessment manual of psychopharmacology (pp. 218–222). Rockville, MD: National Institute of Mental Health, U.S. Department of Health, Education, and Welfare publication (ADM), Psychopharmacology Research Branch.
go back to reference Handen, B. L., Aman, M. G., Arnold, L. E., Hyman, S. L., Tumuluru, R. V., Lecavalier, L., et al. (2015). Effects of atomoxetine, parent training, and their combination in children with autism spectrum disorder and ADHD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 54, 905–915.CrossRefPubMedPubMedCentral Handen, B. L., Aman, M. G., Arnold, L. E., Hyman, S. L., Tumuluru, R. V., Lecavalier, L., et al. (2015). Effects of atomoxetine, parent training, and their combination in children with autism spectrum disorder and ADHD symptoms. Journal of the American Academy of Child and Adolescent Psychiatry, 54, 905–915.CrossRefPubMedPubMedCentral
go back to reference Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: A Meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43, 629–642.CrossRefPubMed Hayes, S. A., & Watson, S. L. (2013). The impact of parenting stress: A Meta-analysis of studies comparing the experience of parenting stress in parents of children with and without autism spectrum disorder. Journal of Autism and Developmental Disorders, 43, 629–642.CrossRefPubMed
go back to reference Iadarola, S., Levato, L., Harrison, B., Smith, T., Lecavalier, L., et al. (2017). Teaching parents behavioral strategies for autism spectrum disorder (ASD): Effects on stress, strain, and competence. Journal of Autism and Developmental Disorders. doi:10.1007/s10803-017-3339-2.PubMed Iadarola, S., Levato, L., Harrison, B., Smith, T., Lecavalier, L., et al. (2017). Teaching parents behavioral strategies for autism spectrum disorder (ASD): Effects on stress, strain, and competence. Journal of Autism and Developmental Disorders. doi:10.​1007/​s10803-017-3339-2.PubMed
go back to reference Kaat, A. J., & Lecavalier, L. (2013). Disruptive behavior disorders in children and adolescents with autism spectrum disorders: A review of the prevalence, presentation, and treatment. Research in Autism Spectrum Disorders, 7, 1579–1594.CrossRef Kaat, A. J., & Lecavalier, L. (2013). Disruptive behavior disorders in children and adolescents with autism spectrum disorders: A review of the prevalence, presentation, and treatment. Research in Autism Spectrum Disorders, 7, 1579–1594.CrossRef
go back to reference Kaat, A. J., Lecavalier, L., & Aman, M. G. (2014). Validity of the aberrant behavior checklist in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44, 1103–1116.CrossRefPubMed Kaat, A. J., Lecavalier, L., & Aman, M. G. (2014). Validity of the aberrant behavior checklist in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 44, 1103–1116.CrossRefPubMed
go back to reference Kanne, S. M., & Mazurek, M. O. (2011). Aggression in children and adolescents with ASD: Prevalence and risk factors. Journal of Autism and Developmental Disorders, 41, 926–937.CrossRefPubMed Kanne, S. M., & Mazurek, M. O. (2011). Aggression in children and adolescents with ASD: Prevalence and risk factors. Journal of Autism and Developmental Disorders, 41, 926–937.CrossRefPubMed
go back to reference Karst, J. S., & Van Hecke, A. V. (2012). Parent and family impact of autism spectrum disorders: A review and proposed model for intervention evaluation. Clinical Child and Family Psychology Review, 15, 247–277.CrossRefPubMed Karst, J. S., & Van Hecke, A. V. (2012). Parent and family impact of autism spectrum disorders: A review and proposed model for intervention evaluation. Clinical Child and Family Psychology Review, 15, 247–277.CrossRefPubMed
go back to reference Lecavalier, L. (2006). Behavior and emotional problems in young people with pervasive developmental disorders: Relative prevalence, effects of subject characteristics, and empirical classification. Journal of Autism and Developmental Disorders, 36, 1101–1114.CrossRefPubMed Lecavalier, L. (2006). Behavior and emotional problems in young people with pervasive developmental disorders: Relative prevalence, effects of subject characteristics, and empirical classification. Journal of Autism and Developmental Disorders, 36, 1101–1114.CrossRefPubMed
go back to reference Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behavior problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50, 172–183.CrossRefPubMed Lecavalier, L., Leone, S., & Wiltz, J. (2006). The impact of behavior problems on caregiver stress in young people with autism spectrum disorders. Journal of Intellectual Disability Research, 50, 172–183.CrossRefPubMed
go back to reference Lecavalier, L., Smith, T., Johnson, C., Bearss, K., Swiezy, N., et al. (2017). Moderators of parent training for disruptive behaviors in young children with autism spectrum disorder. Journal of Abnormal Child Psychology, 45, 1235–1245.CrossRefPubMed Lecavalier, L., Smith, T., Johnson, C., Bearss, K., Swiezy, N., et al. (2017). Moderators of parent training for disruptive behaviors in young children with autism spectrum disorder. Journal of Abnormal Child Psychology, 45, 1235–1245.CrossRefPubMed
go back to reference Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., et al. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849–861.CrossRefPubMed Leyfer, O. T., Folstein, S. E., Bacalman, S., Davis, N. O., Dinh, E., Morgan, J., et al. (2006). Comorbid psychiatric disorders in children with autism: Interview development and rates of disorders. Journal of Autism and Developmental Disorders, 36, 849–861.CrossRefPubMed
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(1), 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(1), 86–104.CrossRefPubMed
go back to reference Mullen, E. J. (1995). Mullen scales of early learning. Bloomington, MN: Pearson Assessments. Mullen, E. J. (1995). Mullen scales of early learning. Bloomington, MN: Pearson Assessments.
go back to reference Roid, G. H. (2003). Stanford-Binet intelligence scales (5th ed.). Itasca, IL: Riverside Publishing. Roid, G. H. (2003). Stanford-Binet intelligence scales (5th ed.). Itasca, IL: Riverside Publishing.
go back to reference Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview revised. Torrance, CA: Western Psychological Services. Rutter, M., Le Couteur, A., & Lord, C. (2003). Autism diagnostic interview revised. Torrance, CA: Western Psychological Services.
go back to reference Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929.CrossRefPubMed Simonoff, E., Pickles, A., Charman, T., Chandler, S., Loucas, T., & Baird, G. (2008). Psychiatric disorders in children with autism spectrum disorders: Prevalence, comorbidity, and associated factors in a population-derived sample. Journal of the American Academy of Child and Adolescent Psychiatry, 47, 921–929.CrossRefPubMed
go back to reference Theule, J., & Wiener, J., Tannock, R., & Jenkins, J. M. (2012). 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., Tannock, R., & Jenkins, J. M. (2012). 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 Tonge, B., Brereton, A., Kiomall, M., Mackinnin, A., King, N., & Rineheart, N. (2006). Effects on parental mental health of an education and skills training program for parents of young children with autism: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 561–569.CrossRefPubMed Tonge, B., Brereton, A., Kiomall, M., Mackinnin, A., King, N., & Rineheart, N. (2006). Effects on parental mental health of an education and skills training program for parents of young children with autism: A randomized controlled trial. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 561–569.CrossRefPubMed
go back to reference Van Den Hoofdakker, B. J., Van der Veen-Mulder, L., Sytema, S., Emmelkamp, P. M. G., Minderaa, R. B., & Nauta, M. H. (2007). Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: a randomized controlled study. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1263–1271.CrossRefPubMed Van Den Hoofdakker, B. J., Van der Veen-Mulder, L., Sytema, S., Emmelkamp, P. M. G., Minderaa, R. B., & Nauta, M. H. (2007). Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: a randomized controlled study. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 1263–1271.CrossRefPubMed
go back to reference Wells, K. C., Epstein, J. N., Hinshaw, S. P., Conners, C. K., Klaric, J., Abikoff, L. E., et al. (2000). Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): An empirical analysis in the MTA study 1. Journal of Abnormal Child Psychology, 28, 543–553.CrossRefPubMed Wells, K. C., Epstein, J. N., Hinshaw, S. P., Conners, C. K., Klaric, J., Abikoff, L. E., et al. (2000). Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): An empirical analysis in the MTA study 1. Journal of Abnormal Child Psychology, 28, 543–553.CrossRefPubMed
Metagegevens
Titel
Parent Stress in a Randomized Clinical Trial of Atomoxetine and Parent Training for Children with Autism Spectrum Disorder
Auteurs
Luc Lecavalier
Xueliang Pan
Tristram Smith
Benjamin L. Handen
L. Eugene Arnold
Laura Silverman
Rameshwari V. Tumuluru
Jill Hollway
Michael G. Aman
Publicatiedatum
11-10-2017
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 4/2018
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-017-3345-4

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