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Research on Child and Adolescent Psychopathology
Gepubliceerd in:

24-02-2016

Which Type of Parent Training Works Best for Preschoolers with Comorbid ADHD and ODD? A Secondary Analysis of a Randomized Controlled Trial Comparing Generic and Specialized Programs

Auteurs: Rex Forehand, Justin Parent, Edmund Sonuga-Barke, Virginia D. Peisch, Nicholas Long, Howard B. Abikoff

Gepubliceerd in: Research on Child and Adolescent Psychopathology | Uitgave 8/2016

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Abstract

The present study examined whether the presence of comorbid ODD differentially moderated the outcome of two Behavioral Parent Training (BPT) programs in a sample of preschoolers with ADHD: One designed specifically for ADHD (NFPP: New Forest Parenting Programme) and one designed primarily for ODD (HNC: Helping the Noncompliant Child). In a secondary analysis, 130 parents and their 3–4 year-old children diagnosed with ADHD were assigned to one of the two programs. 44.6 % of the children also met criteria for ODD. Significant interactions between treatment conditions (NFPP vs. HNC) and child ODD diagnosis (presence vs. absence) indicated that based on some parent and teacher reports, HNC was more effective with disruptive behaviors than NFPP but only when children had a comorbid diagnosis. Further, based on teacher report, NFPP was more effective with these behaviors when children had a diagnosis of only ADHD whereas HNC was equally effective across ADHD only and comorbid ODD diagnoses. Comorbidity profile did not interact with treatment program when parent or teacher reported ADHD symptoms served as the outcome. Implications for clinical interventions are discussed and directions for future work are provided.
vorige artikel Does the Environment Have an Enduring Effect on ADHD? A Longitudinal Study of Monozygotic Twin Differences in Children
volgende artikel Daily Deviations in Anger, Guilt, and Sympathy: A Developmental Diary Study of Aggression
Voetnoten
1
Jensen et al. (2007) and van den Hoofdakker et al. (2010) examined child comorbidity as a moderator but did not examine ODD individually.
 
2
Clinician ratings of ADHD symptoms were included in the primary outcome study (Abikoff et al. 2015). We did not include them as outcomes in the current study as they were based on parent interviews and, thus, overlapped with parental report of child symptoms. We did examine clinician ratings and, as expected, they yielded the same outcome as parent ratings of Inattention and Hyperactivity/Impulsivity.
 
3
In exploratory analyses, we examined the marginally significant teacher reported Hyperactive/Impulsive interaction at follow-up. Neither the between treatment nor the within treatment comparison was significant.
 
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Metagegevens
Titel
Which Type of Parent Training Works Best for Preschoolers with Comorbid ADHD and ODD? A Secondary Analysis of a Randomized Controlled Trial Comparing Generic and Specialized Programs
Auteurs
Rex Forehand
Justin Parent
Edmund Sonuga-Barke
Virginia D. Peisch
Nicholas Long
Howard B. Abikoff
Publicatiedatum
24-02-2016
Uitgeverij
Springer US
Gepubliceerd in
Research on Child and Adolescent Psychopathology / Uitgave 8/2016
Print ISSN: 2730-7166
Elektronisch ISSN: 2730-7174
DOI
https://doi.org/10.1007/s10802-016-0138-8

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