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Effectiveness of behavioral parent therapy in preschool children with attention-deficit hyperactivity disorder
Huei-Lin Huang1, Chia-Hua Lu, Hsiao-Wei Tsai
1Department of Psychology, Graduate Institute of Behavioral Science, Kaohsiung Medical University, and Department of Pscyhiatry, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan. hlhuang@cc.kmu.edu.tw
Insights
Behavioral parent therapy (BPT) significantly improved behavioral and emotional problems in children with attention-deficit hyperactivity disorder (ADHD). This therapy effectively reduced symptoms at home and inattention at school.
Area of Science:
- Child Psychology
- Behavioral Therapy
Background:
- Attention-deficit hyperactivity disorder (ADHD) presents significant behavioral and emotional challenges in children.
- Multidimensional evaluations are crucial for assessing treatment effectiveness in pediatric ADHD.
Purpose of the Study:
- To evaluate the efficacy of a behavioral parent therapy (BPT) program for preschool children diagnosed with ADHD.
- To assess treatment outcomes using standardized parent (Child Behavior Checklist - CBCL) and teacher (Teacher Report Form - TRF) reports.
Main Methods:
- 21 preschool children with ADHD participated in 11 BPT sessions over a period of 4 years (2001-2005).
- Parents and teachers completed the CBCL and TRF, respectively, before and after the BPT intervention.
- Data were analyzed to identify changes in behavioral and emotional problem categories.
Main Results:
- Significant improvements were observed in various behavioral and emotional domains, including internalizing and externalizing problems, somatic complaints, and attention difficulties.
- The CBCL indicated significant reductions in affective, anxiety, somatic, ADHD, oppositional defiant disorder, and conduct disorder problems.
- The TRF showed significant improvement specifically in the Inattention syndrome, with other syndromes demonstrating non-significant changes.
Conclusions:
- Behavioral parent therapy (BPT) is an effective intervention for improving behavioral and emotional problems in preschool children with ADHD.
- BPT demonstrates a positive impact on both home-based behavioral issues and school-based attention problems.
Abstract:
The purpose of this study was to assess the effectiveness of a behavioral parent therapy (BPT) program in children with attention-deficit hyperactivity disorder (ADHD) using multidimensional evaluations, the Child Behavior Checklist (CBCL) and the Teacher Report Form (TRF). Between 2001 and 2005, the parents of 21 preschool children with ADHD were divided into six groups and participated in a series of 11 BPT sessions. Before and after BPT, the parents completed the CBCL, and the teachers completed the TRF. The behavioral and emotional problems of the children showed improvement after the BPT sessions, specifically for the following categories: internalizing problems, anxious/depressed syndromes, somatic complaints, externalizing problems, rule-breaking behaviors, aggressive behaviors, social problems, thought problems, and attention problems. In the DSM-oriented scale of the CBCL, affective problems, anxiety problems, somatic problems, ADHD problems, oppositional defiant disorder problems, and conduct disorder problems showed significant improvements. On the DSM scale of the TRF, Inattention syndrome improved significantly after the BPT sessions, while other syndromes showed non-significant changes. We conclude that the BPT program significantly improved the childrens behavioral problems at home and inattention problems at school.
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