Related Experiment Video

Updated: Aug 4, 2025

Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy
07:20

Author Spotlight: Repetitive Transcranial Magnetic Stimulation Combined with Movement Observation in Cerebral Palsy

Published on: August 9, 2024

1.3K

Situation-specific outcomes (Home Situations Questionnaire) in a randomized controlled trial of individual versus

Bernd G Heubeck1, Marijke Welvaert2, Alice Richardson2

  • 1Research School of Psychology, The Australian National University, Canberra, Australian Capital Territory, Australia.

The British Journal of Clinical Psychology
|March 31, 2023
PubMed

Insights

Cognitive behavioral parent training (CBPT) significantly improved behavior problems in children with Hyperkinetic Disorder/Attention-DeficitHyperactivity Disorder (HKD/ADHD) across various family situations compared to treatment-as-usual. Individual training showed slightly better results than group training.

Area of Science:

  • Child and Adolescent Psychiatry
  • Behavioral Psychology
  • Clinical Psychology

Background:

  • Behavioral problems in children with Hyperkinetic Disorder/Attention-DeficitHyperactivity Disorder (HKD/ADHD) exhibit significant variability across different family contexts.
  • Understanding this variability is crucial for developing effective interventions.

Purpose of the Study:

  • To assess the variability of HKD/ADHD behavior problems across family situations.
  • To determine the extent to which Cognitive Behavioral Parent Training (CBPT) can modify these behaviors.
  • To compare the effectiveness of individual versus group CBPT formats and their impact on a wider range of situations.

Main Methods:

  • A multicentre randomized controlled trial involving 237 children diagnosed with HKD/ADHD.
  • Comparison of individual and group CBPT against treatment-as-usual (TAU).
  • Utilized the German version of the Home Situations Questionnaire (HSQ) to assess behavior problems across situations, with follow-up at 6 months, controlling for medication status.

Main Results:

  • Parents reported substantial variation in the severity of behavior problems depending on the family situation.
  • Both individual and group CBPT demonstrated significant improvements in behavior across numerous family situations compared to TAU.
  • Individual CBPT showed a slightly greater positive impact than group CBPT in specific situations, both post-treatment and at 6-month follow-up.

Conclusions:

  • CBPT offers a valuable addition to TAU for managing HKD/ADHD behavior problems, with small to moderate effect sizes.
  • Individual CBPT was marginally more effective than group CBPT, which did not generalize to a wider range of situations.
  • Situation-specific assessment using tools like the HSQ provides a nuanced understanding of child behavior and treatment outcomes, suggesting avenues for further research and development.
Abstract

Keywords:
attention-deficit hyperactivity disorderhome situations questionnairehyperkinetic disorderindividual versus group trainingparent trainingrandomized controlled trialschool-aged children

More Related Videos

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients05:48

The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients

Published on: June 12, 2020

5.8K
Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD10:02

Event Related Potentials ERPs and other EEG Based Methods for Extracting Biomarkers of Brain Dysfunction: Examples from Pediatric Attention Deficit/Hyperactivity Disorder ADHD

Published on: March 12, 2020

15.8K

Related Concept Videos

Attention-Deficit/Hyperactivity Disorder01:30

Attention-Deficit/Hyperactivity Disorder

Attention-deficit/hyperactivity disorder (ADHD) is a neurodevelopmental disorder characterized by persistent inattention, hyperactivity, and impulsivity. It affects approximately 5-8% of children globally, with around 60-70% of cases persisting into adulthood. ADHD has significant implications for educational attainment, social interactions, and occupational success.
Diagnostic Criteria and Symptoms
To diagnose ADHD, symptoms must manifest before age 12 and be evident across multiple settings....
135
Modeling in Therapy01:26

Modeling in Therapy

Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
130
Group Design02:01

Group Design

The most basic experimental design involves two groups: the experimental group and the control group. The two groups are designed to be the same except for one difference— experimental manipulation. The experimental group gets the experimental manipulation—that is, the treatment or variable being tested—and the control group does not. Since experimental manipulation is the only difference between the experimental and control groups, we can be sure that any differences between...
9.0K
Group Therapy01:26

Group Therapy

Group therapy is a sociocultural approach to psychological treatment, where individuals with shared psychological challenges come together under the guidance of a mental health professional. This therapeutic modality offers unique opportunities for individuals to connect, share, and grow within the context of a supportive group. By fostering mutual understanding and collaboration, group therapy can address a range of psychological concerns effectively, often complementing or surpassing the...
69
Operant Conditioning Intervention01:24

Operant Conditioning Intervention

Operant conditioning serves as a foundational principle in therapeutic interventions aimed at modifying maladaptive behaviors. Central to this approach is the notion that behaviors, both adaptive and maladaptive, are learned through reinforcement. By analyzing the environmental factors that reinforce problematic behaviors, clinicians can design interventions to weaken these reinforcements and replace maladaptive behaviors with healthier alternatives.
In operant conditioning, behaviors that are...
94
Behavior Modification01:21

Behavior Modification

Behavioral approaches have often been criticized for ignoring mental processes and focusing solely on observable behavior. However, these approaches provide an optimistic perspective for individuals seeking to change their behaviors. Rather than concentrating on intrinsic personality traits, behavioral approaches suggest that even longstanding habits can be modified by changing the reward contingencies that maintain them.
A real-world application of operant conditioning principles is applied...
211