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Social Functioning Outcomes of a High School-Based Treatment Program for Adolescents with ADHD
Steven W Evans1, George J DuPaul2, Kari Benson1
1Department of Psychology, Ohio University.
Summary
The Challenging Horizons Program (CHP) significantly improved social functioning in adolescents with attention-deficit hyperactivity disorder (ADHD). CHP also positively impacted inattention, emotion regulation, and parent stress.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Psychology
- Clinical Psychology
Background:
- Attention-deficit hyperactivity disorder (ADHD) presents significant challenges in social functioning for adolescents.
- Existing treatments for ADHD often focus on symptom reduction, with less emphasis on social skills and emotional regulation.
- Adolescents with ADHD experience difficulties in social interactions, emotional regulation, and often exhibit heightened parent stress.
Purpose of the Study:
- To evaluate the effectiveness of the multi-component Challenging Horizons Program (CHP) for high-school-aged adolescents diagnosed with ADHD.
- To assess CHP's impact on social functioning, inattention, internalizing symptoms, parent stress, and emotion dysregulation.
- To determine if CHP offers significant improvements compared to standard community care.
Main Methods:
- A randomized controlled trial involving 186 high-school-aged adolescents with ADHD.
- Participants were assigned to either the Challenging Horizons Program (CHP) or Community Care (CC).
- Primary outcomes included parent and adolescent reports of social functioning, with secondary outcomes assessing ADHD symptoms, emotion regulation, and parent stress.
Main Results:
- Intent-to-treat analyses revealed significant medium-magnitude improvements (d range = .40 to .52) in parent-rated social skills for the CHP group.
- Adolescent self-rated social skills also showed significant group-by-time benefits.
- CHP demonstrated significant positive effects on parent-rated inattention symptoms, emotion regulation, and parenting stress.
Conclusions:
- The Challenging Horizons Program (CHP) is effective in enhancing social skills for adolescents with ADHD.
- CHP also yields benefits in related areas such as inattention, emotion regulation, and reduced parent stress.
- These findings support further research into CHP's treatment mechanisms and effectiveness for adolescents with ADHD.
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