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Behavior Management Training for Parents of Children with Preschool ADHD Based on Parent-Child Interactions: A
Min Feng1, Juncai Xu2, Mengyao Zhai1
1Nanjing Rehabilitation Medical Center, The Affiliated Brain Hospital of Nanjing Medical University, Nanjing 210029, China.
Behavioural Neurology
|September 20, 2023
Summary
This study shows that system-based parent training effectively reduces ADHD symptoms in preschoolers. The intervention improved children's behavior and social functioning, with lasting positive effects.
Area of Science:
- Child Psychology
- Behavioral Science
- Clinical Psychology
Background:
- Preschoolers with Attention Deficit Hyperactivity Disorder (ADHD) require evidence-based parent training.
- Optimized programs are needed to manage ADHD symptoms and improve child behavior.
- System theory offers a framework for understanding parent-child interactions in ADHD.
Purpose of the Study:
- To explore a behavioral management training program for parents of preschool children with ADHD.
- To analyze parent-child interaction from a system theory perspective.
- To evaluate the intervention's effect on ADHD symptoms and related issues in preschool children.
Main Methods:
- A multicenter randomized controlled study involving 62 parents of preschool children (aged 4-6) with ADHD.
- System-based group therapy was implemented for the intervention group.
- ADHD Rating Scale (ADHD-RS), Strengths and Difficulties Questionnaire (SDQ), and Questionnaire-Children with Difficulties (QCD) were used for assessments at baseline, 2, and 6 months.
Main Results:
- Intervention group showed significantly lower ADHD-RS scores for attention deficit, hyperactivity, and impulsivity (P < 0.05).
- SDQ scores for conduct problems, hyperactivity, and peer interaction significantly decreased (P < 0.05).
- QCD total scores remained significantly higher in the intervention group compared to controls (P < 0.05).
Conclusions:
- Eight weeks of system-based parent training significantly improved ADHD symptoms, emotional, behavioral, and social functioning in preschoolers.
- The positive effects were maintained at a four-month follow-up.
- Systemic-based parent training in behavior management (PTBM) is applicable and recommended for treating preschool ADHD.
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