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Parent training for attention-deficit hyperactivity disorder: its impact on parent functioning

A D Anastopoulos1, T L Shelton, G J DuPaul

  • 1Department of Psychiatry, University of Massachusetts Medical Center, Worcester 01655.

Journal of Abnormal Child Psychology
|October 1, 1993
PubMed
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Behavioral parent training (PT) for children with attention-deficit hyperactivity disorder (ADHD) significantly improved parent functioning. Parents reported reduced stress and increased self-esteem, with lasting effects observed post-treatment.

Area of Science:

  • Child Psychology
  • Behavioral Therapy
  • Clinical Psychology

Background:

  • Attention-deficit hyperactivity disorder (ADHD) significantly impacts children and their families.
  • Parenting stress and self-efficacy are crucial factors in managing ADHD symptoms.
  • Behavioral parent training (PT) is a recognized intervention for childhood behavioral issues.

Purpose of the Study:

  • To evaluate the impact of a behavioral parent training (PT) program on parent functioning in families with school-aged children diagnosed with ADHD.
  • To assess changes in parenting stress, parenting self-esteem, and overall ADHD symptom severity.
  • To determine the maintenance of treatment gains post-intervention.

Main Methods:

  • A nine-session behavioral parent training (PT) program was administered to parents of children with ADHD.

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  • A wait list control group was used for comparison.
  • Parent functioning, including stress and self-esteem, was assessed pre- and post-treatment, with follow-up at 2 months.

    • Main Results:

    • Participants completing the PT program demonstrated significant improvements in parent functioning compared to controls.
    • Parents reported statistically significant reductions in parenting stress and increases in parenting self-esteem.
    • Improvements in parent functioning were associated with parent-reported decreases in the overall severity of child ADHD symptoms and were maintained at 2-month follow-up.

    Conclusions:

    • Behavioral parent training (PT) is an effective intervention for enhancing parent functioning in families affected by childhood ADHD.
    • The program yields clinically significant improvements in parenting stress and self-esteem, contributing to better ADHD symptom management.
    • The positive effects of PT on parent functioning are durable, persisting for at least 2 months after treatment completion.