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首页> 外文期刊>Journal of the American Academy of Child and Adolescent Psychiatry >Parental attention-deficit/hyperactivity disorder predicts child and parent outcomes of parental friendship coaching treatment.
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Parental attention-deficit/hyperactivity disorder predicts child and parent outcomes of parental friendship coaching treatment.

机译：父母注意力不足/多动症可以预测孩子和父母的父母友谊教练治疗的结果。

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OBJECTIVE: This study investigated the impact of parental attention-deficit/hyperactivity disorder (ADHD) symptoms on the peer relationships and parent-child interaction outcomes of children with ADHD among families completing a randomized controlled trial of parental friendship coaching (PFC) relative to control families. METHOD: Participants were 62 children with ADHD (42 boys and 20 girls, 6 through 10 years old) and their parents. Approximately half of the families received PFC (a 3-month parent training intervention targeting the peer relationships of children with ADHD), and the remainder represented a no-treatment control group. RESULTS: Parental inattention predicted equivalent declines in children's peer acceptance in both treatment and control families. However, treatment amplified differences between parents with high versus low ADHD symptoms for some outcomes: Control families declined in functioning regardless of parents' symptom levels. However, high parental inattention predicted increased child peer rejection and high parental inattention and impulsivity predicted decreased parental facilitation among treated families (indicating reduced treatment response). Low parental symptoms among treated families were associated with improved functioning in these areas. For other outcomes, treatment attenuated differences between parents with high versus low ADHD symptoms: Among control parents, high parental impulsivity was associated with increasing criticism over time, whereas all treated parents showed reduced criticism regardless of symptom levels. Follow-up analyses indicated that the parents experiencing poor treatment response are likely those with clinical levels of ADHD symptoms. CONCLUSIONS: Results underscore the need to consider parental ADHD in parent training treatments for children with ADHD.
机译：目的：本研究调查了父母注意缺陷/多动障碍（ADHD）症状对ADHD患儿的同伴关系和亲子互动结局的影响，该研究完成了相对于对照的父母友谊教练（PFC）的随机对照试验家庭。方法：参与者为62名ADHD儿童（42至20岁的女孩，6至10岁）及其父母。大约一半的家庭接受了PFC（针对患有ADHD的儿童的同伴关系的为期3个月的父母培训干预），其余的则代表了未治疗的对照组。结果：父母的注意力不集中预测在治疗和对照家庭中，儿童的同伴接受度将相应下降。然而，治疗增加了ADHD症状高与低的父母之间的某些结局：不论父母的症状水平如何，对照家庭的功能均下降。但是，父母高度不注意会导致儿童同伴排斥增加，父母高度不注意和冲动会导致受治疗的家庭减少父母的亲和力（表明治疗反应降低）。在这些地区，接受治疗的家庭中父母的症状较轻与功能改善有关。对于其他结局，治疗减弱了ADHD症状高与低的父母之间的差异：在对照父母中，父母对父母的冲动感随着时间的推移而受到越来越多的批评，而所有接受治疗的父母无论症状水平如何都表现出减少的批评。后续分析表明，治疗反应较差的父母可能是患有ADHD症状临床水平的父母。结论：结果强调了在ADHD患儿的父母培训治疗中需要考虑父母ADHD。

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