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Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): an empirical analysis in the MTA study.

Publication ,  Journal Article
Wells, KC; Epstein, JN; Hinshaw, SP; Conners, CK; Klaric, J; Abikoff, HB; Abramowitz, A; Arnold, LE; Elliott, G; Greenhill, LL; Hechtman, L ...
Published in: J Abnorm Child Psychol
December 2000

Parenting and family stress treatment outcomes in the MTA study were examined. Male and female (579), 7-9-year-old children with combined type Attention Deficit Hyperactivity Disorder (ADHD), were recruited at six sites around the United States and Canada, and randomly assigned to one of four groups: intensive, multi-faceted behavior therapy program alone (Beh); carefully titrated and monitored medication management strategy alone (MedMgt); a well-integrated combination of the two (Comb); or a community comparison group (CC). Treatment occurred over 14 months, and assessments were taken at baseline, 3, 9, and 14 months. Parenting behavior and family stress were assessed using parent-report and child-report inventories. Results showed that Beh alone, MedMgt alone, and Comb produced significantly greater decreases in a parent-rated measure of negative parenting, Negative/Ineffective Discipline, than did standard community treatment. The three MTA treatments did not differ significantly from each other on this domain. No differences were noted among the four groups on positive parenting or on family stress variables. Results are discussed in terms of the theoretical and empirically documented importance of negative parenting in the symptoms, comorbidities and long-term outcomes of ADHD.

Duke Scholars

Published In

J Abnorm Child Psychol

DOI

ISSN

0091-0627

Publication Date

December 2000

Volume

28

Issue

6

Start / End Page

543 / 553

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Stress, Psychological
  • Psychiatric Status Rating Scales
  • Parenting
  • Negativism
  • Male
  • Humans
  • Female
  • Factor Analysis, Statistical
 

Citation

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Wells, K. C., Epstein, J. N., Hinshaw, S. P., Conners, C. K., Klaric, J., Abikoff, H. B., … Wigal, T. (2000). Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): an empirical analysis in the MTA study. J Abnorm Child Psychol, 28(6), 543–553. https://doi.org/10.1023/a:1005131131159
Wells, K. C., J. N. Epstein, S. P. Hinshaw, C. K. Conners, J. Klaric, H. B. Abikoff, A. Abramowitz, et al. “Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): an empirical analysis in the MTA study.J Abnorm Child Psychol 28, no. 6 (December 2000): 543–53. https://doi.org/10.1023/a:1005131131159.
Wells KC, Epstein JN, Hinshaw SP, Conners CK, Klaric J, Abikoff HB, et al. Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): an empirical analysis in the MTA study. J Abnorm Child Psychol. 2000 Dec;28(6):543–53.
Wells, K. C., et al. “Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): an empirical analysis in the MTA study.J Abnorm Child Psychol, vol. 28, no. 6, Dec. 2000, pp. 543–53. Pubmed, doi:10.1023/a:1005131131159.
Wells KC, Epstein JN, Hinshaw SP, Conners CK, Klaric J, Abikoff HB, Abramowitz A, Arnold LE, Elliott G, Greenhill LL, Hechtman L, Hoza B, Jensen PS, March JS, Pelham W, Pfiffner L, Severe J, Swanson JM, Vitiello B, Wigal T. Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): an empirical analysis in the MTA study. J Abnorm Child Psychol. 2000 Dec;28(6):543–553.
Journal cover image

Published In

J Abnorm Child Psychol

DOI

ISSN

0091-0627

Publication Date

December 2000

Volume

28

Issue

6

Start / End Page

543 / 553

Location

United States

Related Subject Headings

  • United States
  • Treatment Outcome
  • Stress, Psychological
  • Psychiatric Status Rating Scales
  • Parenting
  • Negativism
  • Male
  • Humans
  • Female
  • Factor Analysis, Statistical