Skip to main content
Top
Published in: European Child & Adolescent Psychiatry 11/2014

01-11-2014 | Original Contribution

Paternal influences on treatment outcome of behavioral parent training in children with attention-deficit/hyperactivity disorder

Authors: Barbara J. van den Hoofdakker, Pieter J. Hoekstra, Lianne van der Veen-Mulders, Sjoerd Sytema, Paul M. G. Emmelkamp, Ruud B. Minderaa, Maaike H. Nauta

Published in: European Child & Adolescent Psychiatry | Issue 11/2014

Login to get access

Abstract

This study aims to explore the influence of paternal variables on outcome of behavioral parent training (BPT) in children with attention-deficit/hyperactivity disorder (ADHD). 83 referred, school-aged children with ADHD were randomly assigned to BPT plus ongoing routine clinical care (RCC) or RCC alone. Treatment outcome was based on parent-reported ADHD symptoms and behavioral problems. Moderator variables included paternal ADHD symptoms, depressive symptoms, and parenting self-efficacy. We conducted repeated measures analyses of variance (ANOVA) for all variables, and then analyzed the direction of interaction effects by repeated measures ANOVA in high and low scoring subgroups. Paternal ADHD symptoms and parenting self-efficacy played a moderating role in decreasing behavioral problems, but not in decreasing ADHD symptoms. Paternal depressive symptoms did not moderate either treatment outcome. BPT is most beneficial in reducing children’s behavioral problems when their fathers have high levels of ADHD symptoms or high-parenting self-efficacy.
Literature
1.
go back to reference Eyberg SM, Nelson MM, Boggs SR (2008) Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. J Clin Child Adolesc Psychol 37:215–237PubMedCrossRef Eyberg SM, Nelson MM, Boggs SR (2008) Evidence-based psychosocial treatments for children and adolescents with disruptive behavior. J Clin Child Adolesc Psychol 37:215–237PubMedCrossRef
2.
go back to reference Pelham WE Jr, Wheeler T, Chronis A (1998) Empirically supported psychosocial treatments for attention deficit hyperactivity disorder. J Clin Child Psychol 27:190–205PubMedCrossRef Pelham WE Jr, Wheeler T, Chronis A (1998) Empirically supported psychosocial treatments for attention deficit hyperactivity disorder. J Clin Child Psychol 27:190–205PubMedCrossRef
3.
go back to reference Pelham WE Jr, Fabiano GA (2008) Evidence-based psychosocial treatments for attention-deficit/hyperactivity disorder. J Clin Child Adolesc Psychol 37:184–214PubMedCrossRef Pelham WE Jr, Fabiano GA (2008) Evidence-based psychosocial treatments for attention-deficit/hyperactivity disorder. J Clin Child Adolesc Psychol 37:184–214PubMedCrossRef
4.
go back to reference Chronis AM, Chacko A, Fabiano GA, Wymbs BT, Pelham WE Jr (2004) Enhancements to the behavioral parent training paradigm for families of children with ADHD: review and future directions. Clin Child Fam Psychol Rev 7:1–27PubMedCrossRef Chronis AM, Chacko A, Fabiano GA, Wymbs BT, Pelham WE Jr (2004) Enhancements to the behavioral parent training paradigm for families of children with ADHD: review and future directions. Clin Child Fam Psychol Rev 7:1–27PubMedCrossRef
5.
go back to reference Johnston C, Mash EJ (2001) Families of children with attention-deficit/hyperactivity disorder: review and recommendations for future research. Clin Child Fam Psychol Rev 4:183–207PubMedCrossRef Johnston C, Mash EJ (2001) Families of children with attention-deficit/hyperactivity disorder: review and recommendations for future research. Clin Child Fam Psychol Rev 4:183–207PubMedCrossRef
6.
go back to reference Chronis AM, Lahey BB, Pelham WE Jr, Kipp HL, Baumann BL, Lee SS (2003) Psychopathology and substance abuse in parents of young children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 42:1424–1432PubMedCrossRef Chronis AM, Lahey BB, Pelham WE Jr, Kipp HL, Baumann BL, Lee SS (2003) Psychopathology and substance abuse in parents of young children with attention-deficit/hyperactivity disorder. J Am Acad Child Adolesc Psychiatry 42:1424–1432PubMedCrossRef
7.
go back to reference Connell AM, Goodman SH (2002) The association between psychopathology in fathers versus mothers and children’s internalizing and externalizing behavior problems: a meta-analysis. Psychol Bull 128:746–773PubMedCrossRef Connell AM, Goodman SH (2002) The association between psychopathology in fathers versus mothers and children’s internalizing and externalizing behavior problems: a meta-analysis. Psychol Bull 128:746–773PubMedCrossRef
8.
go back to reference Nigg JT, Hinshaw SP (1998) Parent personality traits and psychopathology associated with antisocial behaviors in childhood attention-deficit hyperactivity disorder. J Child Psychol Psychiatry 39:145–159PubMedCrossRef Nigg JT, Hinshaw SP (1998) Parent personality traits and psychopathology associated with antisocial behaviors in childhood attention-deficit hyperactivity disorder. J Child Psychol Psychiatry 39:145–159PubMedCrossRef
9.
go back to reference Van den Hoofdakker BJ, Van der Veen-Mulders L, Sytema S, Emmelkamp PM, Minderaa RB, Nauta MH (2007) Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: a randomized controlled study. J Am Acad Child Adolesc Psychiatry 46:1263–1271PubMedCrossRef Van den Hoofdakker BJ, Van der Veen-Mulders L, Sytema S, Emmelkamp PM, Minderaa RB, Nauta MH (2007) Effectiveness of behavioral parent training for children with ADHD in routine clinical practice: a randomized controlled study. J Am Acad Child Adolesc Psychiatry 46:1263–1271PubMedCrossRef
10.
go back to reference Van den Hoofdakker BJ, Nauta MH, Van der Veen-Mulders L, Sytema S, Emmelkamp PM, Minderaa RB, Hoekstra PJ (2010) Behavioral parent training as an adjunct to routine care in children with attention-deficit/hyperactivity disorder: moderators of treatment response. J Ped Psychol 35:317–326CrossRef Van den Hoofdakker BJ, Nauta MH, Van der Veen-Mulders L, Sytema S, Emmelkamp PM, Minderaa RB, Hoekstra PJ (2010) Behavioral parent training as an adjunct to routine care in children with attention-deficit/hyperactivity disorder: moderators of treatment response. J Ped Psychol 35:317–326CrossRef
11.
go back to reference Johnston C, Mash EJ, Miller N, Ninowski EJ (2012) Parenting in adults with attention-deficit/hyperactivity disorder (ADHD). Clin Psychol Rev 32:215–228PubMedCrossRef Johnston C, Mash EJ, Miller N, Ninowski EJ (2012) Parenting in adults with attention-deficit/hyperactivity disorder (ADHD). Clin Psychol Rev 32:215–228PubMedCrossRef
12.
go back to reference Arnold EH, O’Leary SG, Edwards GH (1997) Father involvement and self-reported parenting of children with attention deficit-hyperactivity disorder. J Consult Clin Psychol 65:337–342PubMedCrossRef Arnold EH, O’Leary SG, Edwards GH (1997) Father involvement and self-reported parenting of children with attention deficit-hyperactivity disorder. J Consult Clin Psychol 65:337–342PubMedCrossRef
13.
go back to reference Harvey E, Danforth JS, McKee TE, Ulaszek WR, Friedman JL (2003) Parenting of children with attention-deficit/hyperactivity disorder (ADHD): the role of parental ADHD symptomatology. J Atten Disord 7:31–42PubMedCrossRef Harvey E, Danforth JS, McKee TE, Ulaszek WR, Friedman JL (2003) Parenting of children with attention-deficit/hyperactivity disorder (ADHD): the role of parental ADHD symptomatology. J Atten Disord 7:31–42PubMedCrossRef
14.
go back to reference Brown RT, Borden KA, Clingerman SR, Jenkins P (1988) Depression in attention deficit-disordered and normal children and their parents. Child Psychiatry Hum Dev 18:119–132PubMedCrossRef Brown RT, Borden KA, Clingerman SR, Jenkins P (1988) Depression in attention deficit-disordered and normal children and their parents. Child Psychiatry Hum Dev 18:119–132PubMedCrossRef
15.
go back to reference Brown RT, Pacini JN (1989) Perceived family functioning, marital status, and depression in parents of boys with attention deficit disorder. J Learn Disabil 22:581–587PubMedCrossRef Brown RT, Pacini JN (1989) Perceived family functioning, marital status, and depression in parents of boys with attention deficit disorder. J Learn Disabil 22:581–587PubMedCrossRef
16.
go back to reference Kane P, Garber J (2004) The relations among depression in fathers, children’s psychopathology, and father-child conflict: a meta-analysis. Clin Psychol Rev 24:339–360PubMedCrossRef Kane P, Garber J (2004) The relations among depression in fathers, children’s psychopathology, and father-child conflict: a meta-analysis. Clin Psychol Rev 24:339–360PubMedCrossRef
17.
go back to reference Cummings EM, Keller PS, Davies PT (2005) Towards a family process model of maternal and paternal depressive symptoms: exploring multiple relations with child and family functioning. J Child Psychol Psychiatry 46:479–489PubMedCrossRef Cummings EM, Keller PS, Davies PT (2005) Towards a family process model of maternal and paternal depressive symptoms: exploring multiple relations with child and family functioning. J Child Psychol Psychiatry 46:479–489PubMedCrossRef
18.
go back to reference Elgar FJ, Mills RS, McGrath PJ, Waschbusch DA, Brownridge DA (2007) Maternal and paternal depressive symptoms and child maladjustment: the mediating role of parental behavior. J Abnorm Child Psychol 35:943–955PubMedCrossRef Elgar FJ, Mills RS, McGrath PJ, Waschbusch DA, Brownridge DA (2007) Maternal and paternal depressive symptoms and child maladjustment: the mediating role of parental behavior. J Abnorm Child Psychol 35:943–955PubMedCrossRef
19.
go back to reference Hoza B, Owens JS, Pelham WE Jr, Swanson JM, Conners CK, Hinshaw SP et al (2000) Parent cognitions as predictors of child treatment response in attention-deficit/hyperactivity disorder. J Abnorm Child Psychol 28:569–583PubMedCrossRef Hoza B, Owens JS, Pelham WE Jr, Swanson JM, Conners CK, Hinshaw SP et al (2000) Parent cognitions as predictors of child treatment response in attention-deficit/hyperactivity disorder. J Abnorm Child Psychol 28:569–583PubMedCrossRef
20.
go back to reference The MTA Cooperative Group (1999) A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Multimodal Treatment Study of Children with ADHD. Arch Gen Psychiatry 56:1073–1086CrossRef The MTA Cooperative Group (1999) A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Multimodal Treatment Study of Children with ADHD. Arch Gen Psychiatry 56:1073–1086CrossRef
21.
go back to reference Kraemer HC, Wilson GT, Fairburn CG, Agras WS (2002) Mediators and moderators of treatment effects in randomized clinical trials. Arch Gen Psychiatry 59:877–883PubMedCrossRef Kraemer HC, Wilson GT, Fairburn CG, Agras WS (2002) Mediators and moderators of treatment effects in randomized clinical trials. Arch Gen Psychiatry 59:877–883PubMedCrossRef
22.
go back to reference American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn (DSM-IV). American Psychiatric Association, Washington, DC American Psychiatric Association (1994) Diagnostic and Statistical Manual of Mental Disorders, 4th edn (DSM-IV). American Psychiatric Association, Washington, DC
23.
go back to reference Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME (2000) NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39:28–38PubMedCrossRef Shaffer D, Fisher P, Lucas CP, Dulcan MK, Schwab-Stone ME (2000) NIMH Diagnostic Interview Schedule for Children Version IV (NIMH DISC-IV): description, differences from previous versions, and reliability of some common diagnoses. J Am Acad Child Adolesc Psychiatry 39:28–38PubMedCrossRef
24.
go back to reference Barkley RA (1987) Defiant children: a clinician’s manual for parent training. Guilford Press, New York Barkley RA (1987) Defiant children: a clinician’s manual for parent training. Guilford Press, New York
25.
go back to reference Forehand RL, McMahon RJ (1981) Helping the noncompliant child: a clinician’s guide to parent training. Guilford Press, New York Forehand RL, McMahon RJ (1981) Helping the noncompliant child: a clinician’s guide to parent training. Guilford Press, New York
26.
go back to reference Achenbach TM (1991) Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. University of Vermont, Department of Psychiatry, Burlington Achenbach TM (1991) Integrative guide for the 1991 CBCL/4-18, YSR, and TRF profiles. University of Vermont, Department of Psychiatry, Burlington
27.
go back to reference Conners CK (2001) Conners’ rating scales-revised. Technical manual. Multi-Health Systems Inc.,New York Conners CK (2001) Conners’ rating scales-revised. Technical manual. Multi-Health Systems Inc.,New York
28.
go back to reference Barkley RA, Murphey KR (1998) Attention-deficit hyperactivity disorder: a clinical workbook. Guilford Press, New York Barkley RA, Murphey KR (1998) Attention-deficit hyperactivity disorder: a clinical workbook. Guilford Press, New York
29.
go back to reference Murphy P, Schachar R (2000) Use of self-ratings in the assessment of symptoms of attention deficit hyperactivity disorder in adults. Am J Psychiatry 157:1156–1159PubMedCrossRef Murphy P, Schachar R (2000) Use of self-ratings in the assessment of symptoms of attention deficit hyperactivity disorder in adults. Am J Psychiatry 157:1156–1159PubMedCrossRef
30.
go back to reference Goldberg DP (1972) The detection of psychiatric illness by questionnaire. Oxford University Press, London Goldberg DP (1972) The detection of psychiatric illness by questionnaire. Oxford University Press, London
31.
go back to reference McCabe CJ, Thomas KJ, Brazier JE, Coleman P (1996) Measuring the mental health status of a population: a comparison of the GHQ-12 and the SF-36 (MHI-5). Br J Psychiatry 169:516–521PubMedCrossRef McCabe CJ, Thomas KJ, Brazier JE, Coleman P (1996) Measuring the mental health status of a population: a comparison of the GHQ-12 and the SF-36 (MHI-5). Br J Psychiatry 169:516–521PubMedCrossRef
32.
go back to reference Abidin RR (1983) Parenting Stress Index, Manual. Psychological Assessment Resources, Lutz Abidin RR (1983) Parenting Stress Index, Manual. Psychological Assessment Resources, Lutz
33.
go back to reference Goldberg D, Gater G, Sartorius N, Ustun T, Piccinelli M, Gureje O, Rutter C (1997) The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 27:191–197PubMedCrossRef Goldberg D, Gater G, Sartorius N, Ustun T, Piccinelli M, Gureje O, Rutter C (1997) The validity of two versions of the GHQ in the WHO study of mental illness in general health care. Psychol Med 27:191–197PubMedCrossRef
34.
go back to reference Jaccard J, Turrisi R (2003) Interaction effects in multiple regression. Sage, Newbury Park Jaccard J, Turrisi R (2003) Interaction effects in multiple regression. Sage, Newbury Park
35.
go back to reference Jaccard J, Guilamo-Ramos V, Johansson M, Bouris A (2006) Multiple regression analyses in clinical child and adolescent psychology. J Clin Child Adolesc Psychol 35:456–479PubMedCrossRef Jaccard J, Guilamo-Ramos V, Johansson M, Bouris A (2006) Multiple regression analyses in clinical child and adolescent psychology. J Clin Child Adolesc Psychol 35:456–479PubMedCrossRef
36.
go back to reference Sonuga-Barke EJ, Daley D, Thompson M (2002) Does maternal ADHD reduce the effectiveness of parent training for preschool children’s ADHD? J Am Acad Child Adolesc Psychiatry 41:696–702PubMedCrossRef Sonuga-Barke EJ, Daley D, Thompson M (2002) Does maternal ADHD reduce the effectiveness of parent training for preschool children’s ADHD? J Am Acad Child Adolesc Psychiatry 41:696–702PubMedCrossRef
37.
go back to reference Griggs MS, Mikami AY (2011) Parental attention-deficit/hyperactivity disorder predicts child and parent outcomes of parental friendship coaching treatment. J Am Acad Child Adolesc Psychiatry 50:1236–1246PubMedCentralPubMedCrossRef Griggs MS, Mikami AY (2011) Parental attention-deficit/hyperactivity disorder predicts child and parent outcomes of parental friendship coaching treatment. J Am Acad Child Adolesc Psychiatry 50:1236–1246PubMedCentralPubMedCrossRef
38.
go back to reference Cummings EM, Goeke-Morey MC, Papp LM (2004) Everyday marital conflict and child aggression. J Abnorm Child Psychol 32:191–202PubMedCrossRef Cummings EM, Goeke-Morey MC, Papp LM (2004) Everyday marital conflict and child aggression. J Abnorm Child Psychol 32:191–202PubMedCrossRef
39.
go back to reference Davies PT, Dumenci L, Windle M (1999) The interplay between maternal depressive symptoms and marital distress in the prediction of adolescent adjustment. J Marr Fam 61:238–254CrossRef Davies PT, Dumenci L, Windle M (1999) The interplay between maternal depressive symptoms and marital distress in the prediction of adolescent adjustment. J Marr Fam 61:238–254CrossRef
40.
go back to reference Johnston C, Mah JW, Regambal M (2010) Parenting cognitions and treatment beliefs as predictors of experience using behavioral parenting strategies in families of children with attention-deficit/hyperactivity disorder. Behav Ther 41:491–504PubMedCrossRef Johnston C, Mah JW, Regambal M (2010) Parenting cognitions and treatment beliefs as predictors of experience using behavioral parenting strategies in families of children with attention-deficit/hyperactivity disorder. Behav Ther 41:491–504PubMedCrossRef
41.
go back to reference Jones TL, Prinz RJ (2005) Potential roles of parental self-efficacy in parent and child adjustment: a review. Clin Psychol Rev 25:341–363PubMedCrossRef Jones TL, Prinz RJ (2005) Potential roles of parental self-efficacy in parent and child adjustment: a review. Clin Psychol Rev 25:341–363PubMedCrossRef
42.
go back to reference Lahey BB, Piacentini JC, McBurnett K, Stone P, Hartdagen S, Hynd G (1988) Psychopathology in the parents of children with conduct disorder and hyperactivity. J Am Acad Child Adolesc Psychiatry 27:163–170PubMedCrossRef Lahey BB, Piacentini JC, McBurnett K, Stone P, Hartdagen S, Hynd G (1988) Psychopathology in the parents of children with conduct disorder and hyperactivity. J Am Acad Child Adolesc Psychiatry 27:163–170PubMedCrossRef
43.
go back to reference Shaffer D (1994) Attention deficit hyperactivity disorder in adults. Am J Psychiatry 151:633–638PubMed Shaffer D (1994) Attention deficit hyperactivity disorder in adults. Am J Psychiatry 151:633–638PubMed
44.
go back to reference Kooij SJJ, Marije BA, Swinkels SH, Bekker EM, de NI, Buitelaar JK (2008) Reliability, validity, and utility of instruments for self-report and informant report concerning symptoms of ADHD in adult patients. J Atten Disord 11:445–458 Kooij SJJ, Marije BA, Swinkels SH, Bekker EM, de NI, Buitelaar JK (2008) Reliability, validity, and utility of instruments for self-report and informant report concerning symptoms of ADHD in adult patients. J Atten Disord 11:445–458
Metadata
Title
Paternal influences on treatment outcome of behavioral parent training in children with attention-deficit/hyperactivity disorder
Authors
Barbara J. van den Hoofdakker
Pieter J. Hoekstra
Lianne van der Veen-Mulders
Sjoerd Sytema
Paul M. G. Emmelkamp
Ruud B. Minderaa
Maaike H. Nauta
Publication date
01-11-2014
Publisher
Springer Berlin Heidelberg
Published in
European Child & Adolescent Psychiatry / Issue 11/2014
Print ISSN: 1018-8827
Electronic ISSN: 1435-165X
DOI
https://doi.org/10.1007/s00787-014-0557-4

Other articles of this Issue 11/2014

European Child & Adolescent Psychiatry 11/2014 Go to the issue