Integrated Parent Training for Treating Depression in Mothers of Children With Attention Deficit Hyperactivity Disorder
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Purpose
This study will determine the effectiveness of integrated parent training versus standard behavioral parent training in treating depression and stress in mothers of children with attention deficit hyperactivity disorder (ADHD).
| Condition | Intervention |
|---|---|
|
Depression Attention Deficit Disorder With Hyperactivity |
Behavioral: Integrated Parent Training Behavioral: Behavioral Parent Training |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Integrated Treatment for Depressed Mothers of ADHD Children |
- Maternal depression [ Time Frame: Measured post-treatment and at 3-month follow-up ] [ Designated as safety issue: No ]
- Maternal stress and cognitions [ Time Frame: Measured post-treatment and at 3-month follow-up ] [ Designated as safety issue: No ]
- Child behavior and impairment [ Time Frame: Measured post-treatment and at 3-month follow-up ] [ Designated as safety issue: No ]
- Self-report and observed parenting behaviors [ Time Frame: Measured post-treatment and at 3-month follow-up ] [ Designated as safety issue: No ]
- Family functioning [ Time Frame: Measured post-treatment and at 3-month follow-up ] [ Designated as safety issue: No ]
| Estimated Enrollment: | 98 |
| Study Start Date: | April 2006 |
| Study Completion Date: | December 2010 |
| Primary Completion Date: | December 2010 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Experimental: 1
Participants will receive integrated parent training.
|
Behavioral: Integrated Parent Training
Treatment will include behavioral parent training, a course on coping with depression, and cognitive-behavioral therapy targeted at coping with stressful parenting situations. Treatment will include weekly 2-hour sessions for 14 weeks.
|
|
Active Comparator: 2
Parents will receive behavioral parent training.
|
Behavioral: Behavioral Parent Training
Parents will receive behavioral training. Treatment will include weekly 2-hour sessions for 14 weeks.
|
Detailed Description:
ADHD is one of the most common childhood mental disorders. Children with ADHD have impaired functioning in multiple settings, including home and school, and in relationships with peers. Parenting a child with ADHD can be discouraging and stressful. Research has shown that parent-child interactions are more negative among families with ADHD children. Additionally, families with children with ADHD experience increased parental stress, maternal depression, and marital distress, as compared to families with healthy children. These interactions may exacerbate the child's ADHD symptoms. Behavioral parent training has been used to improve parent-child relationships. This study will determine the effectiveness of integrated parent training versus standard behavioral parent training in treating depression and stress in mothers of children with ADHD.
Individuals interested in participating in this open-label study will first undergo an assessment of their eligibility for inclusion in the study. This session will last between 3 and 4 hours and will involve both the mother and the child. If eligible, mothers will be randomly assigned to receive either standard behavioral parent training or an integrated treatment, involving both behavioral parent training and cognitive-behavioral therapy targeted at coping with stressful parenting situations. The integrated treatment will also include a course on coping with depression. Both groups will meet for 2 hours every Wednesday evening for 14 weeks. Childcare will be provided, as well as free treatment for childrens' ADHD symptoms and mothers' depression. Both the child's and the mother's psychological functioning will be assessed upon study completion and at the 3-month follow-up visit.
Eligibility| Ages Eligible for Study: | 6 Years and older |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
Mothers:
- Scores at least 10 on the Beck Depression Inventory (BDI)-II scale on two occasions approximately 1 week apart
- Does not meet criteria for current substance abuse, psychosis, or bipolar disorder, which would likely warrant other immediate treatment
Children:
- Meets DSM-IV criteria for ADHD according to parent and teacher reports on rating scales and parent diagnostic interviews
- Estimated IQ of at least 70
- Aged between 6 and 12 years
- Lives with mother
Exclusion Criteria:
- Child has current Pervasive Development Disorder
- Mothers and children participating in psychosocial treatment that cannot be suspended
Contacts and Locations| United States, Maryland | |
| University of Maryland, College Park | |
| College Park, Maryland, United States, 20742 | |
| Principal Investigator: | Andrea M. Chronis, PhD | University of Maryland, College Park |
More Information
Additional Information:
No publications provided
| Responsible Party: | Andrea M. Chronis-Tuscano, Associate Professor - Psychology, University of Maryland |
| ClinicalTrials.gov Identifier: | NCT00316290 History of Changes |
| Other Study ID Numbers: | R34 MH073567, R34MH073567, DSIR 84-CTS |
| Study First Received: | April 18, 2006 |
| Last Updated: | February 22, 2013 |
| Health Authority: | United States: Federal Government |
Keywords provided by University of Maryland:
|
ADHD Cognitive Behavioral Therapy Parent Training |
Additional relevant MeSH terms:
|
Depression Depressive Disorder Attention Deficit Disorder with Hyperactivity Hyperkinesis Behavioral Symptoms Mood Disorders Mental Disorders |
Attention Deficit and Disruptive Behavior Disorders Mental Disorders Diagnosed in Childhood Dyskinesias Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on June 18, 2013