Development and preliminary evaluation of an integrated treatment targeting parenting and depressive symptoms in mothers of children with attention-deficit/hyperactivity disorder

Andrea Chronis-Tuscano, Tana L. Clarke, Kelly A. O'Brien, Veronica L. Raggi, Yamalis Diaz, Abigail D. Mintz, Mary E. Rooney, Laura A. Knight, Karen E. Seymour, Sharon R. Thomas, John Seeley, Derek Kosty, Peter Lewinsohn

Research output: Contribution to journalArticlepeer-review

Abstract

Objective: More than 50% of mothers of children with attention-deficit/ hyperactivity disorder (ADHD) have a lifetime history of major depressive disorder (MDD). Maternal depressive symptoms are associated with impaired parenting and predict adverse developmental and treatment outcomes for children with ADHD. For these reasons, we developed and examined the preliminary efficacy of an integrated treatment targeting parenting and depressive symptoms for mothers of children with ADHD. This integrated intervention incorporated elements of 2 evidence-based treatments: behavioral parent training (BPT) and cognitive behavioral depression treatment. Method: Ninety-eight mothers with at least mild depressive symptoms were randomized to receive either standard BPT (n = 51) or the integrated parenting intervention for ADHD (IPI-A; n = 47). Participants were assessed at baseline, posttreatment, and 3- to 6-month follow-up on measures of (a) self-reported maternal depressive symptoms, (b) observed positive and negative parenting, and (c) observed and mother-reported child disruptive behavior and mother-reported child and family impairment. Results: The IPI-A produced effects of small to moderate magnitude relative to BPT on maternal depressive symptoms, observed negative parenting, observed child deviance, and child impairment at posttreatment and on maternal depressive symptoms, child disruptive behavior, child impairment and family functioning at follow-up. Contrary to expectations, the BPT group demonstrated moderate to large effects relative to IPI-A on observed positive parenting at follow-up. Conclusions: This treatment development study provides encouraging preliminary support for the integrated intervention targeting parenting and depressive symptoms in mothers of children with ADHD. Future studies should examine whether this integrated intervention improves long-term developmental outcomes for children with ADHD.

Original languageEnglish (US)
Pages (from-to)918-925
Number of pages8
JournalJournal of Consulting and Clinical Psychology
Volume81
Issue number5
DOIs
StatePublished - Oct 2013
Externally publishedYes

Keywords

  • ADHD
  • behavioral parent training
  • maternal depression
  • parenting

ASJC Scopus subject areas

  • Clinical Psychology
  • Psychiatry and Mental health

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