Integrated Parent Training for Treating Depression in Mothers of Children With Attention Deficit Hyperactivity Disorder

Not Applicable

Completed

• Conditions: Attention Deficit Disorder With Hyperactivity; Depression
• Interventions: Behavioral: Integrated Parent Training; Behavioral: Behavioral Parent Training

• Registration Number: NCT00316290
• Lead Sponsor: University of Maryland, College Park

Brief Summary

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).

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.

Study Timeline

• Study Start: 2006-04
• Study First Submitted: 2006-04-18
• Study First Submitted QC: 2006-04-18
• Study First Posted: 2006-04-20
• Primary Completion: 2010-12
• Study Completion: 2010-12
• Status Verified: 2023-05
• Last Update Submitted: 2023-05-09
• Last Update Posted: 2023-05-11

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 98

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

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Exclusion Criteria

• Child has current Pervasive Development Disorder
• Mothers and children participating in psychosocial treatment that cannot be suspended

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Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
1	Integrated Parent Training	Participants will receive integrated parent training.
2	Behavioral Parent Training	Parents will receive behavioral parent training.

Primary Outcome Measures

Name	Time	Method
Maternal depression	Measured post-treatment and at 3-month follow-up

Secondary Outcome Measures

Name	Time	Method
Self-report and observed parenting behaviors	Measured post-treatment and at 3-month follow-up
Maternal stress and cognitions	Measured post-treatment and at 3-month follow-up
Child behavior and impairment	Measured post-treatment and at 3-month follow-up
Family functioning	Measured post-treatment and at 3-month follow-up

Trial Locations

Locations (1)

University of Maryland, College Park; 🇺🇸 College Park, Maryland, United States