The Effect of a Parent Management Training Program on Parents’ Mental Health, Family Relationships, Positive Parenting, and Behaviors of Children with Attention Deficit Hyperactivity Disorder
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Abstract
Objective: To compare scores of parents’ mental health, family relationships, positive parenting, and behaviors of children with attention deficit hyperactivity disorder (ADHD) between the experimental and control groups of parents after participating in a Parent Management Training (PMT) Program.
Methods: This quasi-experimental research used a pretest-posttest design. The parents of children with ADHD were randomly assigned to an experimental (n=25) or control group (n=25). The experimental group participated in the PMT program and usual care for 6 weeks; the control group received usual care only. In addition to demographic characteristics, four instruments were used to collect data: the 21-item Depression Anxiety Stress Scale 21 (DASS-21), the 10-item Family Relationship Questionnaire, the 16-item Positive Parenting Questionnaire, and the 10-item Modified IOWA Conners Rating Scale. Health outcomes of this study were (1) three individual mental health (stress, anxiety, and depression), (2) family relationship, (3) positive parenting, and (4) parents’ ratings of the behaviors of their children with ADHD. Descriptive statistics independent t-test, and paired t-test were used for data analysis.
Results: After participating in the PMT program, the scores of parents’ three mental health (stress, anxiety, and depression) and parents’ ratings of behaviors of children with ADHD were significantly lower than parents in the control group (p < .05). The scores of family relationships and positive parenting in the experimental group were significantly higher than those in the control group (p < .05).
Conclusion: The PMT Program is suitable for training parents’ skills and also results in reducing behavioral problems of children with ADHD
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References
Chaulagain A, Lyhmann I, Halmoy A, Widding-Havneraas T, Nyttingnes O, Bjelland I, et al. A systematic meta-review of systematic reviews on attention deficit hyperactivity disorder. Eur Psychiatry 2023; 66: 90.
Department of Mental Health [Internet]: ADHD: It can be treated 2022. [cited 2023 Sep 9]. Available from: https://dmh.go.th/news-dmh/view.asp?id=31481.
Hsu YC, Chen CT, Yang HJ, Chou P. Family structure, birth order, and aggressive behaviors among school-aged boys with attention deficit hyperactivity disorder (ADHD). Soc Psychiatry Psychiatr Epidemiol 2019; 54: 661-70.
Young S, Cocallis K. ADHD and offending. J Neural Transm (Vienna) 2021; 128(7): 1009-19.
Teepapal T, Rueangsawat S, Naknit T, Khamaurai N. Attention deficit hyperactivity disorders and factors related to behavioral problems in school-aged children: a literature review. Journal of Health Research and Innovation 2021; 5:28-41.
Miklosi M, Lelki F, Janovicz J, Kovacs B, Kassai R. Meta-analytic review of studies on the relationship between adult attention deficit/hyperactivity disorder and parenting behaviour: comparison of studies using self-report and observation. Neuropsychopharmacol Hung 2023; 25: 109-22.
Fan L, Qing W, Wang Y, Zhan M. Family socioeconomic status and attention deficit/hyperactivity disorder in preschool children: the mediating role of executive function. Int J Environ Res Public Health 2022; 19(18):11608.
Chongsuksiri P, Punyapas S. One year follow-up of parent management training program for children with externalizing behavior problems. J Psychiatr Assoc Thailand 2019; 64: 163-76.
Park JL, Hudec KL, Johnston C. Parental ADHD symptoms and parenting behaviors: A meta-analytic review. Clin Psychol Rev 2017; 56: 25-39.
Alvarez M. C, Garcia B. H, Navarro Flores C. M, Vazquez A. L, Lara J, Domenech M. M. Parent training interventions. In B. Halpern-Felscher & R. Corona (Eds.), Encyclopedia of child and adolescent health. Elsevier. Chapter accepted pending minor revisions; 2021.
Dedousis-Wallace A, Drysdale SA, McAloon J, Ollendick TH. Parental and familial predictors and moderators of parent management treatment programs for conduct problems in youth. Clin Child Fam Psychol Rev 2021; 24: 92-119.
Bado P, Quimas R, Bernardes C, Tripp G, Mattos P, Furukawa E. Needs assessment for behavioral parent training for ADHD in Brazil. Front Psychiatry 2022.
Dale C, Parent J, Forehand R, DiMarzio K, Sonuga-Barke E, Long N, et al. Behavioral parent training for preschool ADHD: family-centered profiles predict changes in parenting and child outcomes. J Clin Child Adolesc Psychol 2022; 51: 726-39.
Pfiffner L, Dvorsky M, Hawkey E, Chung S, Haack L, Owens E. Improving adherence to behavioral parent training for ADHD using digital health tools. J Psychiatr Brain Sci 2022; 7.
de la Caridad Alvarez M, García BH, Navarro Flores CM, Vázquez AL, Lara J, Domenech Rodríguez MM. Parent training interventions. in: halpern-felsher b, editor. encyclopedia of child and adolescent health (first edition). Oxford: Academic Press 2023; 800-20.
Zarakoviti E, Shafran R, Papadimitriou D, Bennett SD. The efficacy of parent training interventions for disruptive behavior disorders in treating untargeted comorbid internalizing symptoms in children and adolescents: a systematic review. Clin Child Fam Psychol Rev 2021; 24: 542-52.
Dekkers TJ, Hornstra R, van der Oord S, Luman M, Hoekstra PJ, Groenman AP, et al. Meta-analysis: which components of parent training work for children with attention-deficit/hyperactivity disorder?. J Am Acad Child Adolesc Psychiatry 2022; 61: 478-94.
Jansiri C. Effectiveness of implimenting the caregiver training regrading behavior modification of ADHD program, Suanprung psychiatric hospital, Chiang Mai province. 2010.
Pornnoppadol C. NET PAMA Facilitators' manual (3nd ed.): media zone printing 2023.
Sharma S, Govindan R, Kommu JVS. Effectiveness of parent-to-parent support group in reduction of anxiety and stress among parents of children with autism and attention deficit hyperactivity disorder. Indian J Psychol Med 2022; 44: 575-9.
Chootong R, Wiwattanaworaset P. Mental health status, family state and family functioning of undergraduate students in a southern university, thailand. J Psychiatr Assoc Thailand 2019; 64: 337-50.
Ngamkum D. Relationships between family factors and behavioral problems in children with attention-deficit hyperactivity disorder, eastern region. The Journal of Psychiatric Nursing and Mental Health 2013; 27: 16-28.
Siebelink NM, Bogels SM, Speckens AEM, Dammers JT, Wolfers T, Buitelaar JK, et al. A randomised controlled trial (Mind Champ) of a mindfulness-based intervention for children with ADHD and their parents. J Child Psychol Psychiatry 2022; 63: 165-77.
Rungmueanporn L. Positive parenting of parents with adhd childrenin ratchaburi hospital. Region 4-5 Medical Journal 2020; 39: 392-403.
Yodkraisri J. Factors affecting quality of life in caregivers of children with attention-deficit-hyperactivity disorder (ADHD) at child and adolescent psychiatric clinic, queen sirikit national institute of child health (QSNICH). J Psychiatr Assoc Thailand 2022; 67:7-20.
Thaneerat T, Panitangkool Y, Doungyota T, Tooreerach U, Kimsao P. Prevalence of depression, anxiety, and associated factors in caregivers of geriatric psychiatric patients. J Psychiatr Assoc Thailand 2016; 61: 319-30.
Srisuwan K. The effect of cargiver training program with reflection on the stress management skill of caregivers of children with attention-deficit hyperactivity disorder. The Journal of Psychiatric Nursing and Mental Health 2022; 36: 49-61.
Yalom ID. The theory and practice of group psychotherapy. 5th ed. Leszcz M, editor. New York: Basic Books/Hachette Book Group; 2005.
Tungpunkom P. Group psychotherapy for the health professions: concept and application. 2nd ed. Krongchang Printing Company Limited; 2014.
Chequer de Castro Paiva G, Ferreira ESDA, Silva Jales J, Romano-Silva MA, Marques de Miranda D. Online parent training platform for complementary treatment of disruptive behavior disorders in attention deficit hyperactivity disorder: a randomized controlled trial protocol. PLoS One 2022; 17: 18-1.
Arabi Z, Moghaddam LF, Sahebalzamani M. The effect of emotion regulation training on family relationships of hyperactive children. J Educ Health Promot 2020; 9: 101.
Thomas P, Liu H, Umberson D. Family relationships and well-being. Innov Aging 2017; 1.
Hoshiar S, John A, Nadja R. The effects of parenting styles on behavioral problems in primary school children: a cross-cultural review. Asian Soc Sci 2015; 11: 171-86.
Seethikaew N, Kodyee S, Moonpanane K, Pitchalard K, Reangsing C, Tripathi S. Factors related to positive parenting behaviors and executive function in preschool-age children, Chiang Rai province. Nursing Journal of The Ministry of Public Health 2022; 32: 122-33.
Joseph HM, Farmer C, Kipp H, Kolko D, Aman M, Mcginley J, et al. Attendance and engagement in parent training predict child behavioral outcomes in children pharmacologically treated for attention-deficit/hyperactivity disorder and severe aggression. J Child Adolesc Psychopharmacol 2019; 29: 90-99
Feng M, Xu J, Zhai M, Wu Q, Chu K, Xie L, et al. Behavior management training for parents of children with preschool adhd based on parent-child interactions: a multicenter randomized controlled, follow-up study. Behav Neurol 2023; 37: 356-34.
Kolb D. Experiential Learning: Experience as the source of learning and development. New Jersey: Prentice-Hall; 1984.
Saboonma J, Rodcumdee B, Suktrakul S. The effect of group experiential learning for parents on aggressive behaviors of children with attention-deficit/hyperactivity disorder. Journal of Nursing Science Chulalongkorn University 2019; 31: 23-34.