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Titel: Does helping mothers in multigenerational ADHD also help children in the long run? 2-year follow-up from baseline of the AIMAC randomized controlled multicentre trial
VerfasserIn: Geissler, Julia M.
Vloet, Timo D.
Strom, Nora
Jaite, Charlotte
Graf, Erika
Kappel, Viola
Warnke, Andreas
Jacob, Christian
Hennighausen, Klaus
Haack-Dees, Barbara
Schneider-Momm, Katja
Matthies, Swantje
Rösler, Michael
Retz, Wolfgang
Hänig, Susann
von Gontard, Alexander
Sobanski, Esther
Alm, Barbara
Hohmann, Sarah
Poustka, Luise
Colla, Michael
Gentschow, Laura
Freitag, Christine M.
Häge, Alexander
Holtmann, Martin
Becker, Katja
Philipsen, Alexandra
Jans, Thomas
Sprache: Englisch
Titel: European Child & Adolescent Psychiatry
Bandnummer: 29 (2020)
Heft: 10
Seiten: 1425-1439
Verlag/Plattform: Springer Nature
Erscheinungsjahr: 2019
Freie Schlagwörter: Maternal ADHD
Parent child training
Methylphenidate
Follow-up
Multiplex families
Cross-generational ADHD treatment Int
DDC-Sachgruppe: 610 Medizin, Gesundheit
Dokumenttyp: Journalartikel / Zeitschriftenartikel
Abstract: ADHD often afects multiple generations in a family. Previous studies suggested that children with ADHD beneft less from therapy if parents are also afected, since ADHD symptoms interfere with treatment implementation. This two-group randomised controlled trial examined whether targeting maternal ADHD boosts the efcacy of parent–child training (PCT) for the child’s ADHD. Here, we report follow-up results 2 years from baseline. Mothers of 144 mother–child dyads (ADHD according to DSM-IV) were examined for eligibility (T1) and randomised to 12 weeks of intensive multimodal treatment comprising pharmacotherapy and DBT-based cognitive behavioural group psychotherapy (TG, n=77) or clinical management comprising non-specifc counselling (CG, n=67) for Step 1 (concluded by T2). Subsequently, all dyads participated in 12 weekly PCT sessions for Step 2 (concluded by T3). In Step 3, participants received maintenance treatments for 6 months (concluded by T4). At 24 months after baseline (T5), we performed follow-up assessments. The primary endpoint was child ADHD/ODD score (observer blind rating). Outcomes at T5 were evaluated using ANCOVA. Assessments from 101 children and 95 mothers were available at T5. Adjusted means (m) of ADHD/ODD symptoms (range 0–26) in children did not difer between TG and CG (mean diference=1.0; 95% CI 1.2–3.1). The maternal advantage of TG over CG on the CAARS-O:L ADHD index (range 0–36) disappeared at T5 (mean diference=0.2; 95% CI −2.3 to 2.6). Sensitivity analyses controlling for medication and signifcant predictors of follow-up participation showed unchanged outcomes. Within-group outcomes remained improved from baseline. At the 24-month follow-up, TG and CG converged. The superiority of intensive treatment regarding maternal symptoms disappeared. In general, cross-generational treatment seems to be efective in the long term. (BMBF grant 01GV0605; registration ISRCTN73911400).
DOI der Erstveröffentlichung: 10.1007/s00787-019-01451-0
URL der Erstveröffentlichung: https://doi.org/10.1007/s00787-019-01451-0
Link zu diesem Datensatz: urn:nbn:de:bsz:291--ds-423574
hdl:20.500.11880/38022
http://dx.doi.org/10.22028/D291-42357
ISSN: 1435-165X
1018-8827
Datum des Eintrags: 8-Jul-2024
Bezeichnung des in Beziehung stehenden Objekts: Electronic supplementary material
In Beziehung stehendes Objekt: https://static-content.springer.com/esm/art%3A10.1007%2Fs00787-019-01451-0/MediaObjects/787_2019_1451_MOESM1_ESM.docx
Fakultät: M - Medizinische Fakultät
Fachrichtung: M - Forensische Psychologie und Psychiatrie
Professur: M - Prof. Dr. Wolfgang Retz
Sammlung:SciDok - Der Wissenschaftsserver der Universität des Saarlandes

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