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doi:10.22028/D291-42357
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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