Hautmann, Christopher, Doepfner, Manfred, Katzmann, Josepha, Schuermann, Stephanie, Metternich-Kaizman, Tanja Wolff, Jaite, Charlotte, Kappel, Viola, Geissler, Julia, Warnke, Andreas, Jacob, Christian, Hennighausen, Klaus, Haack-Dees, Barbara, Schneider-Momm, Katja, Philipsen, Alexandra, Matthies, Swantje, Roesler, Michael, Retz, Wolfgang, von Gontard, Alexander, Sobanski, Esther, Alm, Barbara, Hohmann, Sarah, Haege, Alexander, Poustka, Luise, Colla, Michael, Gentschow, Laura, Freitag, Christine M., Becker, Katja ORCID: 0000-0003-4858-5127 and Jans, Thomas (2018). Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial. BMC Psychiatry, 18. LONDON: BMC. ISSN 1471-244X

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Abstract

BackgroundThe efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment.MethodsThe analysis included 143 mothers and children (aged 6-12years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher).ResultsChildren in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children's disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2).ConclusionsIntensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child's disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand.Trial registrationISRCTN registry ISRCTN73911400. Registered 29 March 2007.

Item Type: Journal Article
Creators:
CreatorsEmailORCIDORCID Put Code
Hautmann, ChristopherUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Doepfner, ManfredUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Katzmann, JosephaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schuermann, StephanieUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Metternich-Kaizman, Tanja WolffUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jaite, CharlotteUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Kappel, ViolaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Geissler, JuliaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Warnke, AndreasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Jacob, ChristianUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hennighausen, KlausUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haack-Dees, BarbaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Schneider-Momm, KatjaUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Philipsen, AlexandraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Matthies, SwantjeUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Roesler, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Retz, WolfgangUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
von Gontard, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Sobanski, EstherUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Alm, BarbaraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Hohmann, SarahUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Haege, AlexanderUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Poustka, LuiseUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Colla, MichaelUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Gentschow, LauraUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Freitag, Christine M.UNSPECIFIEDUNSPECIFIEDUNSPECIFIED
Becker, KatjaUNSPECIFIEDorcid.org/0000-0003-4858-5127UNSPECIFIED
Jans, ThomasUNSPECIFIEDUNSPECIFIEDUNSPECIFIED
URN: urn:nbn:de:hbz:38-162089
DOI: 10.1186/s12888-018-1963-9
Journal or Publication Title: BMC Psychiatry
Volume: 18
Date: 2018
Publisher: BMC
Place of Publication: LONDON
ISSN: 1471-244X
Language: English
Faculty: Unspecified
Divisions: Unspecified
Subjects: no entry
Uncontrolled Keywords:
KeywordsLanguage
ATTENTION-DEFICIT/HYPERACTIVITY DISORDER; DEFICIT HYPERACTIVITY DISORDER; ADAPTIVE MULTIMODAL TREATMENT; PHARMACOLOGICAL-TREATMENT; MATERNAL ADHD; FIT INDEXES; ADULTS; SYMPTOMS; EFFICACY; PARENTSMultiple languages
PsychiatryMultiple languages
Refereed: Yes
URI: http://kups.ub.uni-koeln.de/id/eprint/16208

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