A comparison of three family therapy programs for treating family conflicts in adolescents with attention-deficit hyperactivity disorder.
Abstract
Sixty-one 12- to 18-year-olds were randomized to 8-10 sessions of behavior management training (n = 20), problem-solving and communication training (n = 21), or structural family therapy (n = 20). Families were assessed at pre- and posttreatment and 3-month follow-up. All treatments resulted in significant reductions in negative communication, conflicts, and anger during conflicts and improved ratings of school adjustment, reduced internalizing and externalizing symptoms, and decreased maternal depressive symptoms. Most outcomes remained stable between posttreatment and follow-up, and some continued to improve over this time. Despite group improvements, analyses of clinically significant change and clinical recovery within Ss showed that only 5-30% reliably improved from treatment and only 5-20% recovered following treatment. The three treatments did not differ in these rates.
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The evidence for the behavioral family approach with adolescents is mixed and less strong than PTBM with preadolescent children.
“The evidence for this behavioral family approach is mixed and less strong than PTBM with preadolescent children92–94”
From Clinical Practice Guideline for the Diagnosis, Evaluation, and Treatment of Attention-Deficit/Hyperactivity Disorder in Children and Adolescents (2019) · cites this paper as [92]
Limited data indicate that behavioral treatment may sometimes produce iatrogenic effects.
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From Improving Outcomes for Youth with ADHD: A Conceptual Framework for Combined Neurocognitive and Skill-Based Treatment Approaches (2014) · cites this paper as Barkley, Guevremont, Anastapolous, & Fletcher, 1992
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- Authors
- Barkley, R. A., Guevremont, D. C., Anastopoulos, A. D., & Fletcher, K. E.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 1992-06
- Volume
- 60
- Issue
- 3
- Pages
- 450-462
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2082284232
- Cited by
- 290
- References
- 47
- Citations by year
- 2026: 2 · 2025: 2 · 2024: 2 · 2023: 3 · 2022: 1 · 2021: 3 · 2020: 9 · 2019: 5 · 2018: 3 · 2017: 5 · 2016: 7 · 2015: 8 · 2014: 16 · 2013: 11 · 2012: 13
- FWCI
- 5.74
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Consulting and Clinical Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (5r01mh041583-06)
- National Institute of Mental Health (NIMH 41583)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Counseling, Therapy, and Family Dynamics
- Social Sciences › Psychology › Clinical Psychology › Child Therapy and Development
- Keywords
- attention deficit hyperactivity disorder, adolescents, family therapy, family conflict, behavior management training, structural family therapy, negative communication, anger, school adjustment, internalizing problems, externalizing problems, maternal depressive symptoms, treatment outcome comparison
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Conflict, Psychological, Family, Family Therapy, Female, Humans, Language Tests, Male, Mother-Child Relations, Parents, Personality Inventory, Socioeconomic Factors, Video Recording
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