The efficacy of problem-solving communication training alone, behavior management training alone, and their combination for parent–adolescent conflict in teenagers with ADHD and ODD.
Abstract
Two family therapies were compared using teens with attention-deficit/hyperactivity disorder. Ninety-seven families were assigned to either 18 sessions of problem-solving communication training (PSCT) alone or behavior management training (BMT) for 9 sessions followed by PSCT for 9 sessions (BMT/PSCT). Both treatments demonstrated significant improvement in ratings of parent-teen conflicts at the midpoint but did not differ. By posttreatment, both produced improvement on ratings and observations but did not differ. Significantly more families dropped out of PSCT alone than out of BMT/PSCT. At most, 23% of families showed reliable change either by midpoint or by posttreatment, with no differences between therapies. Yet 31%-70% of families were normalized. Group-level change and normalization rates support treatment efficacy, whereas indices of reliable change are less impressive.
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Seven of the nine studies that included an active control condition did not find any differences in ADHD symptom ratings between the intervention and the control treatment.
“In contrast, seven of the nine studies that included an active control condition (e.g., treatment as usual) did not find any differences in ADHD symptom ratings between the intervention and the control treatment [65,67,68,69,70,71,72].”
From Treatment of Adolescents with Concurrent Substance Use Disorder and Attention-Deficit/Hyperactivity Disorder: A Systematic Review (2021) · cites this paper as [67]
Five studies examined psychosocial interventions provided to students with ADHD in a school setting and eight studies tested psychosocial interventions in a clinical setting.
“Five studies examined psychosocial interventions provided to students with ADHD in a school setting [62,63,64,65,66] and eight studies tested psychosocial interventions in a clinical setting [67,68,69,70,71,72,73,74].”
From Treatment of Adolescents with Concurrent Substance Use Disorder and Attention-Deficit/Hyperactivity Disorder: A Systematic Review (2021) · cites this paper as [67]
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- Authors
- Barkley, R. A., Edwards, G., Laneri, M., Fletcher, K., & Metevia, L.
- Affiliations
- University of Massachusetts Chan Medical School (US)
- ORCID
- Barkley, Russell A.
- Venue
- Journal of Consulting and Clinical Psychology
- Published
- 2001
- Volume
- 69
- Issue
- 6
- Pages
- 926-941
- ISSN
- 0022-006X (ISSN-L)
- 1939-2117
- OpenAlex
- W2016533734
- Cited by
- 316
- References
- 5
- Citations by year
- 2026: 2 · 2025: 5 · 2024: 6 · 2023: 9 · 2022: 13 · 2021: 12 · 2020: 10 · 2019: 9 · 2018: 5 · 2017: 9 · 2016: 11 · 2015: 16 · 2014: 24 · 2013: 17 · 2012: 18
- FWCI
- 7.76
- 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 (MH41583)
- 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
- behavior management training, parent-adolescent conflict, attention deficit hyperactivity disorder, oppositional defiant disorder, family therapy, treatment efficacy, treatment discontinuation, reliable change
- MeSH terms
- Adolescent, Adolescent Behavior, Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Child, Communication, Conflict, Psychological, Female, Humans, Male, Parent-Child Relations, Problem Solving, Surveys and Questionnaires, Teaching, Treatment Outcome, Attention Deficit and Disruptive Behavior Disorders
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