Parent–Teen Group versus Dyadic Treatment for Adolescent ADHD: What Works for Whom?
Abstract
The goal of this study was to evaluate the comparative efficacy of 2 clinic-based psychosocial treatment modalities for adolescent attention deficit/hyperactivity disorder (ADHD) and identify characteristics that facilitate patient-modality matching. Culturally diverse adolescents with ADHD (N = 123) were randomized to 1 of 2 versions of a parent–teen psychosocial treatment for ADHD (Supporting Teens’ Autonomy Daily [STAND]): (a) group parent and adolescent skills training or (b) dyadic skills training blended with motivational interviewing. Participants were assessed at baseline, posttreatment, and 6-month follow-up on ADHD symptom severity and functional treatment targets. Differences in therapy process and cost were documented. Modality differences in outcome were examined using linear mixed and general linear models. Each modality successfully engaged the proposed therapy processes. Dyadic and group STAND produced equivalent overall outcomes. However, the dyadic modality demonstrated superior efficacy when parents had elevated ADHD or depression symptoms or high conflict with the teen. Families with lower parent education level and higher parental depression showed lower overall attendance; married parents were more likely to attend dyadic STAND (vs. group). Naturalistic stimulant medication did not influence treatment outcome. At less than one third of the cost of dyadic treatment, group models may be an economical option for treating parents and adolescents with ADHD. Screening adolescents with ADHD for parental psychopathology and parent–teen conflict may allow clinics to match higher risk patients to more personalized approaches that can enhance efficacy.
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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 [71]
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 [71]
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Özgen, H., Spijkerman, R., Noack, M., Holtmann, M., Schellekens, A., Dalsgaard, S., van den Brink, W., & Hendriks, V. (2021) · Journal of Clinical Medicine · doi:10.3390/jcm10173908 · Cited by 27 · see citing works
- Authors
- Sibley, M. H., Rodriguez, L., Coxe, S., Page, T., & Espinal, K.
- Affiliations
- Florida International University (US)
- Corresponding author
- Sibley, Margaret H.
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2019-04-16
- Volume
- 49
- Issue
- 4
- Pages
- 476-492
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- OpenAlex
- W2937009677
- Cited by
- 59
- References
- 19
- Citations by year
- 2026: 1 · 2025: 4 · 2024: 4 · 2023: 6 · 2022: 25 · 2021: 11 · 2020: 7 · 2019: 1
- FWCI
- 8.79
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- Klingenstein Third Generation Foundation (Fellowship in ADHD)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- adolescent ADHD, parental depression, motivational interviewing, treatment costs, treatment attendance, cultural diversity
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Child, Female, Humans, Male, Parent-Child Relations, Treatment Outcome
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