Integrated Parent Training for Treating Depression in Mothers of Children With Attention Deficit Hyperactivity Disorder

Integrated Treatment for Depressed Mothers of ADHD Children

This study will determine the effectiveness of integrated parent training versus standard behavioral parent training in treating depression and stress in mothers of children with attention deficit hyperactivity disorder (ADHD).

Study Overview

• Status: Completed
• Conditions: Depression; Attention Deficit Disorder With Hyperactivity
• Intervention / Treatment: Behavioral: Integrated Parent Training; Behavioral: Behavioral Parent Training

Detailed Description

ADHD is one of the most common childhood mental disorders. Children with ADHD have impaired functioning in multiple settings, including home and school, and in relationships with peers. Parenting a child with ADHD can be discouraging and stressful. Research has shown that parent-child interactions are more negative among families with ADHD children. Additionally, families with children with ADHD experience increased parental stress, maternal depression, and marital distress, as compared to families with healthy children. These interactions may exacerbate the child's ADHD symptoms. Behavioral parent training has been used to improve parent-child relationships. This study will determine the effectiveness of integrated parent training versus standard behavioral parent training in treating depression and stress in mothers of children with ADHD.

Individuals interested in participating in this open-label study will first undergo an assessment of their eligibility for inclusion in the study. This session will last between 3 and 4 hours and will involve both the mother and the child. If eligible, mothers will be randomly assigned to receive either standard behavioral parent training or an integrated treatment, involving both behavioral parent training and cognitive-behavioral therapy targeted at coping with stressful parenting situations. The integrated treatment will also include a course on coping with depression. Both groups will meet for 2 hours every Wednesday evening for 14 weeks. Childcare will be provided, as well as free treatment for childrens' ADHD symptoms and mothers' depression. Both the child's and the mother's psychological functioning will be assessed upon study completion and at the 3-month follow-up visit.

• Study Type: Interventional
• Enrollment (Actual): 98
• Phase: Not Applicable

Contacts and Locations

Study Locations

• United States
  • Maryland
    • College Park, Maryland, United States, 20742
      • University of Maryland, College Park

Participation Criteria

Eligibility Criteria

• Ages Eligible for Study: 6 years and older (Child, Adult, Older Adult)
• Accepts Healthy Volunteers: No

Description

Inclusion Criteria:

Mothers:

• Scores at least 10 on the Beck Depression Inventory (BDI)-II scale on two occasions approximately 1 week apart
• Does not meet criteria for current substance abuse, psychosis, or bipolar disorder, which would likely warrant other immediate treatment

Children:

• Meets DSM-IV criteria for ADHD according to parent and teacher reports on rating scales and parent diagnostic interviews
• Estimated IQ of at least 70
• Aged between 6 and 12 years
• Lives with mother

Exclusion Criteria:

• Child has current Pervasive Development Disorder
• Mothers and children participating in psychosocial treatment that cannot be suspended

Study Plan

How is the study designed?

Design Details

• Primary Purpose: Treatment
• Allocation: Randomized
• Interventional Model: Parallel Assignment
• Masking: None (Open Label)

Number of Arms

2

Arms and Interventions

Participant Group / Arm	Intervention / Treatment
Experimental: 1; Participants will receive integrated parent training.	Behavioral: Integrated Parent Training; Treatment will include behavioral parent training, a course on coping with depression, and cognitive-behavioral therapy targeted at coping with stressful parenting situations. Treatment will include weekly 2-hour sessions for 14 weeks.
Active Comparator: 2; Parents will receive behavioral parent training.	Behavioral: Behavioral Parent Training; Parents will receive behavioral training. Treatment will include weekly 2-hour sessions for 14 weeks.

What is the study measuring?

Primary Outcome Measures

Outcome Measure	Time Frame
Maternal depression	Measured post-treatment and at 3-month follow-up

Secondary Outcome Measures

Outcome Measure	Time Frame
Maternal stress and cognitions	Measured post-treatment and at 3-month follow-up
Child behavior and impairment	Measured post-treatment and at 3-month follow-up
Self-report and observed parenting behaviors	Measured post-treatment and at 3-month follow-up
Family functioning	Measured post-treatment and at 3-month follow-up

Collaborators and Investigators

• Sponsor: University of Maryland, College Park
• Collaborators: National Institute of Mental Health (NIMH)
• Investigators: Principal Investigator: Andrea M. Chronis, PhD, University of Maryland, College Park

Study record dates

Study Major Dates

• Study Start: April 1, 2006
• Primary Completion (Actual): December 1, 2010
• Study Completion (Actual): December 1, 2010

Study Registration Dates

• First Submitted: April 18, 2006
• First Submitted That Met QC Criteria: April 18, 2006
• First Posted (Estimate): April 20, 2006

Study Record Updates

• Last Update Posted (Estimate): May 11, 2023
• Last Update Submitted That Met QC Criteria: May 9, 2023
• Last Verified: May 1, 2023

More Information

Terms related to this study

• Keywords: ADHD; Cognitive Behavioral Therapy; Parent Training
• Additional Relevant MeSH Terms: Behavioral Symptoms; Mental Disorders; Nervous System Diseases; Mood Disorders; Neurologic Manifestations; Dyskinesias; Attention Deficit and Disruptive Behavior Disorders; Neurodevelopmental Disorders; Depression; Depressive Disorder; Attention Deficit Disorder with Hyperactivity; Hyperkinesis
• Other Study ID Numbers: R34MH073567 (U.S. NIH Grant/Contract); DSIR 84-CTS (Division of Services and Intervention Research)