McCleary L, Ridley T
Chedoke Child and Family Centre, Children's Hospital, Hamilton Health Sciences Corp., Box 2000, Station A, Hamilton, Ontario L8N 3Z5, Canada.
Patient Educ Couns. 1999 Sep;38(1):3-10. doi: 10.1016/s0738-3991(98)00110-4.
ADHD and disruptive behaviour disorders are the most common reasons for referrals of adolescents to children's mental health services. Psychosocial treatments for parents and adolescents, though routinely recommended, have not been well evaluated. This paper reports an evaluation of a clinic based, parent skills training and education group for parents of adolescents with ADHD. The parent education group is a manual based program which provides information about ADHD and training in problem solving and parenting skills. Using a pre-post design, we collected evaluation data from 163 parents of 103 adolescents before and after participation in the group. The outcome measures were two parent self-report measures, the conflict behaviour questionnaire, the issues checklist and an investigator-designed evaluation questionnaire. There was a statistically significant decrease in frequency and intensity of self-reported parent-adolescent conflict and in parent-reported problem behaviour. Parent reports of problem behaviour were not related to kin relationship or child age. There was a trend for parents of daughters to report more problem behaviours and more conflict in the parent-adolescent relationship. Participants reported positive effects on their parenting skills and confidence. They tended to evaluate the program as very helpful.
注意缺陷多动障碍（ADHD）和破坏性行为障碍是青少年被转介至儿童心理健康服务机构的最常见原因。虽然常规推荐对家长和青少年进行心理社会治疗，但尚未得到充分评估。本文报告了一项针对患有ADHD的青少年家长的、基于诊所的家长技能培训与教育小组的评估。家长教育小组是一个基于手册的项目，提供有关ADHD的信息以及解决问题和育儿技能方面的培训。采用前后测设计，我们在163名103名青少年的家长参与该小组前后收集了评估数据。结果测量指标包括两份家长自评量表、冲突行为问卷、问题清单以及一份由研究者设计的评估问卷。自我报告的亲子冲突频率和强度以及家长报告的问题行为在统计学上有显著下降。家长报告的问题行为与亲属关系或孩子年龄无关。女儿的家长报告更多问题行为以及亲子关系中更多冲突的趋势。参与者报告称对其育儿技能和信心有积极影响。他们倾向于将该项目评价为非常有帮助。
