Johnston Charlotte, Hommersen Paul, Seipp Carla
Department of Psychology, University of British Columbia, Vancouver, British Columbia, Canada.
Behav Ther. 2008 Mar;39(1):22-32. doi: 10.1016/j.beth.2007.04.002. Epub 2007 Oct 18.
One-hundred nine mothers of 5- to 12-year-old boys with attention-deficit/hyperactivity disorder (ADHD) participated. Mothers read case descriptions of boys with ADHD and of boys with both ADHD and oppositional defiant disorder (ODD). Half of the mothers were randomly assigned to read descriptions of behavioral parent training and half to read descriptions of stimulant medication as treatments for the children in the case descriptions. Mothers rated the acceptability and effectiveness of the treatments and provided information on their experiences with both types of treatment. Mothers rated behavioral parent training as more acceptable than medication. There was no difference in ratings of the effectiveness of the two treatments in the scenarios, and mothers rated medication as more effective than behavioral strategies with their own children. Comorbidity of ADHD and ODD did not influence ratings of acceptability or effectiveness. Mothers' ratings of the acceptability of behavioral parent training were related to how much they believed in these strategies and how effective the strategies were with their own children. Although mothers' ratings of the acceptability of medication were related to their beliefs in this form of treatment, they were not related to perceptions of effectiveness of medication for their own child. Implications for understanding the difficulties faced by parents of children with ADHD in treatment decision-making are presented.
109名5至12岁患有注意力缺陷多动障碍（ADHD）男孩的母亲参与了研究。母亲们阅读了患有ADHD男孩以及同时患有ADHD和对立违抗障碍（ODD）男孩的病例描述。一半的母亲被随机分配阅读行为家长培训的描述，另一半阅读作为病例描述中儿童治疗方法的兴奋剂药物的描述。母亲们对治疗方法的可接受性和有效性进行评分，并提供她们对两种治疗方法的经验信息。母亲们认为行为家长培训比药物治疗更可接受。在这些情景中，两种治疗方法的有效性评分没有差异，并且母亲们认为药物治疗对自己孩子比行为策略更有效。ADHD和ODD的共病情况并未影响可接受性或有效性评分。母亲们对行为家长培训可接受性的评分与她们对这些策略的信任程度以及这些策略对自己孩子的有效性有关。虽然母亲们对药物治疗可接受性的评分与她们对这种治疗形式的信任有关，但与她们对自己孩子药物治疗效果的认知无关。本文提出了对理解ADHD儿童家长在治疗决策中面临困难的启示。
