University Center of Child and Adolescent Psychiatry, P.O. Box 660, 9700 AR Groningen, The Netherlands.
J Pediatr Psychol. 2010 Apr;35(3):317-26. doi: 10.1093/jpepsy/jsp060. Epub 2009 Jul 24.
To investigate predictors and moderators of outcome of behavioral parent training (BPT) as adjunct to ongoing routine clinical care (RCC), versus RCC alone.
We randomly assigned 94 referred children (4-12 years) with attention-deficit/hyperactivity disorder (ADHD) to BPT plus RCC or RCC alone. Outcome was based on parent-reported behavioral problems and ADHD symptoms. Predictor/moderator variables included children's IQ, age, and comorbidity profile, and maternal ADHD, depression, and parenting self-efficacy.
Superior BPT treatment effects on behavioral problems and ADHD symptoms were present in children with no or single-type comorbidity-anxiety/depression or oppositional defiant disorder (ODD)/conduct disorder (CD)-and when mothers had high parenting self-efficacy, but absent in children with broad comorbidity (anxiety/depression and ODD/CD) and when mothers had low parenting self-efficacy. In older children ADHD symptoms tended to decrease more through BPT than in younger children.
Adjunctive BPT is most useful when mothers have high parenting self-efficacy and in children with no or single-type comorbidity.
探究行为家长培训（BPT）作为正在进行的常规临床护理（RCC）的附加治疗，与单独 RCC 相比，对其治疗结果的预测因素和调节因素。
我们随机分配了 94 名患有注意力缺陷多动障碍（ADHD）的被转介儿童（4-12 岁），分别接受 BPT 加 RCC 或单独 RCC 治疗。治疗结果基于父母报告的行为问题和 ADHD 症状。预测/调节变量包括儿童的智商、年龄和共病特征，以及母亲的 ADHD、抑郁和育儿自我效能感。
在没有或仅有单一类型共病（焦虑/抑郁或对立违抗性障碍/品行障碍）的儿童中，以及在母亲育儿自我效能感较高的儿童中，BPT 对行为问题和 ADHD 症状的治疗效果较好，但在具有广泛共病（焦虑/抑郁和对立违抗性障碍/品行障碍）的儿童中，以及在母亲育儿自我效能感较低的儿童中，这种效果则不存在。在年龄较大的儿童中，通过 BPT 治疗 ADHD 症状的改善程度往往比年龄较小的儿童更明显。
当母亲具有较高的育儿自我效能感，且儿童没有或仅有单一类型共病时，辅助 BPT 最有用。
