Fan Hong, Yang Weiwei, Wu Xvfang, Chen Qianhui, Wang Haoxue, Zhu Kaiheng, Zhao Shuai, Liu Rundong, Xiang Zhen, Wang Zhike, Wang Tianchun, Tang Jun, Song Ranran
Department of Maternal and Child Health and MOE (Ministry of Education) Key Lab of Environment and Health, School of Public Health, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, Hubei, China.
Wuhan Mental Health Center, Wuhan, Hubei, China; Children and Adolescents Psychological Ward, Wuhan Hospital of Psychotherapy, Wuhan, Hubei, China.
Asian J Psychiatr. 2025 May;107:104459. doi: 10.1016/j.ajp.2025.104459. Epub 2025 Mar 22.
Behavioral parent training (BPT) is recognized as a significant non-pharmacological treatment for attention-deficit/hyperactivity disorder (ADHD). However, there is limited empirical evidence of its effectiveness within the Chinese context, particularly for online BPT. This study evaluates the efficacy of an 8-session internet-based BPT (I-BPT) program in improving ADHD symptoms and mental health outcomes for children and parents, compared to routine clinical care (RCC).
Participants included 120 children with ADHD and their parents, recruited from the Wuhan Mental Health Centre between March and September 2023. They were randomly assigned to either the I-BPT+RCC (N = 60) or RCC (N = 60) group, with assessments conducted at baseline and after two months. Child-related outcomes measured were ADHD symptoms, depressive symptoms, anxiety symptoms and functional impairment. Parent-related outcomes included depressive symptoms, anxiety symptoms and parental stress. Analyses of covariance (ANCOVA) were used to compare the efficacy of I-BPT+RCC with the RCC alone.
The I-BPT+RCC group showed significant improvements in total ADHD symptoms (F=6.84, P = 0.010), inattention (F=4.82, P = 0.030), hyperactivity/impulsivity (F=4.83, P = 0.030), and child depressive symptoms (F=8.56, P = 0.004) compared to the RCC group. Parental stress also significantly decreased in the I-BPT+RCC group (F=5.95, P = 0.016).
Overall, the I-BPT significantly enhanced health outcomes for children with ADHD and their parents. These findings highlight the potential of I-BPT as an effective and accessible treatment option for a broader patient population.
行为家长培训（BPT）被认为是治疗注意力缺陷多动障碍（ADHD）的一种重要的非药物治疗方法。然而，在中国背景下，其有效性的实证证据有限，特别是对于在线BPT。本研究评估了一个为期8节的基于互联网的BPT（I-BPT）项目与常规临床护理（RCC）相比，在改善儿童和家长的ADHD症状及心理健康结果方面的疗效。
参与者包括2023年3月至9月从武汉精神卫生中心招募的120名患有ADHD的儿童及其家长。他们被随机分配到I-BPT+RCC组（N = 60）或RCC组（N = 60），在基线和两个月后进行评估。测量的与儿童相关的结果包括ADHD症状、抑郁症状、焦虑症状和功能损害。与家长相关的结果包括抑郁症状、焦虑症状和家长压力。采用协方差分析（ANCOVA）比较I-BPT+RCC与单独RCC的疗效。
与RCC组相比，I-BPT+RCC组在ADHD总症状（F = 6.84，P = 0.010）、注意力不集中（F = 4.82，P = 0.030）、多动/冲动（F = 4.83，P = 0.030）以及儿童抑郁症状（F = 8.56，P = 0.004）方面有显著改善。I-BPT+RCC组的家长压力也显著降低（F = 5.95，P = 0.016）。
总体而言，I-BPT显著改善了ADHD儿童及其家长的健康结果。这些发现凸显了I-BPT作为一种对更广泛患者群体有效且可及的治疗选择的潜力。
