Effectiveness of Medication and Combined Medication and Parent Management Training on Visuo-constructive, Attentional, Behavioral and Emotional Indicators of Children with Attention Deficit/Hyperactivity Disorder
Message:
Abstract:
Objectives
The aim of the present study was to compare the effectiveness of medication with and without parent management training (PMT) on visuo-constructive، attentional، behavioral and emotional indicators of children with attention deficit/hyperactivity disorder.
Method
In this interventional study، 18 children with ADHD combined type and their mothers were randomly allocated into a medication group (MED) and a medication plus parent management training (MED+PMT). Medication was prescribed for all affected children، for at least a five-week period. In addition، in MED+PMT group، 10 sessions of PMT was administered. The Child Symptom Inventory-4th Edition (CSI-4)، Bender Gestalt Visual Motor Test، Stroop Color-Word Test (SCWT)، Raven''s Progressive Matrices (RPM)، and Conners'' Parent Rating Scales-Revised short form (CPRS-R-S) were administered before and after treatment. The data analysis was done by Hoteling test، t-test for independent variables، and univariate and multivariate analysis of covariance.
Results
In both groups، after intervention the visuo-constructive scores were reduced and attention scores increased (p<0. 05 and p<0. 1، respectively). Combination treatment was effective on all relevant indices (p<0. 01، in all cases). Also، medication alone caused significant changes in hyperactivity (p<0. 05) and ADHD (p<0. 05) indices. The oppositional behavior scores were reduced more in MED+PMT group than MED group (p<0. 05). Neither medication nor combination treatment was effective on emotional indices.
Conclusion
Medication is effective in treatment of cognitive impairments. However، combination of medication and parent management training causes more improvement in oppositional behaviors and interaction between parents and children.
Language:
Persian
Published:
Iraninan Psychiatry and Clinical Psychology, Volume:19 Issue: 4, 2014
Pages:
264 to 274
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