Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial

Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007. Ausführliche Beschreibung

Gespeichert in:

Autor*in:	Christopher Hautmann [verfasserIn] Manfred Döpfner [verfasserIn] Josepha Katzmann [verfasserIn] Stephanie Schürmann [verfasserIn] Tanja Wolff Metternich-Kaizman [verfasserIn] Charlotte Jaite [verfasserIn] Viola Kappel [verfasserIn] Julia Geissler [verfasserIn] Andreas Warnke [verfasserIn] Christian Jacob [verfasserIn] Klaus Hennighausen [verfasserIn] Barbara Haack-Dees [verfasserIn] Katja Schneider-Momm [verfasserIn] Alexandra Philipsen [verfasserIn] Swantje Matthies [verfasserIn] Michael Rösler [verfasserIn] Wolfgang Retz [verfasserIn] Alexander von Gontard [verfasserIn] Esther Sobanski [verfasserIn] Barbara Alm [verfasserIn] Sarah Hohmann [verfasserIn] Alexander Häge [verfasserIn] Luise Poustka [verfasserIn] Michael Colla [verfasserIn] Laura Gentschow [verfasserIn] Christine M. Freitag [verfasserIn] Katja Becker [verfasserIn] Thomas Jans [verfasserIn]

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2018

Schlagwörter:	Mothers Children Adult treatment Parent training Efficacy

Übergeordnetes Werk:	In: BMC Psychiatry - BMC, 2003, 18(2018), 1, Seite 13
Übergeordnetes Werk:	volume:18 ; year:2018 ; number:1 ; pages:13

Links:	Link aufrufen Link aufrufen Link aufrufen Journal toc

DOI / URN:	10.1186/s12888-018-1963-9

Katalog-ID:	DOAJ017006910

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520			\|a Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007.
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700	0		\|a Manfred Döpfner \|e verfasserin \|4 aut
700	0		\|a Josepha Katzmann \|e verfasserin \|4 aut
700	0		\|a Stephanie Schürmann \|e verfasserin \|4 aut
700	0		\|a Tanja Wolff Metternich-Kaizman \|e verfasserin \|4 aut
700	0		\|a Charlotte Jaite \|e verfasserin \|4 aut
700	0		\|a Viola Kappel \|e verfasserin \|4 aut
700	0		\|a Julia Geissler \|e verfasserin \|4 aut
700	0		\|a Andreas Warnke \|e verfasserin \|4 aut
700	0		\|a Christian Jacob \|e verfasserin \|4 aut
700	0		\|a Klaus Hennighausen \|e verfasserin \|4 aut
700	0		\|a Barbara Haack-Dees \|e verfasserin \|4 aut
700	0		\|a Katja Schneider-Momm \|e verfasserin \|4 aut
700	0		\|a Alexandra Philipsen \|e verfasserin \|4 aut
700	0		\|a Swantje Matthies \|e verfasserin \|4 aut
700	0		\|a Michael Rösler \|e verfasserin \|4 aut
700	0		\|a Wolfgang Retz \|e verfasserin \|4 aut
700	0		\|a Alexander von Gontard \|e verfasserin \|4 aut
700	0		\|a Esther Sobanski \|e verfasserin \|4 aut
700	0		\|a Barbara Alm \|e verfasserin \|4 aut
700	0		\|a Sarah Hohmann \|e verfasserin \|4 aut
700	0		\|a Alexander Häge \|e verfasserin \|4 aut
700	0		\|a Luise Poustka \|e verfasserin \|4 aut
700	0		\|a Michael Colla \|e verfasserin \|4 aut
700	0		\|a Laura Gentschow \|e verfasserin \|4 aut
700	0		\|a Christine M. Freitag \|e verfasserin \|4 aut
700	0		\|a Katja Becker \|e verfasserin \|4 aut
700	0		\|a Thomas Jans \|e verfasserin \|4 aut
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allfields	10.1186/s12888-018-1963-9 doi (DE-627)DOAJ017006910 (DE-599)DOAJ0b64404b13934ba28066f9a0e248de24 DE-627 ger DE-627 rakwb eng RC435-571 Christopher Hautmann verfasserin aut Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007. Mothers Children Adult treatment Parent training Efficacy Psychiatry Manfred Döpfner verfasserin aut Josepha Katzmann verfasserin aut Stephanie Schürmann verfasserin aut Tanja Wolff Metternich-Kaizman verfasserin aut Charlotte Jaite verfasserin aut Viola Kappel verfasserin aut Julia Geissler verfasserin aut Andreas Warnke verfasserin aut Christian Jacob verfasserin aut Klaus Hennighausen verfasserin aut Barbara Haack-Dees verfasserin aut Katja Schneider-Momm verfasserin aut Alexandra Philipsen verfasserin aut Swantje Matthies verfasserin aut Michael Rösler verfasserin aut Wolfgang Retz verfasserin aut Alexander von Gontard verfasserin aut Esther Sobanski verfasserin aut Barbara Alm verfasserin aut Sarah Hohmann verfasserin aut Alexander Häge verfasserin aut Luise Poustka verfasserin aut Michael Colla verfasserin aut Laura Gentschow verfasserin aut Christine M. Freitag verfasserin aut Katja Becker verfasserin aut Thomas Jans verfasserin aut In BMC Psychiatry BMC, 2003 18(2018), 1, Seite 13 (DE-627)331018799 (DE-600)2050438-X 1471244X nnns volume:18 year:2018 number:1 pages:13 https://doi.org/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/article/0b64404b13934ba28066f9a0e248de24 kostenfrei http://link.springer.com/article/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/toc/1471-244X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 13
spelling	10.1186/s12888-018-1963-9 doi (DE-627)DOAJ017006910 (DE-599)DOAJ0b64404b13934ba28066f9a0e248de24 DE-627 ger DE-627 rakwb eng RC435-571 Christopher Hautmann verfasserin aut Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007. Mothers Children Adult treatment Parent training Efficacy Psychiatry Manfred Döpfner verfasserin aut Josepha Katzmann verfasserin aut Stephanie Schürmann verfasserin aut Tanja Wolff Metternich-Kaizman verfasserin aut Charlotte Jaite verfasserin aut Viola Kappel verfasserin aut Julia Geissler verfasserin aut Andreas Warnke verfasserin aut Christian Jacob verfasserin aut Klaus Hennighausen verfasserin aut Barbara Haack-Dees verfasserin aut Katja Schneider-Momm verfasserin aut Alexandra Philipsen verfasserin aut Swantje Matthies verfasserin aut Michael Rösler verfasserin aut Wolfgang Retz verfasserin aut Alexander von Gontard verfasserin aut Esther Sobanski verfasserin aut Barbara Alm verfasserin aut Sarah Hohmann verfasserin aut Alexander Häge verfasserin aut Luise Poustka verfasserin aut Michael Colla verfasserin aut Laura Gentschow verfasserin aut Christine M. Freitag verfasserin aut Katja Becker verfasserin aut Thomas Jans verfasserin aut In BMC Psychiatry BMC, 2003 18(2018), 1, Seite 13 (DE-627)331018799 (DE-600)2050438-X 1471244X nnns volume:18 year:2018 number:1 pages:13 https://doi.org/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/article/0b64404b13934ba28066f9a0e248de24 kostenfrei http://link.springer.com/article/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/toc/1471-244X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 13
allfields_unstemmed	10.1186/s12888-018-1963-9 doi (DE-627)DOAJ017006910 (DE-599)DOAJ0b64404b13934ba28066f9a0e248de24 DE-627 ger DE-627 rakwb eng RC435-571 Christopher Hautmann verfasserin aut Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007. Mothers Children Adult treatment Parent training Efficacy Psychiatry Manfred Döpfner verfasserin aut Josepha Katzmann verfasserin aut Stephanie Schürmann verfasserin aut Tanja Wolff Metternich-Kaizman verfasserin aut Charlotte Jaite verfasserin aut Viola Kappel verfasserin aut Julia Geissler verfasserin aut Andreas Warnke verfasserin aut Christian Jacob verfasserin aut Klaus Hennighausen verfasserin aut Barbara Haack-Dees verfasserin aut Katja Schneider-Momm verfasserin aut Alexandra Philipsen verfasserin aut Swantje Matthies verfasserin aut Michael Rösler verfasserin aut Wolfgang Retz verfasserin aut Alexander von Gontard verfasserin aut Esther Sobanski verfasserin aut Barbara Alm verfasserin aut Sarah Hohmann verfasserin aut Alexander Häge verfasserin aut Luise Poustka verfasserin aut Michael Colla verfasserin aut Laura Gentschow verfasserin aut Christine M. Freitag verfasserin aut Katja Becker verfasserin aut Thomas Jans verfasserin aut In BMC Psychiatry BMC, 2003 18(2018), 1, Seite 13 (DE-627)331018799 (DE-600)2050438-X 1471244X nnns volume:18 year:2018 number:1 pages:13 https://doi.org/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/article/0b64404b13934ba28066f9a0e248de24 kostenfrei http://link.springer.com/article/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/toc/1471-244X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 13
allfieldsGer	10.1186/s12888-018-1963-9 doi (DE-627)DOAJ017006910 (DE-599)DOAJ0b64404b13934ba28066f9a0e248de24 DE-627 ger DE-627 rakwb eng RC435-571 Christopher Hautmann verfasserin aut Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007. Mothers Children Adult treatment Parent training Efficacy Psychiatry Manfred Döpfner verfasserin aut Josepha Katzmann verfasserin aut Stephanie Schürmann verfasserin aut Tanja Wolff Metternich-Kaizman verfasserin aut Charlotte Jaite verfasserin aut Viola Kappel verfasserin aut Julia Geissler verfasserin aut Andreas Warnke verfasserin aut Christian Jacob verfasserin aut Klaus Hennighausen verfasserin aut Barbara Haack-Dees verfasserin aut Katja Schneider-Momm verfasserin aut Alexandra Philipsen verfasserin aut Swantje Matthies verfasserin aut Michael Rösler verfasserin aut Wolfgang Retz verfasserin aut Alexander von Gontard verfasserin aut Esther Sobanski verfasserin aut Barbara Alm verfasserin aut Sarah Hohmann verfasserin aut Alexander Häge verfasserin aut Luise Poustka verfasserin aut Michael Colla verfasserin aut Laura Gentschow verfasserin aut Christine M. Freitag verfasserin aut Katja Becker verfasserin aut Thomas Jans verfasserin aut In BMC Psychiatry BMC, 2003 18(2018), 1, Seite 13 (DE-627)331018799 (DE-600)2050438-X 1471244X nnns volume:18 year:2018 number:1 pages:13 https://doi.org/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/article/0b64404b13934ba28066f9a0e248de24 kostenfrei http://link.springer.com/article/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/toc/1471-244X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 13
allfieldsSound	10.1186/s12888-018-1963-9 doi (DE-627)DOAJ017006910 (DE-599)DOAJ0b64404b13934ba28066f9a0e248de24 DE-627 ger DE-627 rakwb eng RC435-571 Christopher Hautmann verfasserin aut Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial 2018 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007. Mothers Children Adult treatment Parent training Efficacy Psychiatry Manfred Döpfner verfasserin aut Josepha Katzmann verfasserin aut Stephanie Schürmann verfasserin aut Tanja Wolff Metternich-Kaizman verfasserin aut Charlotte Jaite verfasserin aut Viola Kappel verfasserin aut Julia Geissler verfasserin aut Andreas Warnke verfasserin aut Christian Jacob verfasserin aut Klaus Hennighausen verfasserin aut Barbara Haack-Dees verfasserin aut Katja Schneider-Momm verfasserin aut Alexandra Philipsen verfasserin aut Swantje Matthies verfasserin aut Michael Rösler verfasserin aut Wolfgang Retz verfasserin aut Alexander von Gontard verfasserin aut Esther Sobanski verfasserin aut Barbara Alm verfasserin aut Sarah Hohmann verfasserin aut Alexander Häge verfasserin aut Luise Poustka verfasserin aut Michael Colla verfasserin aut Laura Gentschow verfasserin aut Christine M. Freitag verfasserin aut Katja Becker verfasserin aut Thomas Jans verfasserin aut In BMC Psychiatry BMC, 2003 18(2018), 1, Seite 13 (DE-627)331018799 (DE-600)2050438-X 1471244X nnns volume:18 year:2018 number:1 pages:13 https://doi.org/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/article/0b64404b13934ba28066f9a0e248de24 kostenfrei http://link.springer.com/article/10.1186/s12888-018-1963-9 kostenfrei https://doaj.org/toc/1471-244X Journal toc kostenfrei GBV_USEFLAG_A SYSFLAG_A GBV_DOAJ SSG-OLC-PHA GBV_ILN_11 GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 18 2018 1 13
language	English
source	In BMC Psychiatry 18(2018), 1, Seite 13 volume:18 year:2018 number:1 pages:13
sourceStr	In BMC Psychiatry 18(2018), 1, Seite 13 volume:18 year:2018 number:1 pages:13
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Mothers Children Adult treatment Parent training Efficacy Psychiatry
isfreeaccess_bool	true
container_title	BMC Psychiatry
authorswithroles_txt_mv	Christopher Hautmann @@aut@@ Manfred Döpfner @@aut@@ Josepha Katzmann @@aut@@ Stephanie Schürmann @@aut@@ Tanja Wolff Metternich-Kaizman @@aut@@ Charlotte Jaite @@aut@@ Viola Kappel @@aut@@ Julia Geissler @@aut@@ Andreas Warnke @@aut@@ Christian Jacob @@aut@@ Klaus Hennighausen @@aut@@ Barbara Haack-Dees @@aut@@ Katja Schneider-Momm @@aut@@ Alexandra Philipsen @@aut@@ Swantje Matthies @@aut@@ Michael Rösler @@aut@@ Wolfgang Retz @@aut@@ Alexander von Gontard @@aut@@ Esther Sobanski @@aut@@ Barbara Alm @@aut@@ Sarah Hohmann @@aut@@ Alexander Häge @@aut@@ Luise Poustka @@aut@@ Michael Colla @@aut@@ Laura Gentschow @@aut@@ Christine M. Freitag @@aut@@ Katja Becker @@aut@@ Thomas Jans @@aut@@
publishDateDaySort_date	2018-01-01T00:00:00Z
hierarchy_top_id	331018799
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fullrecord	<?xml version="1.0" encoding="UTF-8"?><collection xmlns="http://www.loc.gov/MARC21/slim"><record><leader>01000caa a22002652 4500</leader><controlfield tag="001">DOAJ017006910</controlfield><controlfield tag="003">DE-627</controlfield><controlfield tag="005">20230503030935.0</controlfield><controlfield tag="007">cr uuu---uuuuu</controlfield><controlfield tag="008">230226s2018 xx \|\|\|\|\|o 00\| \|\|eng c</controlfield><datafield tag="024" ind1="7" ind2=" "><subfield code="a">10.1186/s12888-018-1963-9</subfield><subfield code="2">doi</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-627)DOAJ017006910</subfield></datafield><datafield tag="035" ind1=" " ind2=" "><subfield code="a">(DE-599)DOAJ0b64404b13934ba28066f9a0e248de24</subfield></datafield><datafield tag="040" ind1=" " ind2=" "><subfield code="a">DE-627</subfield><subfield code="b">ger</subfield><subfield code="c">DE-627</subfield><subfield code="e">rakwb</subfield></datafield><datafield tag="041" ind1=" " ind2=" "><subfield code="a">eng</subfield></datafield><datafield tag="050" ind1=" " ind2="0"><subfield code="a">RC435-571</subfield></datafield><datafield tag="100" ind1="0" ind2=" "><subfield code="a">Christopher Hautmann</subfield><subfield code="e">verfasserin</subfield><subfield code="4">aut</subfield></datafield><datafield tag="245" ind1="1" ind2="0"><subfield code="a">Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial</subfield></datafield><datafield tag="264" ind1=" " ind2="1"><subfield code="c">2018</subfield></datafield><datafield tag="336" ind1=" " ind2=" "><subfield code="a">Text</subfield><subfield code="b">txt</subfield><subfield code="2">rdacontent</subfield></datafield><datafield tag="337" ind1=" " ind2=" "><subfield code="a">Computermedien</subfield><subfield code="b">c</subfield><subfield code="2">rdamedia</subfield></datafield><datafield tag="338" ind1=" " ind2=" "><subfield code="a">Online-Ressource</subfield><subfield code="b">cr</subfield><subfield code="2">rdacarrier</subfield></datafield><datafield tag="520" ind1=" " ind2=" "><subfield code="a">Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. 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callnumber-first	R - Medicine
author	Christopher Hautmann
spellingShingle	Christopher Hautmann misc RC435-571 misc Mothers misc Children misc Adult treatment misc Parent training misc Efficacy misc Psychiatry Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial
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topic_title	RC435-571 Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial Mothers Children Adult treatment Parent training Efficacy
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title	Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial
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title_full	Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial
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author_browse	Christopher Hautmann Manfred Döpfner Josepha Katzmann Stephanie Schürmann Tanja Wolff Metternich-Kaizman Charlotte Jaite Viola Kappel Julia Geissler Andreas Warnke Christian Jacob Klaus Hennighausen Barbara Haack-Dees Katja Schneider-Momm Alexandra Philipsen Swantje Matthies Michael Rösler Wolfgang Retz Alexander von Gontard Esther Sobanski Barbara Alm Sarah Hohmann Alexander Häge Luise Poustka Michael Colla Laura Gentschow Christine M. Freitag Katja Becker Thomas Jans
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title_sort	sequential treatment of adhd in mother and child (aimac study): importance of the treatment phases for intervention success in a randomized trial
callnumber	RC435-571
title_auth	Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial
abstract	Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007.
abstractGer	Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007.
abstract_unstemmed	Abstract Background The efficacy of parent-child training (PCT) regarding child symptoms may be reduced if the mother has attention-deficit/hyperactivity disorder (ADHD). The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. Registered 29 March 2007.
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container_issue	1
title_short	Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial
url	https://doi.org/10.1186/s12888-018-1963-9 https://doaj.org/article/0b64404b13934ba28066f9a0e248de24 http://link.springer.com/article/10.1186/s12888-018-1963-9 https://doaj.org/toc/1471-244X
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author2	Manfred Döpfner Josepha Katzmann Stephanie Schürmann Tanja Wolff Metternich-Kaizman Charlotte Jaite Viola Kappel Julia Geissler Andreas Warnke Christian Jacob Klaus Hennighausen Barbara Haack-Dees Katja Schneider-Momm Alexandra Philipsen Swantje Matthies Michael Rösler Wolfgang Retz Alexander von Gontard Esther Sobanski Barbara Alm Sarah Hohmann Alexander Häge Luise Poustka Michael Colla Laura Gentschow Christine M. Freitag Katja Becker Thomas Jans
author2Str	Manfred Döpfner Josepha Katzmann Stephanie Schürmann Tanja Wolff Metternich-Kaizman Charlotte Jaite Viola Kappel Julia Geissler Andreas Warnke Christian Jacob Klaus Hennighausen Barbara Haack-Dees Katja Schneider-Momm Alexandra Philipsen Swantje Matthies Michael Rösler Wolfgang Retz Alexander von Gontard Esther Sobanski Barbara Alm Sarah Hohmann Alexander Häge Luise Poustka Michael Colla Laura Gentschow Christine M. Freitag Katja Becker Thomas Jans
ppnlink	331018799
callnumber-subject	RC - Internal Medicine
mediatype_str_mv	c
isOA_txt	true
hochschulschrift_bool	false
doi_str	10.1186/s12888-018-1963-9
callnumber-a	RC435-571
up_date	2024-07-03T23:56:58.953Z
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The AIMAC study (ADHD in Mothers and Children) aimed to compensate for the deteriorating effect of parental psychopathology by treating the mother (Step 1) before the beginning of PCT (Step 2). This secondary analysis was particularly concerned with the additional effect of the Step 2 PCT on child symptoms after the Step 1 treatment. Methods The analysis included 143 mothers and children (aged 6–12 years) both diagnosed with ADHD. The study design was a two-stage, two-arm parallel group trial (Step 1 treatment group [TG]: intensive treatment of the mother including psychotherapy and pharmacotherapy; Step 1 control group [CG]: supportive counseling only for mother; Step 2 TG and CG: PCT). Single- and multi-group analyses with piecewise linear latent growth curve models were applied to test for the effects of group and phase. Child symptoms (e.g., ADHD symptoms, disruptive behavior) were rated by three informants (blinded clinician, mother, teacher). Results Children in the TG showed a stronger improvement of their disruptive behavior as rated by mothers than those in the CG during Step 1 (Step 1: TG vs. CG). In the CG, according to reports of the blinded clinician and the mother, the reduction of children’s disruptive behavior was stronger during Step 2 than during Step 1 (CG: Step 1 vs. Step 2). In the TG, improvement of child outcome did not differ across treatment steps (TG: Step 1 vs. Step 2). Conclusions Intensive treatment of the mother including pharmacotherapy and psychotherapy may have small positive effects on the child’s disruptive behavior. PCT may be a valid treatment option for children with ADHD regarding disruptive behavior, even if mothers are not intensively treated beforehand. Trial registration ISRCTN registry ISRCTN73911400. 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Sequential treatment of ADHD in mother and child (AIMAC study): importance of the treatment phases for intervention success in a randomized trial

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