A Systematic and Explorative Literature Review Investigating Parent Training Interventions For Parents with ADHD.

IF 3.2 3区 医学 Q2 PSYCHIATRY
Therese Lindström, Carlos López-Pinar, Rano Zakirova-Engstrand, Ulf Jonsson, Sven Bölte, Douglas Sjöwall, Tatja Hirvikoski
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引用次数: 0

Abstract

Objectives: It remains unclear how much parents with ADHD benefit from standard parenting interventions such as behavioral parent training (BPT). Our objective was to systematically review the literature on BPT aimed at adults with ADHD. As few studies with this focus were identified, we exploratively broadened our scope to quantitatively combine and qualitatively analyze studies of behavioral parenting interventions reporting parental ADHD characteristics.

Method: A systematic review was conducted of studies evaluating BPT for (targeting) parents with ADHD. The broader literature was explored through meta-regressions and qualitative content analysis.

Results: In the systematic review, five studies focusing on parents with ADHD were identified, including two randomized controlled trials. These studies used different strategies to facilitate parents' BPT implementation: treating the parents' ADHD or adapting the BPT itself for adults with ADHD. The number of studies was too small to meta-analyze but narratively suggested that BPT delivered with consideration of parental ADHD functioning and needs can be associated with, for example, increased positive parenting skills. None of our main meta-regressions (5-14 studies) associated parental ADHD with BPT outcomes beyond the trend level. The qualitative literature analysis (54 reports) suggested several ways to adapt the contents and delivery of BPT for parents with ADHD and their contexts.

Conclusion: This study highlights the potential of tailoring BPT to adults with ADHD. It also emphasizes the need for further research to determine the efficacy of BPT for parents with ADHD and to identify which BPT-related, individual, and contextual factors influence their BPT engagement and outcomes.

一项系统的探索性文献综述:父母训练干预对ADHD父母的影响。
目的:目前尚不清楚有多少ADHD父母从标准的育儿干预措施中获益,如行为父母训练(BPT)。我们的目的是系统地回顾针对成人多动症患者的BPT的文献。由于这方面的研究很少,我们探索性地扩大了研究范围,定量地结合和定性地分析了报告父母多动症特征的行为父母干预研究。方法:系统回顾评估BPT治疗(针对)ADHD父母的研究。通过元回归和定性内容分析来探索更广泛的文献。结果:在系统综述中,确定了5项关注ADHD父母的研究,包括2项随机对照试验。这些研究使用了不同的策略来促进父母的BPT实施:治疗父母的多动症或调整BPT本身用于患有多动症的成年人。研究的数量太少,无法进行荟萃分析,但从叙述的角度来看,考虑到父母多动症的功能和需求的BPT可以与诸如提高积极的育儿技能有关。我们的主要荟萃回归(5-14项研究)均未将父母ADHD与BPT结果的关联超出趋势水平。定性文献分析(54份报告)提出了几种适合ADHD父母及其背景的BPT内容和实施方法。结论:这项研究强调了针对ADHD成人量身定制BPT的潜力。它还强调需要进一步的研究来确定BPT对ADHD父母的疗效,并确定哪些与BPT相关的、个体的和环境的因素影响他们的BPT参与和结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
CiteScore
7.60
自引率
6.70%
发文量
71
审稿时长
6-12 weeks
期刊介绍: Journal of Attention Disorders (JAD) focuses on basic and applied science concerning attention and related functions in children, adolescents, and adults. JAD publishes articles on diagnosis, comorbidity, neuropsychological functioning, psychopharmacology, and psychosocial issues. The journal also addresses practice, policy, and theory, as well as review articles, commentaries, in-depth analyses, empirical research articles, and case presentations or program evaluations.
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