Social Functioning Outcomes of a High School-Based Treatment Program for Adolescents with ADHD.

IF 4.2 1区心理学 Q1 PSYCHOLOGY, CLINICAL

Journal of Clinical Child and Adolescent Psychology Pub Date : 2024-05-01 Epub Date: 2023-07-26 DOI:10.1080/15374416.2023.2235693

Steven W Evans, George J DuPaul, Kari Benson, Julie Sarno Owens, Qiong Fu, Courtney Cleminshaw, Kristen Kipperman, Samantha Margherio

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Abstract

Objective: We evaluated the extent to which receiving the multi-component treatment of the Challenging Horizons Program (CHP) would lead to significant improvements in social functioning, as well as in inattention, internalizing symptoms, parent stress, and emotion dysregulation for high-school-aged adolescents with attention-deficit hyperactivity disorder (ADHD).

Method: Participants were 186 high-school-aged adolescents (74% White) with a diagnosis of ADHD who were randomly assigned to either CHP (n = 92; 80% boys; M age = 15.0; SD = 0.8) or Community Care (CC; n = 94; 78% boys; M age = 15.1; SD = 0.9) within each of 12 participating schools. Parent and adolescent reports of social functioning were the primary outcome measures. Secondary outcomes included ratings of symptoms of ADHD and related disorders, parent stress, and emotion regulation.

Results: Intent-to-treat analyses using hierarchical linear modeling revealed significant group-by-time interactions of medium magnitude (d range = .40 to .52) on parent-rated social skills. Significant group-by-time benefits were also identified for adolescent self-rated social skills as well as the secondary outcomes of parent-rated inattention symptoms, emotion regulation, and parenting stress.

Discussion: CHP appears to benefit social skills along with related characteristics for adolescents with ADHD. Understanding these unique findings for this population informs additional research related to treatment mechanisms and effectiveness trials.

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以高中为基础的多动症青少年治疗计划的社会功能成果。

研究目的我们评估了接受 "挑战地平线计划"（Challenging Horizons Program，CHP）的多成分治疗在多大程度上会显著改善患有注意力缺陷多动障碍（ADHD）的高中年龄青少年的社会功能，以及注意力不集中、内化症状、父母压力和情绪失调：参与者为186名被诊断为ADHD的高中年龄青少年（74%为白人），他们被随机分配到12所参与学校中的CHP（n=92；80%为男生；M年龄=15.0；SD=0.8）或CC（n=94；78%为男生；M年龄=15.1；SD=0.9）。家长和青少年对社会功能的报告是主要的结果测量指标。次要结果包括对多动症和相关障碍症状、家长压力和情绪调节的评分：使用分层线性模型进行的意向治疗分析表明，在家长评分的社交能力方面，不同组别和不同时间之间存在显著的中等程度的交互作用（d 范围 = .40 至 .52）。在青少年自我评价的社交技能以及家长评价的注意力不集中症状、情绪调节和养育压力等次要结果方面，也发现了显著的组间时间效益：讨论：对于患有多动症的青少年来说，CHP似乎对他们的社交技能和相关特征都有益处。了解这一人群的这些独特发现有助于开展更多与治疗机制和有效性试验相关的研究。

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

Journal of Clinical Child and Adolescent Psychology Multiple-

CiteScore

9.70

自引率

4.80%

发文量

期刊介绍： The Journal of Clinical Child and Adolescent Psychology (JCCAP) is the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association. It publishes original contributions on the following topics: (a) the development and evaluation of assessment and intervention techniques for use with clinical child and adolescent populations; (b) the development and maintenance of clinical child and adolescent problems; (c) cross-cultural and sociodemographic issues that have a clear bearing on clinical child and adolescent psychology in terms of theory, research, or practice; and (d) training and professional practice in clinical child and adolescent psychology, as well as child advocacy.