The Effectiveness of Coping Power Program for ADHD: An Observational Outcome Study
The present study evaluates the implementation of the Coping Power Program (CPP)-Child Component in a group of patients with attention deficit/hyperactivity disorder (ADHD), and explores the effects of this treatment on changes in the primary and associated symptoms of ADHD. A clinical sample of 50 children and preadolescents (8–13 years) with ADHD was involved. The clinical sample was split into a treatment group (TG; N = 26), which was included in the child training program (CPP), and a control group (CG; N = 24), which was placed on a waiting list. The Clinical Global Impression-Severity (CGI-S) and the Child Behavior Checklist 6–18 (CBCL 6–18) were assessed at baseline and at the end of treatment. The outcomes were assessed as a CBCL-subscale response rate and a CGI-S shift. Our results showed a significant improvement in children’s global functioning and in emotional and behavioral symptoms. The children in the TG were more likely to shift from a more severe functional impairment class to a less severe one (69.2% of TG vs. 20.8% of CG). Further, the CGI-S scores diminished significantly in the TG (p < 0.01). There were significant differences in the changes in Social Problems (p < 0.05), Attention Problems (p < 0.05) and Rule-Breaking Behavior Scales (p < 0.05). CPP seemed to be effective in children and adolescents with ADHD without comorbidity for ODD or CD. Our study revealed an improved outcome, not only in the core symptoms of ADHD, but also in global functioning and social adjustment. Possible improvements to the present formulation of CPP-C are discussed.
KeywordsCoping Power Program ADHD CBCL CGI Externalizing problems Rehabilitation
L.V. and P.C. are the persons who wrote the first draft of the manuscript, and contributed equally to this work. L.V., A.V. and V.M. participated and coordinated all the phases of the present research, they have full access to data and they have the right to publish such data. A.V. and V.M. conducted all sessions as experienced therapists; L.V. supervised weekly as expert cognitive behavioral psychotherapist. P.C., S.B.C. and M.N. participated in designing the study and writing the protocol, in data collection, in literature search and in the discussion of the final manuscript. M.M. and M.P. participated in article preparation and revision.
Compliance with Ethical Standards
Conflict of interest
There are no known conflicts of interest associated with this publication and there has been no significant financial support for this work that could have influenced its outcome.
All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards. Institutional Review Board (IRB) approval was obtained from Ethics Committee of Scientific Institute E. Medea (Bosisio Parini, LC).
Informed consent was obtained from parents of all participants included in the study.
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