Journal of Abnormal Child Psychology

, Volume 21, Issue 5, pp 581–596 | Cite as

Parent training for attention-deficit hyperactivity disorder: Its impact on parent functioning

  • Arthur D. Anastopoulos
  • Terri L. Shelton
  • George J. DuPaul
  • David C. Guevremont


This study examined changes in parent functioning resulting from parental participation in a behavioral parent training (PT) program specifically designed for school-aged children with attention-deficit hyperactivity disorder (ADHD). Relative to wait list controls, subjects who completed the nine-session PT program showed significant posttreatment gains in both child and parent functioning, which were maintained 2 months after treatment. In particular, there were PT-induced reductions in parenting stress and increases in parenting self-esteem, which accompanied parent-reported improvements in the overall severity of their child's ADHD symptoms. In addition to their statistical importance, these findings are discussed in terms of their clinical significance, utilizing methods developed by Jacobson and Truax (1991).


Clinical Significance Parenting Stress ADHD Symptom Parent Functioning Parent Training 
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  1. Abidin, R. (1986).Parenting Stress Index (2nd ed.). Charlottesville, VA: Pediatric Psychology Press.Google Scholar
  2. Achenbach, T. M., & Edelbrock, C. (1983).Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: Author.Google Scholar
  3. American Psychiatric Association (1987).Diagnostic and statistical manual of mental disorders (3rd ed. rev.). Washington, DC: Author.Google Scholar
  4. Anastopoulos, A. D., Guevremont, D. C., Shelton, T. L., & DuPaul, G. J. (1992). Parenting stress among families of children with attention deficit hyperactivity disorder.Journal of Abnormal Child Psychology, 20, 503–520.Google Scholar
  5. Anastopoulos, A. D., Shelton, T. L., DuPaul, G. J., & Guevremont, D. C. (1992).Assessing parental knowledge of ADHD. Unpublished manuscript.Google Scholar
  6. Barkley, R. A. (1987).Defiant children: A clinician's manual for parent treating. New York: Guilford Press.Google Scholar
  7. Barkley, R. A. (1990).Attention deficit hyperactivity disorder A handbook for diagnosis and treatment. New York: Guilford Press.Google Scholar
  8. Barkley, R. A., Anastopoulos, A. D., Guevremont, D. C., & Fletcher, K. E. (1992). Adolescents with ADHD: Mother-adolescent interactions, family beliefs and conflicts, and maternal psychopathology.Journal of Abnormal Child Psychology, 20, 263–288.Google Scholar
  9. Barkley, R. A., Guevremont, D. C., Anastopoulos, A. D., & Fletcher, K. F. (1992). A comparison of three family therapy programs for training family conflicts in adolescents with ADHD.Journal of Consulting and Clinical Psychology, 60, 450–462.Google Scholar
  10. Cunningham, C. E., & Barkley, R. A. (1979). The interactions of hyperactive and normal children with their mothers during free play and structured task.Child Development, 50, 217–224.Google Scholar
  11. Cunningham, C. E., Benness, B. B., & Siegel, L. S. (1988). Family functioning, time allocation, and parental depression in the families of normal and ADDH children.Journal of Clinical Child Psychology, 17, 169–177.Google Scholar
  12. Derogatis, L. (1983).Manual for the Symptom Checklist 90 Revised (SCL-90R). Baltimore, MD: Author.Google Scholar
  13. Dubey, D. R. O'Leary, S. G., & Kaufman, K. F. (1983). Training parents of hyperactive children in child management: A comparative outcome study.Journal of Abnormal Child Psychology, 11, 229–246.Google Scholar
  14. DuPaul, G. J. (1991). Parent and teacher ratings of ADHD symptoms: Psychometric properties in a community based sample.Journal of Clinical Child Psychology, 20, 245–253.Google Scholar
  15. DuPaul, G. J., & Barkley, R. A. (1992). Situational variability of attention problems: Psychometric properties of the revised Home and School Situations Questionnaires.Journal of Clinical Child Psychology, 21, 178–188.Google Scholar
  16. DuPaul, G. J., & Rapport, M. D. (1993). Does methylphenidate normalize the classroom performance of children with attention deficit disorder?Journal of the American Academy of Child and Adolescent Psychiatry, 32, 190–198.Google Scholar
  17. Fischer, M. (1990). Parenting stress and the child with attention deficit hyperactivity disorder.Journal of Clinical Child Psychology, 19, 337–346.Google Scholar
  18. Gittelman-Klein, R., Abikoff, H., Pollack, E., Klein, D., Katz, S., & Mattes, J. (1980). A controlled trial of behavior modification and methylphenidate in hyperactive children. In C. Whalen & B. Henker (Eds.),Hyperactive children: The social ecology of identification and treatment New York: Academic Press.Google Scholar
  19. Hollingshead, A. B. (1975).Four factor index of social status. New Haven, CT: Yale University.Google Scholar
  20. Horn, W. F., Ialongo, N., Popovich, S., & Peradotto, D. (1987). Behavioral parent training and cognitive-behavioral self-control therapy with ADD-H children: Comparative and combined effects.Journal of Clinical Child Psychology, 16, 57–68.Google Scholar
  21. Jacobson, N. S., & Truax, P. (1991). Clinical significance: A statistical approach to defining meaningful change in psychotherapy research.Journal of Consulting and Clinical Psychology, 59, 12–19.Google Scholar
  22. Johnston, C., & Mash, E. J. (1989). A measure of parenting satisfaction and efficacy.Journal of Clinical Child Psychology, 18, 167–175.Google Scholar
  23. Locke, H. J., & Wallace, K. M. (1959). Short marital adjustment and prediction tests: Their reliability and validity.Journal of Marriage and Family Living, 21, 251–255.Google Scholar
  24. Mash, E. J., & Johnston, C. (1983). Parental perceptions of child behavior problems, parenting self-esteem, and mother's reported stress in younger and older hyperactive and normal children.Journal of Consulting and Clinical Psychology, 51, 68–99.Google Scholar
  25. Pelham, W. W., Schnedler, R. W., Bender, M. E., Nilsson, D. E., Miller, J., Budrow, M. S., Ronnel, M., Paluchowski, C., & Marks, D. A. (1988). The combination of behavior therapy and methylphenidate in the treatment of ADD: A therapy outcome study. In L. Bloomingdale (Ed.),Attention deficit disorders (Vol. 3). New York: Spectrum.Google Scholar
  26. Pisterman, S., McGrath, P., Firestone, P., & Goodman, J. T. (1989). Outcome of parent-mediated treatment of preschoolers with attention deficit disorder with hyperactivity.Journal of Consulting and Clinical Psychology, 57, 636–643.Google Scholar
  27. Pisterman, S., McGrath, P., Firestone, P., Goodman, J., Webster, I., Mallory, R., & Goffin, B. (1992). The effects of parent training on parenting stress and sense of competence.Canadian Journal of Behavioral Science, 24, 41–58.Google Scholar
  28. Pollard, S., Ward, E. M., & Barkley, R. A. (1983). The effects of parent training and Ritalin on the parent-child interactions of hyperactive boys.Child & Family Behavior Therapy, 5, 51–69.Google Scholar
  29. Wechsler, D. (1974).The Wechsler Intelligence Scale for Children-Revised. New York: Psychological Corporation.Google Scholar

Copyright information

© Plenum Publishing Corporation 1993

Authors and Affiliations

  • Arthur D. Anastopoulos
    • 3
  • Terri L. Shelton
    • 1
  • George J. DuPaul
    • 2
  • David C. Guevremont
    • 3
  1. 1.Assumption CollegeWorcester
  2. 2.Lehigh UniversityBethlehem
  3. 3.Department of PsychiatryUniversity of Massachusetts Medical CenterWorcester

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