A comparison of three family therapy programs for treating family conflicts in adolescents with Attention Deficit Hyperactivity Disorder.

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
Arthur D. Anastopoulos, Professor and Director of AD/HD Clinic (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/

Abstract: Attention-deficit hyperactivity disorder (ADHD; American Psychiatric Association, 1987) is a relatively chronic developmental disorder of sustained attention, impulse control, and activity regulation that arises early in childhood and often persists into adolescence (Barkley, Fischer, Edelbrock, & Smallish, 1990; Weiss & Hechtman, 1986). Parents of ADHD adolescents, however, often are concerned about their teens' greater degree of behavior management problems, rebelliousness, conduct problems, and family interaction conflicts compared with normal adolescents (Ackerman, Dykman, & Peters, 1977; Barkley, Anastopoulos, Guevremont, & Fletcher, 1991; Robin, 1990; Weiss & Hechtman, 1986). These parents rated their relationships with their teenagers as filled with more issues of conflict, more anger during conflict discussions, and more negative communication patterns than did parents of adolescents in a control group. However, the majority of these interaction problems occur in that subgroup of ADHD adolescents having coexisting oppositional defiant disorder (ODD) than in those teens with ADHD alone (Barkley, Anastopoulos, Guevremont, & Fletcher, in press; Barkley, Fischer, Edelbrock, & Smallish, 1991). Both the ADHD/ODD teens and their parents are more likely to use aversive behaviors (e.g., insults, commands, complaints, defensiveness) during discussions with each other than are parent–teen dyads in control groups (Barkley et al., in press-a). Anecdotal evidence (Robin, 1990) suggests that these conflicts may be a major reason why parents seek treatment for their teens.

Additional Information

Publication
Journal of Consulting and Clinical Psychology, 60, 450-462
Language: English
Date: 1992
Keywords
Attention deficit hyperactivity disorder, ADHD, Parent-child relationships, Oppositional defiant disorder (ODD)