caa a22 4500 475739779 CHVBK 20180406123456.0 cr unu---uuuuu 170329e20001201xx s 000 0 eng 10.1023/A:1005183115230 doi (NATIONALLICENCE)springer-10.1023/A:1005183115230 Family Processes and Treatment Outcome in the MTA: Negative/Ineffective Parenting Practices in Relation to Multimodal Treatment [Elektronische Daten] [Stephen Hinshaw, Elizabeth Owens, Karen Wells, Helena Kraemer, Howard Abikoff, L. Arnold, C. Conners, Glen Elliott, Laurence Greenhill, Lily Hechtman, Betsy Hoza, Peter Jensen, John March, Jeffrey Newcorn, William Pelham, James Swanson, Benedetto Vitiello, Timothy Wigal] To elucidate processes underlying therapeutic change in a large-scale randomized clinical trial, we examined whether alterations in self-reported parenting practices were associated with the effects of behavioral, medication, or combination treatments on teacher-reported outcomes (disruptive behavior, social skills, internalizing symptoms) in children with attention-deficit hyperactivity disorder (ADHD). Participants were 579 children with Combined-type ADHD, aged 7-9.9 years, in the Multimodal Treatment Study of Children with ADHD (MTA). We uncovered 2 second-order factors of parenting practices, entitled Positive Involvement and Negative/Ineffective Discipline. Although Positive Involvement was not associated with amelioration of the school-based outcome measures, reductions in Negative/Ineffective Discipline mediated improvement in children's social skills at school. For families showing the greatest reductions in Negative/Ineffective Discipline, effects of combined medication plus behavioral treatment were pronounced in relation to regular community care. Furthermore, only in combination treatment (and not in behavioral treatment alone) was decreased Negative/Ineffective Discipline associated with reduction in children's disruptive behavior at school. Here, children in families receiving combination treatment who showed the greatest reductions in Negative/Ineffective Discipline had teacher-reported disruptive behavior that was essentially normalized. Overall, the success of combination treatment for important school-related outcomes appears related to reductions in negative and ineffective parenting practices at home; we discuss problems in interpreting the temporal sequencing of such process-outcome linkages and the means by which multimodal treatment may be mediated by psychosocial processes related to parenting. Plenum Publishing Corporation, 2000 attention-deficit hyperactivity disorder (ADHD) nationallicence stimulant medication nationallicence behavior therapy nationallicence multimodal treatment nationallicence parental discipline nationallicence psychotherapy process research nationallicence Hinshaw Stephen Department of Psychology, University of California, Tolman Hall No. 1650, 94720 1650, Berkeley, California aut Owens Elizabeth Institute of Human Development, University of California, Berkeley, California aut Wells Karen aut Kraemer Helena aut Abikoff Howard aut Arnold L. aut Conners C. aut Elliott Glen aut Greenhill Laurence aut Hechtman Lily aut Hoza Betsy aut Jensen Peter aut March John aut Newcorn Jeffrey aut Pelham William aut Swanson James aut Vitiello Benedetto aut Wigal Timothy aut Journal of Abnormal Child Psychology Kluwer Academic Publishers-Plenum Publishers 28/6(2000-12-01), 555-568 0091-0627 28:6<555 2000 28 10802 https://doi.org/10.1023/A:1005183115230 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1023/A:1005183115230 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Hinshaw Stephen Department of Psychology, University of California, Tolman Hall No. 1650, 94720 1650, Berkeley, California aut NATIONALLICENCE 700 1- Owens Elizabeth Institute of Human Development, University of California, Berkeley, California aut NATIONALLICENCE 700 1- Wells Karen aut NATIONALLICENCE 700 1- Kraemer Helena aut NATIONALLICENCE 700 1- Abikoff Howard aut NATIONALLICENCE 700 1- Arnold L. aut NATIONALLICENCE 700 1- Conners C. aut NATIONALLICENCE 700 1- Elliott Glen aut NATIONALLICENCE 700 1- Greenhill Laurence aut NATIONALLICENCE 700 1- Hechtman Lily aut NATIONALLICENCE 700 1- Hoza Betsy aut NATIONALLICENCE 700 1- Jensen Peter aut NATIONALLICENCE 700 1- March John aut NATIONALLICENCE 700 1- Newcorn Jeffrey aut NATIONALLICENCE 700 1- Pelham William aut NATIONALLICENCE 700 1- Swanson James aut NATIONALLICENCE 700 1- Vitiello Benedetto aut NATIONALLICENCE 700 1- Wigal Timothy aut NATIONALLICENCE 773 0- Journal of Abnormal Child Psychology Kluwer Academic Publishers-Plenum Publishers 28/6(2000-12-01), 555-568 0091-0627 28:6<555 2000 28 10802 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer