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Volume 19, Issue 4 (Winter 2014)
IJPCP 2014, 19(4): 264-274 |
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Fazeli Z, Shirazi E, Asgharnejad Farid A, Afkham Ebrahimi A. Effectiveness of Medication and Combined Medication and Parent Management Training on Visuo-constructive, Attentional, Behavioral and Emotional Indicators of Children with Attention Deficit/Hyperactivity Disorder . IJPCP 2014; 19 (4) :264-274
URL: http://ijpcp.iums.ac.ir/article-1-2095-en.html
URL: http://ijpcp.iums.ac.ir/article-1-2095-en.html
1- Tehran Institute of Psychiatry- School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran, IR , E-mail:zfazeli300@gmail.com
2- Mental Health Research Center , Tehran Institute of Psychiatry- School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
3- Iran University of Medical Sciences, Tehran, Iran
2- Mental Health Research Center , Tehran Institute of Psychiatry- School of Behavioral Sciences and Mental Health, Iran University of Medical Sciences, Tehran, Iran
3- Iran University of Medical Sciences, Tehran, Iran
Abstract: (9835 Views)
Objectives: The aim of the present study was to compare the effectiveness of medication with and without parent management training (PMT) on visuo-constructive, attentional, behavioral and emotional indicators of children with attention deficit/hyperactivity disorder. Method: In this interventional study, 18 children with ADHD combined type and their mothers were randomly allocated into a medication group (MED) and a medication plus parent management training (MED+PMT). Medication was prescribed for all affected children, for at least a five-week period. In addition, in MED+PMT group, 10 sessions of PMT was administered. The Child Symptom Inventory-4th Edition (CSI-4), Bender Gestalt Visual Motor Test, Stroop Color-Word Test (SCWT), Raven's Progressive Matrices (RPM), and Conners' Parent Rating Scales-Revised short form (CPRS-R-S) were administered before and after treatment. The data analysis was done by Hoteling test, t-test for independent variables, and univariate and multivariate analysis of covariance. Results: In both groups, after intervention the visuo-constructive scores were reduced and attention scores increased (p<0.05 and p<0.1, respectively).Combination treatment was effective on all relevant indices (p<0.01, in all cases). Also, medication alone caused significant changes in hyperactivity (p<0.05) and ADHD (p<0.05) indices. The oppositional behavior scores were reduced more in MED+PMT group than MED group (p<0.05). Neither medication nor combination treatment was effective on emotional indices. Conclusion: Medication is effective in treatment of cognitive impairments. However, combination of medication and parent management training causes more improvement in oppositional behaviors and interaction between parents and children.
Keywords: attention deficit/hyperactivity, medication, parent management training (PMT), emotional indices, behavioral indices, attention indices
Type of Study: Original Research |
Subject:
Psychiatry and Psychology
Received: 2014/03/26 | Accepted: 2014/03/26 | Published: 2014/03/26
Received: 2014/03/26 | Accepted: 2014/03/26 | Published: 2014/03/26
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