Personalized Treatment of Mothers With ADHD and Their Young At-Risk Children: A SMART Pilot

Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
Andrea Chronis-TuscanoMark A Stein

Abstract

Young children of mothers with adult attention-deficit/hyperactivity disorder (ADHD) are at risk for ADHD by virtue of genetics and environmental factors. Moreover, parent ADHD is associated with maladaptive parenting and poor child behavioral treatment response. Thus, a combined approach consisting of behavioral parent training (BPT) and maternal stimulant medication (MSM) may be needed to effectively treat ADHD within families. However, providing combined BPT+MSM initially to all families may be unnecessarily burdensome because not all families likely need combined treatment. The purpose of this study is to examine how to combine, sequence, and personalize treatment for these multiplex families in order to yield benefits to both the parent and child, thereby impacting the course of child ADHD and disruptive behavior symptoms. This article presents our rationale for, design of, and preliminary experiences (based on 26 participants) with an ongoing pilot Sequential Multiple Assessment Randomized Trial (SMART) designed to answer questions regarding the feasibility and acceptability of study protocols and interventions. This article also describes how the subsequent full-scale SMART might change based on what is learned in the SM...Continue Reading

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Citations

Jul 18, 2017·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·George J DuPaulDaniel Peek
Dec 13, 2019·Journal of the International Neuropsychological Society : JINS·Nasrin MohammadhasaniRosa Angela Fabio
Dec 28, 2016·Journal of Abnormal Child Psychology·Andrea Chronis-TuscanoMark A Stein
Apr 1, 2017·Journal of Abnormal Child Psychology·Heather Mazursky-HorowitzAndrea Chronis-Tuscano
Jan 5, 2021·Frontiers in Psychiatry·Matthew W Southward, Shannon Sauer-Zavala

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

SMART

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