Navigation Links
Parent-Focused Classes May Help Tots at Risk for ADHD
Date:4/1/2013

By Serena Gordon
HealthDay Reporter

MONDAY, April 1 (HealthDay News) -- Parent behavior training is an effective and well-studied intervention for preschoolers at risk of developing attention-deficit/hyperactivity disorder (ADHD), a new review shows.

Such programs seek to promote a positive relationship between the parent and child, and to teach effective discipline strategies that rely on rewards and non-punitive consequences.

"When we looked at studies with children with a cluster of disruptive behaviors, parent behavior training is a good strong intervention for behaviors like hyperactivity, impulsivity, temper tantrums and oppositional behavior," said review author Dr. Alice Charach, head of the neuropsychiatry team at the Hospital for Sick Children in Toronto.

The drug methylphenidate (Ritalin, Methylin) may also be effective in this age group, although there was only one study that met the review's standards, and American Academy of Pediatrics (AAP) guidelines don't recommend medication for ADHD in preschool-age youngsters.

Results of the review were published online April 1 and in the May print issue of Pediatrics.

Diagnosing ADHD in preschool-aged children is possible, but it can be difficult, according to study background information. "Kids that age can be very busy and inattentive and distractible. It's sometimes hard to have them do what they're supposed to do," Charach said. Parents may initially ask their doctor to evaluate their child because the kids have more disruptive, oppositional behaviors, she noted.

Once kids are diagnosed or found to be at high risk of developing ADHD, the most effective intervention hasn't been clear.

To get a better idea of what might work best in these young children, the researchers reviewed the medical literature for studies on interventions for children younger than 6 who had behavior disruptive enough to be referred to treatment, or a diagnosis of ADHD, oppositional defiant disorder or a conduct disorder.

They found 55 studies that matched their initial criteria, and then they further reviewed the studies to assess factors such as sample size and study design. They found eight good studies on parent behavior training, and one study they considered good on medication.

The four parent interventions studied in this review were: the Positive Parenting Program, Incredible Years Parenting Program, Parent-Child Interaction Therapy and the New Forest Parenting Program.

Interventions that focus on changing parental behavior may seem like the blame is being placed on parents for their child's behavior. But, Charach said, that's not the case at all.

"Some kids are more challenging and need extra skills and extra support from their parents. And, this may not come naturally. We learn how to parent from our own parents. If a child isn't like us, we might not know what to do," she explained.

The researchers found that when parents completed the entire course, their children's behavior improved more.

In the single study of medication, the researchers found that although methylphenidate could be effective for this age group, there were side effects from the drug.

"We live in an age when parents are sensitive to the whole issue of medications. I think it's a natural fit for families to say, 'What can we do instead?'" Charach said.

Plus, the AAP guidelines don't recommend medication as a first-line treatment for children at risk of ADHD in this age group, she said.

A U.S. expert discussed the new findings.

"This review emphasizes the value and effectiveness of several different parent training programs to help families who have children who are behaviorally challenging," said Dr. Andrew Adesman, chief of developmental and behavioral pediatrics at the Steven and Alexandra Cohen Children's Medical Center of New York.

But, he said, it's important to note that the researchers didn't compare the interventions side by side. They only looked at studies that had been done on each particular intervention.

Adesman said another concern is that parent behavior training programs aren't always available or possible for the parents to complete.

One relatively easy way for concerned parents to see if their youngster's behavior is normal or a potential problem is to enroll them in preschool, he said. "Preschool provides a respite for parents, but it also offers peer modeling and gives parents and pediatricians a fresh perspective coming from experienced objective observers," Adesman explained.

More information

Learn more about parent behavior training classes from the American Academy of Pediatrics.

SOURCES: Alice Charach, M.D., head, neuropsychiatry, Hospital for Sick Children, Toronto, and associate professor, department of psychiatry, University of Toronto; Andrew Adesman, M.D., chief, developmental and behavioral pediatrics, Steven and Alexandra Cohen Children's Medical Center of New York, New Hyde Park, N.Y.; May 2013 Pediatrics


'/>"/>
Copyright©2012 ScoutNews,LLC.
All rights reserved  

Related medicine news :

1. Rooted Nutrition Announces All-New Classes for Winter Session
2. Boot Camp Classes for 2013 New Year’s Eve Resolutions!
3. Citizen's Bank Conducts Personal Banking Classes at Eagle Village
4. Chemical Bank Conducts Personal Finance Classes for Passages Program at Eagle Village
5. YogaSoul Center in Eagan Celebrates Community with a Full Day of Complimentary Classes
6. Hardcore Fitness Center Offers Free Classes for Community at Grand Opening Open House
7. To Meet Growing Demand for Sports Psychology Experts, Wexford University Offers Master’s Degree in Applied Sport Psychology: Classes Begin April 1
8. Spring Classes for Wexford University’s Online Doctoral Degree in Applied Sport Psychology Begin April 1
9. Kettlebell Exercises Trainer Lorna Kleidman Applauds the Use of Fitness Classes at Community Center
10. Tactical Response Unleashed (TRU) Launches Its New Series of Sheepdog Warrior Classes at 50% Off
11. The BioVoyage Institute Now Providing Academic Programs, Scholarships, And Online Classes
Post Your Comments:
*Name:
*Comment:
*Email:
Related Image:
Parent-Focused Classes May Help Tots at Risk for ADHD
(Date:2/11/2016)... ... 2016 , ... Dickinson Insurance & Financial Services continues their commitment to act ... of a local boy named Barrett, who has been fighting ALL leukemia for almost ... support for, all local families dealing with childhood cancer. Information on how to help ...
(Date:2/11/2016)... ... February 11, 2016 , ... Hoggan ... force gauges used in physical therapy, occupational therapy and sports medicine clinics, hospitals, ... cord exercise and therapy, introduces its new microFET Digital Pinch Gauge. , ...
(Date:2/11/2016)... ... ... As part of their 2015 end of year funding strategy, Colleen’s ... gifted $10,000 to University of Chicago to support ovarian cancer research being conducted by ... honored to support a promising young investigator from Dr. Lengyel’s lab at the University ...
(Date:2/10/2016)... ... ... LaserShip, a regional parcel carrier that services the eastern U.S., donated and ... in order to aid in the Flint water crisis. In 2014, LaserShip acquired Prestige ... Clio, only 15 miles away from Flint. , “We have deep roots in the ...
(Date:2/10/2016)... ... 10, 2016 , ... InDemand Interpreting , a leading ... with Heart City Health Center to improve access to language services ... Health Center has provided the Elkhart community with access to high quality, affordable ...
Breaking Medicine News(10 mins):
(Date:2/11/2016)... MEMPHIS, Tenn. , Feb. 11, 2016 ... a promising new treatment method at West Cancer ... low intensity electric fields to inhibit cancer cell replication ... therapy in more than a decade to show a ... adult Glioblastoma Multiforme (GBM) patients. Currently, West Cancer Center ...
(Date:2/11/2016)... 11, 2016 --> ... new research report, titled "Sports Medicine Devices Market - Global ... 2019". According to the report, the global sports medicine devices ... 2013 to 2019, growing from a value of US$6.1 bn ... --> --> The global sports medicine devices ...
(Date:2/11/2016)... NORTH CHICAGO, Ill. , Feb. 11, 2016 ... launch of the AbbVie Rheumatology Scholarship, designed to ... a rheumatologic disease as they pursue higher education ... $15,000 each for the 2016-2017 school year. The ... Tracie Haas , vice president, corporate ...
Breaking Medicine Technology: