Efectos sobre el contexto familiar de una intervención psicosocial compleja en niños con TDAH
DOI:
https://doi.org/10.24310/espsiescpsi.v2i3.13383Keywords:
ADHD, psicosocial intervention, familyAbstract
The attention deficit with hyperactivity disorder has a complex negative impact on the family system that has not been thoroughly examined. This study analyzes the effects of psychosocial treatment on a wide range of aspects of family dynamics, such as to what degree the families overcome the difficulties they experience in the social and economic areas, improvements in the feelings and attitudes of the parents, or the tension between siblings or the within the couple. The purpose is also to analyze whether the presence of associated behavioral problems modulates the effects of the intervention.
The participants in the study were 42 families divided into two groups, with and without treatment. The intervention included 3 programs differentiated according to the context in which they were implemented: directly with the children, with the parents and with the teachers. Each program included techniques of behavior modification, selfregulation, academic accommodations and social skills. The results show the beneficial effect of the multi-component intervention performed on all the family aspects analyzed, especially for the group of children without associated behavior problems.
Downloads
Metrics
References
American Psychiatric Association (APA, 1994). Diagnostic and statistical manual of mental disorders DSM-IV. Washington DC: Author.
American Psychiatric Association (2000). Diagnostic and statistical manual of mental disorders. (4th edition, rev.). DSM-IV-TR. Washington DC: Author.
Barkley, R.A. (1987). Defiant children: A clinicians manual for assessment and parent training. New York: Guilford.
Barkley, R.A. (2002). Psychosocial treatments for attentiondeficit/hyperactivity disorder in children. Journal of Clinical Psychiatry, 63, 36-43.
Biederman, J. y Faraone, S. V. (2005). Attention-deficit hyperactivity disorder. The Lancet, 366, 237-248.
Brown, T.E. (2003). Trastornos por déficit de atención y comorbilidades en niños, adolescentes y adultos. Barcelona: Masson.
Conover, W.J. (1999). Practical nonparametric statistics (3rd Ed.). New York: Wiles.
Chronis, A. M., Jones, H. A. y Raggi, V. L. (2006). Evidencebased psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. Clinical Psychology Review, 26, 486-502.
Cunningham, C. E. (2007). A family-centered approach to planning and measurement the outcome of interventions for children with attention-deficit/hyperactivity disorder. Journal of Pediatric Psychology, 32, 676-694.
Donenberg G. y Baker B. L. (1993). The impact of young children with externalizing behaviors on their families. Journal of Abnormal Child Psicolygy, 21, 179-98.
Escobar, R., Soutullo, C. A., Hervás, A., Gastaminza, X., Polavieja, P. y Gilaberte, I. (2005). Worse quality of life for children with newly diagnosed attentiondeficit/ hyperactivity disorder, compared with asthmatic and healthy children. Pediatrics, 116, 364-369.
Faraone, S. V., Perlis, R. H., Doyle, A. E., Smoller, J. W., Goralnick, J. J., Holmgren, M. A. y Sklar, P. (2005). Molecular genetics of attention-deficit/hyperactivity disorder. Biological Psychiatry, 57, 1313-1323.
Gadow K.D. y Sprafkin J. (1995). Child symptoms inventories. The revised CSI parent teacher checklist. Stony Brook. New York: Chekmate plus LTD.
Hinshaw, S. P. (2007). Moderators and mediators of treatment outcome for youth with ADHD: Understanding for whom and how interventions work. Journal of Pediatric Psychology, 32, 664-675.
Kaminski, P. L., Jones, H. y Harshaw, A. A. (2004). Low parental warmth and conduct problems in ADHD boys. Poster presented at the 112th annual convention of the American Psychological Association, Honolulu, HI.
Lange, G., Sheerin, D., Carr, A., Dooley, B., Barton, V. y Marshall, D. (2005). Family factors associated with attention deficit hyperactivity disorder and emotional disorders in children. Journal of Family Therapy, 27, 76-96.
Mannuzza, S., Klein, R. G. y Moulton, J.L. (2008). Lifetime criminality among boys with attention deficit hyperactivity disorder: a prospective follow-up study into adulthood using official arrest records. Psychiatry Research, 160, 237-46.
McLaughlin D. y Harrison, C. (2006). Parenting practices of mothers of children with ADHD: the role of maternal and child factors. Child and Adolescent Mental Health , 11, 8288.
Miranda, A., Grau, D., Marco, R. y Roselló, B. (2007). Estilos de disciplina en familias con hijos con TDAH: influencia en la evolución del trastorno. Revista de Neurología, 44 (Supl 2), 23-26.
Miranda, A., Marco, R. y Grau, D. (2007). Parenting stress in families of children with attention-deficit/hyperactivity disorder: the impact of ADHD subtype and oppositional defiant disorder comorbidity. In T. Scruggs and M. Mastropieri (Eds). Advances on learning and behavioral disabilities (pp. 139-62). NJ: Elsevier.
Miranda, A., Presentación, M. J., Gargallo, B., Soriano, M., Gil, M. D. y Jarque, S. (1999). El niño hiperactivo (TDAH). Intervención en el aula. Un programa de formación para profesores. Castellón: Universitat Jaume I.
Miranda, A., Presentación, M. J., García, R. y Sieghentaler, R. (2009). Intervention with students with ADHD. Analysis of the effects of a multi-component, multi-contextualized program on academic and socio-emotional adjustment. En T Scruggs and M. Mastropieri (Eds), Advances in behavioral and learning disabilities (Vl, 21, pp.227-264). Boston: Elsevier JAI Press.
Miranda, A., Rosel, J., Grau, M. D., y Meliá, A. (en prensa). Understanding discipline in families with children who have attention-deficit/hyperactivity disorder: A structural equation model. Journal of Spanish Psyshology.
Patterson, G.R. (1982). A social learning approach (Vol 3): Coercive family process. Eugene OR: Castalia Publishers.
Pelham, W. E., Massetti, G. M., Wilson, T., Kipp, H., Myers, D., Newman, B. B., Billheimer, S. y Waschbusch, D.A. (2005). Implementation of a comprehensive schoolwide behavioural intervention: the ABC Program. Journal of Attention Disorders, 9, 248-260.
Roselló, B., García, R., Tárraga, M., y Mulas, F. (2003). El papel de los padres en el desarrollo y aprendizaje de los niños con trastorno por déficit de atención con hiperactividad. Revista de Neurología, 79-84.
Sattler, J. M. (1982). The assessment of childrens intelligence (2nd Ed.). Boston: Allyn Bacon, Inc.
Swensen, A. R., Birnbaum, H. G., Secnik, C., Marychenko, M., Greenberg, P., y Claxton, A. (2003). Attention-Deficit hyperactivity disorder: Increased cost for patients and their families. Journal of American Academy of Child and Adolescent Psychiatry, 42, 1415-1423.
Taylor, E., Chadwick, O., Heptinstall, E. y Danckaerts, M. (1996). Hyperactivity and conduct problems at risk factors for adolescent development. Journal of the American Academy of Child and Adolescent Psychiatry, 35, 1213-36.
Wechsler, D. (1993). Escala de inteligencia para niños revisada. Madrid: TEA.
Downloads
Published
How to Cite
Issue
Section
License
All contents published in Escritos de Psicología are protected under the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International (CC BY-NC-SA 4.0) license. All about this license is available in the following link: <http://creativecommons.org/licenses/by-nc-sa/4.0>
Users can copy, use, redistribute, share and exhibit publicly as long as:
- The original source and authorship of the material are cited (Journal, Publisher and URL of the work).
- It is not used for comercial purposes.
- The existence of the license and its especifications are mentioned.
There are two sets of authors’ rights: moral and property rights. Moral rights are perpetual prerogatives, unrenounceable, not-transferable, unalienable, imprescriptible and inembargable. According to authors’ rights legislation, Escritos de Psicología recognizes and respects authors moral rights, as well as the ownership of property rights. The property rights are referred to the benefits that are gained by the use or the dissemination of works. Escritos de Psicología is published in an open access form and it is exclusively licenced by any means for doing or authorising distribution, dissemination, reproduction, , adaptation, translation or arrangement of works.
Authors are responsable for obtaining the necessary permission to use copyrighted images.