ABSTRACT

Objective

We evaluated the extent to which receiving the multi-component treatment of the Challenging Horizons Program (CHP) would lead to significant improvements in social functioning, as well as in inattention, internalizing symptoms, parent stress, and emotion dysregulation for high-school-aged adolescents with attention-deficit hyperactivity disorder (ADHD).

Method

Participants were 186 high-school-aged adolescents (74% White) with a diagnosis of ADHD who were randomly assigned to either CHP (n = 92; 80% boys; M age = 15.0; SD = 0.8) or Community Care (CC; n = 94; 78% boys; M age = 15.1; SD = 0.9) within each of 12 participating schools. Parent and adolescent reports of social functioning were the primary outcome measures. Secondary outcomes included ratings of symptoms of ADHD and related disorders, parent stress, and emotion regulation.

Results

Intent-to-treat analyses using hierarchical linear modeling revealed significant group-by-time interactions of medium magnitude (d range = .40 to .52) on parent-rated social skills. Significant group-by-time benefits were also identified for adolescent self-rated social skills as well as the secondary outcomes of parent-rated inattention symptoms, emotion regulation, and parenting stress.

Discussion

CHP appears to benefit social skills along with related characteristics for adolescents with ADHD. Understanding these unique findings for this population informs additional research related to treatment mechanisms and effectiveness trials.

中文翻译：

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以高中为基础的多动症青少年治疗计划的社会功能成果

摘要

客观的

我们评估了接受挑战视野计划 (CHP) 的多成分治疗将在多大程度上显着改善高中生的社会功能以及注意力不集中、内化症状、父母压力和情绪失调患有注意力缺陷多动障碍（ADHD）的青少年。

方法

参与者是 186 名被诊断患有 ADHD 的高中青少年（74% 白人），他们被随机分配到 CHP（n  = 92；80% 男孩；M年龄 = 15.0；SD  = 0.8）或社区护理（CC；CC；n  = 94；78% 为男孩；M年龄 = 15.1；SD  = 0.9）在 12 所参与学校中的每所学校中。家长和青少年的社会功能报告是主要的结果指标。次要结果包括多动症和相关疾病的症状评级、父母压力和情绪调节。

结果

使用分层线性模型进行的意向治疗分析显示，在家长评价的社交技能上，按时间组间的显着交互作用为中等程度（ d范围 = 0.40 至 0.52）。青少年自我评价的社交技能以及父母评价的注意力不集中症状、情绪调节和养育压力的次要结果也发现了按时间分组的显着益处。

讨论

CHP 似乎有利于患有多动症的青少年的社交技能以及相关特征。了解该人群的这些独特发现可为与治疗机制和有效性试验相关的其他研究提供信息。