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IMPACT OF AN ADHD DIAGNOSIS IN CHILDREN’S FAMILY DYNAMICS  Machiñena Gracia, C; Díez Martínez-Morentin, A; Soutullo Esperón, C; Tricas-Sauras, S; Beunza Nuin, M. Child & Adolescent Psychiatric Unit, University Hospital, University of Navarra, Pamplona, Spain. BIBLIOGRAPHY Barkley R, Fischer M, Smallish L, Fletcher K. Young Adult Outcome of Hyperactive Children: Adaptative Functioning in Major Life Activities. J.Am Acad.Child Adolesc.Psychiatry, 45:2,  february 2006.  Dopfner M, Breuer D, Schurmann S, Metternich TW, Rademacher C, Lehmkuhl G. Effectiveness of an adaptative multimodal treatment in children with Attention-Deficit Hyperactivity  Disorder – global outcome. Eur Child Adolesc Psychiatry. 2004; 13 Suppl 1: I117-29 Escobar R, Soutullo C, Hervas A, Gastaminza X, Polavieja P, Gilaberte I. Worse Quality of Life for Children With Newly Diagnosed Attention-Deficit/Hyperactivity Disorder, Compared  With Asthmatic and Healthy Children. Pediatrics vol 116 No. 3 September 2005. Jensen PS, García JAA, Glied S,CroweM, Foster M, Schlander M, Hinshaw S, Vitiello B, Arnold LE, Elliott G, Hechman L, Newcorn JH, Pelham WE, Swanson J, Wells K. Cost- effectiveness of ADHD treatments: findings from the multimodal treatment study of children with ADHD. Am J Psychiatry. 2005 Sep; 162(9):1628-36.  The MTA Cooperativa Group. Multimodal Treatment Study of Children with ADHD. A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder.  Arch Gen Psychiatry. 1999 Dec; 56(12):1073-86  ADHD is a disabling, chronic illness, with high comorbidity and strong impact on family environment (1). INTRODUCTION RESULTS The Inattention subscale (p=0.012), the Total subscale (p=0.003), and the Oppositional Defiant Disorder (ODD) subscale (p=0.03) of the The DuPaul Questionnaire showed a significant decrease from T1 to T2 (Fig. 1). Such decrease was also found for the Conflict subcale (p=0.013) of the FES scale (Fig. 2), as well as for the Classmate Problems subscale (p=0.002), and the Difficult Total subscale (p= 0.003) of the SDQ (Fig. 3).  In the evaluation questionnaire, parents reported high satisfaction with the objectives of the psychoeducation. They referred a richer relationship with their children, and a better understanding of their behaviour. We designed an experimental study to help parents manage the behaviour of their ADHD children. We administered psychoeducation to 12 couples with ADHD children  divided into two modules of five weekly sessions of 45 minutes, with the following structure:  MODULE 1   Session 1 . Information about ADHD  MODULE 2 Based on cognitive-behavioral strategies and behavior modification :  Session 2 . Definition of behavior and techniques for enhancing behavior (I): the reinforcement  Session 3 . Token economy  Session 4 . Techniques to reduce or eliminate behavior (II): negative consequences (time-out) and extinction  Session 5 . Training in problem solving.  Couples filled in the DuPaul Questionnaire, the Strengths and Difficulties Questionnaire (SDQ), and the Family Environment Scale (FES) at two times, before (T1) and after (T2) psychoeducation. At the end of the program, parents also completed an evaluation questionnaire. MATERIALS   AND  METHODS From the data gathered, we can suggest that psychoeducation reduces family conflict, helps parents have a better management of their children’s behaviour, and reinforces the relationship between parents and children. Therefore, we can conclude that a five-session psychoeducation program may improve family dynamics. DISCUSSION Figure 1: DuPaul Questionnaire ( ADHD-RS) Figure 2: Family Environment Scale (FES) Figure 3: Strengths and Difficulties Questionnaire ( SDQ) * CONCLUSION Nurse’s psychoeducation could improve the course of ADHD as well as family dynamics. To assess the efficacy of a psychoeducational intervention in couples with children with ADHD. OBJECTIVE * ** * ** ** * p<0.05 ** p<0.01 * p<0.05 ** p<0.01

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Impacto en los niños diagnosticados de TDAH

  • 1. IMPACT OF AN ADHD DIAGNOSIS IN CHILDREN’S FAMILY DYNAMICS Machiñena Gracia, C; Díez Martínez-Morentin, A; Soutullo Esperón, C; Tricas-Sauras, S; Beunza Nuin, M. Child & Adolescent Psychiatric Unit, University Hospital, University of Navarra, Pamplona, Spain. BIBLIOGRAPHY Barkley R, Fischer M, Smallish L, Fletcher K. Young Adult Outcome of Hyperactive Children: Adaptative Functioning in Major Life Activities. J.Am Acad.Child Adolesc.Psychiatry, 45:2, february 2006. Dopfner M, Breuer D, Schurmann S, Metternich TW, Rademacher C, Lehmkuhl G. Effectiveness of an adaptative multimodal treatment in children with Attention-Deficit Hyperactivity Disorder – global outcome. Eur Child Adolesc Psychiatry. 2004; 13 Suppl 1: I117-29 Escobar R, Soutullo C, Hervas A, Gastaminza X, Polavieja P, Gilaberte I. Worse Quality of Life for Children With Newly Diagnosed Attention-Deficit/Hyperactivity Disorder, Compared With Asthmatic and Healthy Children. Pediatrics vol 116 No. 3 September 2005. Jensen PS, García JAA, Glied S,CroweM, Foster M, Schlander M, Hinshaw S, Vitiello B, Arnold LE, Elliott G, Hechman L, Newcorn JH, Pelham WE, Swanson J, Wells K. Cost- effectiveness of ADHD treatments: findings from the multimodal treatment study of children with ADHD. Am J Psychiatry. 2005 Sep; 162(9):1628-36. The MTA Cooperativa Group. Multimodal Treatment Study of Children with ADHD. A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Arch Gen Psychiatry. 1999 Dec; 56(12):1073-86 ADHD is a disabling, chronic illness, with high comorbidity and strong impact on family environment (1). INTRODUCTION RESULTS The Inattention subscale (p=0.012), the Total subscale (p=0.003), and the Oppositional Defiant Disorder (ODD) subscale (p=0.03) of the The DuPaul Questionnaire showed a significant decrease from T1 to T2 (Fig. 1). Such decrease was also found for the Conflict subcale (p=0.013) of the FES scale (Fig. 2), as well as for the Classmate Problems subscale (p=0.002), and the Difficult Total subscale (p= 0.003) of the SDQ (Fig. 3). In the evaluation questionnaire, parents reported high satisfaction with the objectives of the psychoeducation. They referred a richer relationship with their children, and a better understanding of their behaviour. We designed an experimental study to help parents manage the behaviour of their ADHD children. We administered psychoeducation to 12 couples with ADHD children divided into two modules of five weekly sessions of 45 minutes, with the following structure: MODULE 1 Session 1 . Information about ADHD MODULE 2 Based on cognitive-behavioral strategies and behavior modification : Session 2 . Definition of behavior and techniques for enhancing behavior (I): the reinforcement Session 3 . Token economy Session 4 . Techniques to reduce or eliminate behavior (II): negative consequences (time-out) and extinction Session 5 . Training in problem solving. Couples filled in the DuPaul Questionnaire, the Strengths and Difficulties Questionnaire (SDQ), and the Family Environment Scale (FES) at two times, before (T1) and after (T2) psychoeducation. At the end of the program, parents also completed an evaluation questionnaire. MATERIALS AND METHODS From the data gathered, we can suggest that psychoeducation reduces family conflict, helps parents have a better management of their children’s behaviour, and reinforces the relationship between parents and children. Therefore, we can conclude that a five-session psychoeducation program may improve family dynamics. DISCUSSION Figure 1: DuPaul Questionnaire ( ADHD-RS) Figure 2: Family Environment Scale (FES) Figure 3: Strengths and Difficulties Questionnaire ( SDQ) * CONCLUSION Nurse’s psychoeducation could improve the course of ADHD as well as family dynamics. To assess the efficacy of a psychoeducational intervention in couples with children with ADHD. OBJECTIVE * ** * ** ** * p<0.05 ** p<0.01 * p<0.05 ** p<0.01