Background: Research has shown that CBT can reduce ADHD symptoms and improve interpersonal skills of ADHD children and parental involvement is crucial for the treatment outcome. This study intends to examine the effect of a parent-child cognitive-behavioral group therapy (CBGT) program on Taiwanese children with ADHD.
Methods: Twenty-nine Taiwanese parent-child (grade 2-5) sets, in 6 groups, completed a 22-session CBGT program, which included 3 parent-only and 18 parent-child weekly sessions and one booster session; each session lasted 90 minutes. The Child Behavior Checklist (CBCL), Teacher Report Form (TRF), Child Attention Profile, and Disruptive Behavior Rating Scale were completed by parents and teachers at pre- and post-test.
Results: (1) All the CBCL and TRF post-test scores were lower than the pre-test scores, except somatic complaints on the TRF. (2) Scores on the CBCL scales of internalizing syndromes (anxious/depressed), externalizing syndromes (rule-breaking behavior and aggressive behavior), though problem, and total problem significantly reduced after treatment. (3) Scores on the TRF scale of attention problem (hyperactivity-impulsivity) significantly reduced after treatment. (4) The DSM-oriented scale scores of affective and ADHD problem on the CBCL as well as of ADHD problem on the TRF also significantly reduced after treatment.
Conclusions: The results support some positive effect of a parent-child CBGT program for ADHD children. Future research should evaluate the effect and cultural implication of such a program on Taiwanese parenting behaviors.
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