Efficacy of behavioural parent training on attachment security in children with attention deficit hyperactivity disorder: a randomised controlled trial

Ayaka Ishii-Takahashi; Junko Hamada; Rio Yamaguchi; Takuya Kawahara; Takayo Mukai; Sudre Gustavo; Philip Shaw; Sato Ashida; Laura Koehly; Kengo Tsujimoto; Yuzu Yoshimaru; Yukiko Kano

doi:10.1186/s13063-024-08431-z

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Efficacy of behavioural parent training on attachment security in children with attention deficit hyperactivity disorder: a randomised controlled trial

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Efficacy of behavioural parent training on attachment security in children with attention deficit hyperactivity disorder: a randomised controlled trial

Ayaka Ishii-Takahashi, Junko Hamada, Rio Yamaguchi, Takuya Kawahara, Takayo Mukai, Sudre Gustavo, Philip Shaw, Sato Ashida, Laura Koehly, Kengo Tsujimoto, …

Current controlled trials in cardiovascular medicine, Vol.25(1), 656

12/01/2024

DOI: 10.1186/s13063-024-08431-z

PMCID: PMC11451210

PMID: 39367489

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Abstract

BackgroundBehavioural parent training (BPT) is a psychosocial intervention designed for children with attention deficit hyperactivity disorder (ADHD). BPT programs teach parents to use effective commands or rules whilst encouraging them to pay careful attention to their child’s appropriate behaviour. In this study, we will investigate the efficacy of BPT on parental stress, mothers’ sense of emotional closeness to their children, and children’s attachment security to their mothers. We will also examine the effects of BPT on children’s internalising and externalising symptoms, ADHD symptoms, and sensitivity to rewards and punishments compared to usual care alone. The use of bias-prone assessment tools limits the ability of previous studies to assess effectiveness. Therefore, in this study, the child’s attachment security will be assessed in a structured interview conducted by assessors blinded to group allocation, and brain changes will be assessed using magnetic resonance imaging.MethodsThis randomised controlled clinical trial will aim to compare the efficacy of BPT to routine clinical care for 60 children with ADHD. Participants will be randomised, with stratification by medication status for ADHD (medicated or non-medicated). The BPT intervention group will receive parent training weekly for 10 weeks in a group of six or less. The primary outcome measure will be changes in parental stress. Furthermore, the key secondary outcome measure will be the child’s attachment security, which will be assessed in an interview conducted by assessors blinded to group allocation. We will also evaluate changes in neural connectivity in both children and mothers using magnetic resonance imaging. Other secondary outcomes will include child behavioural problems, ADHD symptoms, emotional regulation, child sensitivity to rewards and punishments, parental behaviour, and the child and parent’s social support network following the completion of 10 sessions.DiscussionThis study represents the first randomised controlled trial exploring the efficacy of BPT on child attachment security and mothers’ sense of emotional closeness to their children. It aims to provide robust evidence to assist parents of children with ADHD in making appropriate treatment decisions.Trial registrationUMIN000038693. Registered on November 9, 2019.

Autism

Behavior Modification

Children & Youth

Chronic Illnesses

Clinical Trials

Comorbidity

Hyperactivity

Magnetic Resonance Imaging

Mental Health

Stress

Attachment

Attention deficit hyperactivity disorder

Brain research

Child & adolescent psychiatry

Intervention

Mothers

Neurosciences

Parents & parenting

R&D

Research & development

Details

Title: Subtitle: Efficacy of behavioural parent training on attachment security in children with attention deficit hyperactivity disorder: a randomised controlled trial
Creators: Ayaka Ishii-Takahashi
Junko Hamada - University of Tokyo Hospital
Rio Yamaguchi - University of Tokyo Hospital
Takuya Kawahara - University of Tokyo Hospital
Takayo Mukai - University of the Sacred Heart
Sudre Gustavo - National Human Genome Research Institute
Philip Shaw - National Human Genome Research Institute
Sato Ashida - University of Iowa
Laura Koehly - National Human Genome Research Institute
Kengo Tsujimoto - National Center of Neurology and Psychiatry
Yuzu Yoshimaru - National Institute of Mental Health
Yukiko Kano - University of Tokyo Hospital
Resource Type: Journal article
Publication Details: Current controlled trials in cardiovascular medicine, Vol.25(1), 656
DOI: 10.1186/s13063-024-08431-z
PMID: 39367489
PMCID: PMC11451210
NLM abbreviation: Trials
ISSN: 1745-6215
eISSN: 1745-6215
Publisher: BioMed Central
Grant note: Japan Agency for Medical Research and Development (AMED): JP21gk0110035h0003 Japan Society for the Promotion of Science, KAKENHI: 23K07050
This study was supported in part by the Japan Agency for Medical Research and Development (AMED) under grant number JP21gk0110035h0003 to AI-T and the Japan Society for the Promotion of Science, KAKENHI under Grant-in-Aid for Scientific Research (C) No. 23K07050 to AI-T.
Language: English
Date published: 12/01/2024
Academic Unit: Injury Prevention Research Center; Community and Behavioral Health
Record Identifier: 9984721250302771

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