J Korean Neuropsychiatr Assoc.  2015 Feb;54(1):119-126. 10.4306/jknpa.2015.54.1.119.

The Effects of Narrative Therapy for Children with Attention Deficit Hyperactivity Disorder

Affiliations
  • 1Department of Psychology, Chung-Ang University, Seoul, Korea.
  • 2Department of Psychiatry, Chung-Ang University College of Medicine, Seoul, Korea. hduk@yahoo.com

Abstract


OBJECTIVES
Clinical symptoms and related psychological problems in children with attention deficit hyperactivity disorder (ADHD) are associated with low self-control and problematic interpersonal relationship between family members. A therapeutic narrative treatment based on "Treating Huckleberry Finn" by David Nylund was reported to be effective in reduction of individual or family conflicts. We hypothesized that therapeutic narrative treatment would improve self-control and parent-child relational problems.
METHODS
Sixteen children who were diagnosed as ADHD participated in the current study. They were classified according to two groups, narrative treatment group and medication treatment group. The narrative treatment group (NTG) was asked to participate in 6 weeks combined therapy of medication and 11 sessions of narrative therapeutic treatment. The medication group (MG) was asked to participate in 6 weeks combined therapy of medication and education for behavior controls in ADHD children.
RESULTS
During the 6-week treatment period, the clinical symptoms in NTG improved at a trend level, compared to MG [F(1,16)=4.32, p=0.054]. During the 6-week treatment period, the sub-scale of respecting for children in parent-child interaction scores [F(1,16)=8.65, p=0.010] and self-control scores [F(1.16)=3.78, p<0.01] in NTG improved significantly, compared to MG.
CONCLUSION
Based on the current results, therapeutic narrative treatment can be a complementary trial for improving self-control and parent-child interaction in children with ADHD.

Keyword

Therapeutic narrative therapy; Attention deficit hyperactivity disorder; Self-control; Parent-child interaction

MeSH Terms

Attention Deficit Disorder with Hyperactivity*
Behavior Control
Child*
Education
Family Conflict
Huckleberry Plant
Humans
Narrative Therapy*

Figure

  • Fig. 1 The changes in ADHD symptoms and Parent-Child Interaction scores during 6 weeks. K-ARS : Korean-Attention deficit hyperactivity disorder (ADHD) Rating Scale, PCI-CRs : Parent Child Interaction score-Child Respect scores.


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