Treatment Efficacy of Multiple Family Narrative Therapy for Chinese Families of Children with Attention-Deficit/Hyperactivity Disorder: A Randomized Controlled Trial.

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Title: Treatment Efficacy of Multiple Family Narrative Therapy for Chinese Families of Children with Attention-Deficit/Hyperactivity Disorder: A Randomized Controlled Trial.
Authors: Chan, Tak Mau Simon1 (AUTHOR) simon.chan@uvm.edu, Au-Yeung, Hoyee2 (AUTHOR)
Source: Child & Adolescent Social Work Journal. Feb2026, Vol. 43 Issue 1, p219-232. 14p.
Subject Terms: *Psychotherapy, *Social workers, *Data analysis, *Parent attitudes, *Control groups, *Pre-tests & post-tests, *Academic achievement, *Comparative studies, *Evaluation, *Children, Treatment of attention-deficit hyperactivity disorder, Families & psychology, Family psychotherapy, Repeated measures design, T-test (Statistics), Statistical sampling, Sample size (Statistics), Questionnaires, Paired comparisons (Mathematics), Treatment effectiveness, Randomized controlled trials, Chi-squared test, Descriptive statistics, Psychological stress, Guilt (Psychology), Analysis of variance, Statistics, Shame, Data analysis software
Geographic Terms: Hong Kong (China)
Abstract: This study examined the treatment efficacy of multiple family narrative therapy (MFNT) on psychological well-being and parent-child relationship among Chinese families of children with attention-deficit/hyperactivity disorder (ADHD) in Hong Kong. ADHD highly affects the academic performance of children and causes stress from its symptoms and medication side effects, while parents struggle to align their children's needs with school and social expectations. Randomized control trial by site was adopted. A total of 61 families were randomized into the treatment group and the waitlist control group. Assessments were made at pre-intervention and post-intervention, and a 3-month follow-up assessment was made to assess the sustainability of the effects. Participants demonstrated significant reduction in parents' psychological distress (p =.047), child-perceived parental rejection (p =.015), and paternal overprotection (p =.001). However, no significant results were observed on parental stress, guilt and shame, and parent-perceived parent-child relationships. As conventional support in Hong Kong for families raising children with ADHD primarily focuses on children's behavioral performance, MFNT establishes crucial groundwork for promoting psychological well-being, addressing intrafamilial needs, and enhancing parent-child relationships through a shift in parental perceptions of ADHD. Limitations and recommendations for future studies are discussed. [ABSTRACT FROM AUTHOR]
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Abstract:This study examined the treatment efficacy of multiple family narrative therapy (MFNT) on psychological well-being and parent-child relationship among Chinese families of children with attention-deficit/hyperactivity disorder (ADHD) in Hong Kong. ADHD highly affects the academic performance of children and causes stress from its symptoms and medication side effects, while parents struggle to align their children's needs with school and social expectations. Randomized control trial by site was adopted. A total of 61 families were randomized into the treatment group and the waitlist control group. Assessments were made at pre-intervention and post-intervention, and a 3-month follow-up assessment was made to assess the sustainability of the effects. Participants demonstrated significant reduction in parents' psychological distress (p =.047), child-perceived parental rejection (p =.015), and paternal overprotection (p =.001). However, no significant results were observed on parental stress, guilt and shame, and parent-perceived parent-child relationships. As conventional support in Hong Kong for families raising children with ADHD primarily focuses on children's behavioral performance, MFNT establishes crucial groundwork for promoting psychological well-being, addressing intrafamilial needs, and enhancing parent-child relationships through a shift in parental perceptions of ADHD. Limitations and recommendations for future studies are discussed. [ABSTRACT FROM AUTHOR]
ISSN:07380151
DOI:10.1007/s10560-024-00997-6