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

Ji Won Han; Myoung Ho Hyun; Doug Hyun Han; Ji Hyun Son; Sun Mi Kim; Sujin Bae

doi:10.4306/jknpa.2015.54.1.119

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Han, Hyun, Han, Son, Kim, and Bae: The Effects of Narrative Therapy for Children with Attention Deficit Hyperactivity Disorder

Original Article

Journal of Korean Neuropsychiatric Association 2015; 54(1): 119-126.

Published online: 28 February 2015

DOI: https://doi.org/10.4306/jknpa.2015.54.1.119

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

Ji Won Han, MA¹, Myoung Ho Hyun, PhD¹, Doug Hyun Han, MD, PhD², Ji Hyun Son, MD², Sun Mi Kim, MD, PhD², Sujin Bae, PhD²

¹Department of Psychology, Chung-Ang University, Seoul, Korea.

²Department of Psychiatry, Chung-Ang University College of Medicine, Seoul, Korea.

Address for correspondence: Doug Hyun Han, MD, PhD. Department of Psychiatry, Chung-Ang University, College of Medicine, 102 Heukseok-ro, Dongjak-gu, Seoul 156-755, Korea. Tel +82-2-6299-3132, Fax +82-2-6299-1114, hduk@yahoo.com

Received 4 December 2014 Revised 10 December 2014 Accepted 7 January 2015

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.

Keywords: Therapeutic narrative therapy, Attention deficit hyperactivity disorder, Self-control, Parent-child interaction

Figures and Tables

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.

Table 1

Demographic characteristics

SD : Standard deviation, K-ARS : Korean-Attention deficit hyperactivity disorder Rating Scale, K-WISC : Korean-Wechsler Intelligence Scale for Children, SES : Social Economic State, H : High, M : Middle, L : Low, Y : Yes, N : No

Table 2

Examination of pre assessment score and difference between multi-therapy treated group and drug treated group

SD : Standard deviation, K-ARS : Korean-Attention deficit hyperactivity disorder Rating Scale, PCI : Parent Child Interaction score, CRs : Child Respect scores, nPunish : Non-Punishment scores, EmotE : Emotional Expression, ActE : Activity emotional Expression, RIB : Recommendation for Independent Behavior, CB : Constance behavior

Notes

The authors have no financial conflicts of interest.

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