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45

Educational goals

Friday, 29 May 2015

ES-1

Educational Seminar

17:00–18:00

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Carron 1/2

Organisation and carrying out of parent training in

ADHD

Chair: C. Neuhaus, Germany

Purpose of the seminar:

Improving the communication-

strategies in families with ADHD.

Description of the seminar content:

Children with

ADHD have at least one parent, who has ADHD as well

(and knows the effect of negative communication: one

fails to react as one wants or should do). Parents should be

exceptionally well versed in the functionality of the brain

with ADHD, as those with one, are, amongst other things,

at the mercy of their emotions. This level of understanding

requires the assistance of a therapist with profound know-

ledge of ADHD in childhood, during adolescence as well

as in adulthood with all it‘s comorbidities. If parents really

understand this specific dysregulation of emotion, motiva-

tion and self-discipline, they can develop a positive atti-

tude towards the unique style of perception and reaction

in the family, learn to talk without nagging, to react sup-

portively, and to announce every task in a friendly fashion

(incl. learning to analyze conflicts and coping with self-

management deficits). If it is understood that the child

does not want to react inadequately and suffers from its

faults (along with the parent!) and parents are prepared

that „surprises“ may happen every minute of the day, they

can react promptly, albeit relaxed, and able to immediately

reinforce the next positive behavior. Since punishment or

negative consequences worsen the family interaction and

childs self-esteem, as has been proven in clinical practice,

the neuro-biological understanding of the child with

ADHD is essential to shift these into the positive.

Audience to be addressed:

Healthcare professionals in-

terested in getting an overview in ADHD-specific parent

training.

ES-2

Educational Seminar

17:00–18:00

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Alsh 1/2

Ambulatory assessment to study ADHD patients in

their natural environment

Chair: C. Gawrilow, Germany

F. Schmiedek, Germany

Objectives:

Ambulatory assessment and experience sam-

pling methods have important advantages for behavioral

science. First, objective measures of behavior and subjec-

tive experience collected in real life provide more ecologi-

cally valid information than assessments in the laboratory

or retrospective self-reports. Second, measuring persons

repeatedly over many occasions provides the necessary

data to investigate intraindividual variability and within-

person processes. Given the importance of behavioral va-

riability in ADHD and its multifaceted symptomatology,

these aspects carry particular promise for research on this

disorder. Here, fluctuations of cognitive performance at

different timescale levels (moment-to-moment, within and

across days) and potential antecendent factors (e.g., mood

and motivation) will be used as an example to show how

multilevel models for repeated measures can be applied to

analyze ambulatory assessment data and address research

questions of (a) whether certain variables exhibit systema-

tic fluctuations within persons, (b) whether and how such

fluctuations are coupled across different variables, and (c)

whether and how persons differ in the strength of these

couplings.

Data from 110 third and fourth graders (without diagnosis

of ADHD) who took part in an ambulatory assessment stu-

dy over four weeks are used to illustrate the application of

multilevel models. On each day, children did several trials

of two working memory updating tasks (numerical and

spatial) on smartphones and provided self-reports (e.g.,

affect, motivation, sleep) on up to four occasions each day

during school and leisure time. Working memory perfor-

mance reliably fluctuated across and within days. Fluctua-

tions were significantly associated with other variables,

like sleep, affect, and motivation. Children differed in the

amount of fluctuations and in the strength of couplings to

other variables. Multilevel models allow investigating

within-person processes and between-person differences

therein and are therefore perfectly suited to analyze data

from ambulatory assessment studies. Extensions and alter-

natives (like multilevel structural equation or time series

models) are discussed. Another study extends this work by

addressing the question of whether ADHD symptoms

show considerable daily fluctuations within-person, and

analysing the factor structure of such symptom fluctu­

ations. Altogether, 255 adolescents with and without

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Registration fee for Educational Seminars and Meet the Experts, per session: EUR 30.

Only valid in combination with the congress registration fee.