Universität zu Köln

Daley, David, Van der Oord, Saskia, Ferrin, Maite, Cortese, Samuele ORCID: 0000-0001-5877-8075, Danckaerts, Marina, Doepfner, Manfred, Van den Hoofdakker, Barbara J., Coghill, David, Thompson, Margaret, Asherson, Philip ORCID: 0000-0003-2667-2254, Banaschewski, Tobias, Brandeis, Daniel, Buitelaar, Jan, Dittmann, Ralf W., Hollis, Chris ORCID: 0000-0003-1083-6744, Holtmann, Martin, Konofal, Eric, Lecendreux, Michel, Rothenberger, Aribert, Santosh, Paramala ORCID: 0000-0003-4830-5893, Simonoff, Emily ORCID: 0000-0002-5450-0823, Soutullo, Cesar, Steinhausen, Hans Christoph, Stringaris, Argyris, Taylor, Eric, Wong, Ian C. K., Zuddas, Alessandro and Sonuga-Barke, Edmund J. (2018). Practitioner Review: Current best practice in the use of parent training and other behavioural interventions in the treatment of children and adolescents with attention deficit hyperactivity disorder. J. Child Psychol. Psychiatry, 59 (9). S. 932 - 948. HOBOKEN: WILEY. ISSN 1469-7610

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Abstract

Background: Behavioural interventions are recommended for use with children and young people with attention deficit hyperactivity disorder (ADHD); however, specific guidance for their implementation based on the best available evidence is currently lacking. Methods: This review used an explicit question and answer format to address issues of clinical concern, based on expert interpretation of the evidence with precedence given to meta-analyses of randomised controlled trials. Results: On the basis of current evidence that takes into account whether outcomes are blinded, behavioural intervention cannot be supported as a front-line treatment for core ADHD symptoms. There is, however, evidence from measures that are probably blinded that these interventions benefit parenting practices and improve conduct problems which commonly co-occur with ADHD, and are often the main reason for referral. Initial positive results have also been found in relation to parental knowledge, children's emotional, social and academic functioning - although most studies have not used blinded outcomes. Generic and specialised ADHD parent training approaches - delivered either individually or in groups - have reported beneficial effects. High-quality training, supervision of therapists and practice with the child, may improve outcomes but further evidence is required. Evidence for who benefits the most from behavioural interventions is scant. There is no evidence to limit behavioural treatments to parents with parenting difficulties or children with conduct problems. There are positive effects of additive school-based intervention for the inattentive subtype. Targeting parental depression may enhance the effects of behavioural interventions. Conclusions: Parent training is an important part of the multimodal treatment of children with ADHD, which improves parenting, reduces levels of oppositional and noncompliant behaviours and may improve other aspects of functioning. However, blinded evidence does not support it as a specific treatment for core ADHD symptoms. More research is required to understand how to optimise treatment effectiveness either in general or for individual patients and explore potential barriers to treatment uptake and engagement. In terms of selecting which intervention formats to use, it seems important to acknowledge and respond to parental treatment preferences.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code Daley, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Van der Oord, Saskia UNSPECIFIED UNSPECIFIED UNSPECIFIED Ferrin, Maite UNSPECIFIED UNSPECIFIED UNSPECIFIED Cortese, Samuele UNSPECIFIED orcid.org/0000-0001-5877-8075 UNSPECIFIED Danckaerts, Marina UNSPECIFIED UNSPECIFIED UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED Van den Hoofdakker, Barbara J. UNSPECIFIED UNSPECIFIED UNSPECIFIED Coghill, David UNSPECIFIED UNSPECIFIED UNSPECIFIED Thompson, Margaret UNSPECIFIED UNSPECIFIED UNSPECIFIED Asherson, Philip UNSPECIFIED orcid.org/0000-0003-2667-2254 UNSPECIFIED Banaschewski, Tobias UNSPECIFIED UNSPECIFIED UNSPECIFIED Brandeis, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Buitelaar, Jan UNSPECIFIED UNSPECIFIED UNSPECIFIED Dittmann, Ralf W. UNSPECIFIED UNSPECIFIED UNSPECIFIED Hollis, Chris UNSPECIFIED orcid.org/0000-0003-1083-6744 UNSPECIFIED Holtmann, Martin UNSPECIFIED UNSPECIFIED UNSPECIFIED Konofal, Eric UNSPECIFIED UNSPECIFIED UNSPECIFIED Lecendreux, Michel UNSPECIFIED UNSPECIFIED UNSPECIFIED Rothenberger, Aribert UNSPECIFIED UNSPECIFIED UNSPECIFIED Santosh, Paramala UNSPECIFIED orcid.org/0000-0003-4830-5893 UNSPECIFIED Simonoff, Emily UNSPECIFIED orcid.org/0000-0002-5450-0823 UNSPECIFIED Soutullo, Cesar UNSPECIFIED UNSPECIFIED UNSPECIFIED Steinhausen, Hans Christoph UNSPECIFIED UNSPECIFIED UNSPECIFIED Stringaris, Argyris UNSPECIFIED UNSPECIFIED UNSPECIFIED Taylor, Eric UNSPECIFIED UNSPECIFIED UNSPECIFIED Wong, Ian C. K. UNSPECIFIED UNSPECIFIED UNSPECIFIED Zuddas, Alessandro UNSPECIFIED UNSPECIFIED UNSPECIFIED Sonuga-Barke, Edmund J. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-175675
DOI:	10.1111/jcpp.12825
Journal or Publication Title:	J. Child Psychol. Psychiatry
Volume:	59
Number:	9
Page Range:	S. 932 - 948
Date:	2018
Publisher:	WILEY
Place of Publication:	HOBOKEN
ISSN:	1469-7610
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language RANDOMIZED CONTROLLED-TRIAL; SELF-CONTROL THERAPY; DEFICIT/HYPERACTIVITY-DISORDER; NONPHARMACOLOGICAL INTERVENTIONS; NEUROPSYCHOLOGICAL OUTCOMES; CLINICAL-TRIAL; MATERNAL ADHD; HIGH-RISK; PROGRAM; METAANALYSIS Multiple languages Psychology, Developmental; Psychiatry; Psychology Multiple languages
Refereed:	Yes
URI:	http://kups.ub.uni-koeln.de/id/eprint/17567