Universität zu Köln

Daley, David, van der Oord, Saskia, Ferrin, Maite, Danckaerts, Marina ORCID: 0000-0002-7168-963X, Doepfner, Manfred, Cortese, Samuele and Sonuga-Barke, Edmund J. S. (2014). Behavioral Interventions in Attention-Deficit/Hyperactivity Disorder: A Meta-Analysis of Randomized Controlled Trials Across Multiple Outcome Domains. J. Am. Acad. Child Adolesc. Psychiatr., 53 (8). S. 835 - 848. NEW YORK: ELSEVIER SCIENCE INC. ISSN 1527-5418

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Abstract

Objective: Behavioral interventions are recommended as attention-deficit/hyperactivity disorder (ADHD) treatments. However, a recent meta-analysis found no effects on core ADHD symptoms when raters were probably blind to treatment allocation. The present analysis is extended to a broader range of child and parent outcomes. Method: A systematic search in Pub Med, Ovid, Web of Knowledge, ERIC, and CINAHAL databases (up to February 5, 2013) identified published randomized controlled trials measuring a range of patient and parent outcomes for children and adolescents diagnosed with ADHD (or who met validated cutoffs on rating scales). Results: Thirty-two of 2,057 nonduplicate screened records were analyzed. For assessments made by individuals closest to the treatment setting (usually unblinded), there were significant improvements in parenting quality (standardized mean difference [SMD] for positive parenting 0.68; SMD for negative parenting 0.57), parenting self-concept (SMD 0.37), and child ADHD (SMD 0.35), conduct problems (SMD 0.26), social skills (SMD 0.47), and academic performance (SMD 0.28). With probably blinded assessments, significant effects persisted for parenting (SMD for positive parenting 0.63; SMD for negative parenting 0.43) and conduct problems (SMD 0.31). Conclusion: In contrast to the lack of blinded evidence of ADHD symptom decrease, behavioral interventions have positive effects on a range of other outcomes when used with patients with ADHD. There is blinded evidence that they improve parenting and decrease childhood conduct problems. These effects also may feed through into a more positive parenting self-concept but not improved parent mental well-being.

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 Danckaerts, Marina UNSPECIFIED orcid.org/0000-0002-7168-963X UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED Cortese, Samuele UNSPECIFIED UNSPECIFIED UNSPECIFIED Sonuga-Barke, Edmund J. S. UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-432900
DOI:	10.1016/j.jaac.2014.05.013
Journal or Publication Title:	J. Am. Acad. Child Adolesc. Psychiatr.
Volume:	53
Number:	8
Page Range:	S. 835 - 848
Date:	2014
Publisher:	ELSEVIER SCIENCE INC
Place of Publication:	NEW YORK
ISSN:	1527-5418
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DEFICIT HYPERACTIVITY DISORDER; POSITIVE PARENTING PROGRAM; PRESCHOOL-CHILDREN; FOLLOW-UP; TRIPLE-P; ADHD; MEDICATION; EFFICACY; LONG; METHYLPHENIDATE Multiple languages Psychology, Developmental; Pediatrics; Psychiatry Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/43290