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Behavioral interventions in attention-deficit/hyperactivity disorder : a meta-analysis of randomized controlled trials across multiple outcome domains
JournalArticle (Originalarbeit in einer wissenschaftlichen Zeitschrift)
 
ID 2722982
Author(s) Daley, David; van der Oord, Saskia; Ferrin, Maite; Danckaerts, Marina; Doepfner, Manfred; Cortese, Samuele; Sonuga-Barke, Edmund J. S.; European Adhd Guidelines Group,
Author(s) at UniBasel Steinhausen, Hans-Christoph
Year 2014
Title Behavioral interventions in attention-deficit/hyperactivity disorder : a meta-analysis of randomized controlled trials across multiple outcome domains
Journal Journal of the American Academy of Child and Adolescent Psychiatry
Volume 53
Number 8
Pages / Article-Number 835-47, 847.e1-5
Keywords ADHD, parenting, intervention, conduct
Mesh terms Adolescent; Attention Deficit Disorder with Hyperactivity, psychology, therapy; Behavior Therapy, methods, statistics & numerical data; Child; Child Behavior; Humans; Mental Health; Outcome Assessment, Health Care; Parenting, psychology; Randomized Controlled Trials as Topic
Abstract 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.; A systematic search in PubMed, 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).; 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).; 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.
Publisher Elsevier
ISSN/ISBN 0890-8567
edoc-URL http://edoc.unibas.ch/dok/A6308451
Full Text on edoc No
Digital Object Identifier DOI 10.1016/j.jaac.2014.05.013
PubMed ID http://www.ncbi.nlm.nih.gov/pubmed/25062591
Document type (ISI) Journal Article, Review
 
   

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