Does brief, clinically based, intensive multimodal behavior therapy enhance the effects of methylphenidate in children with ADHD?

2006 ◽  
Vol 16 (1) ◽  
pp. 48-57 ◽  
Author(s):  
Saskia van der Oord ◽  
Pier J.M. Prins ◽  
Jaap Oosterlaan ◽  
Paul M.G. Emmelkamp
2019 ◽  
Vol 47 (12) ◽  
pp. 1889-1902 ◽  
Author(s):  
Hasse De Meyer ◽  
Tom Beckers ◽  
Gail Tripp ◽  
Saskia van der Oord

Author(s):  
Stephen P. Hinshaw ◽  
Rachel G. Klein ◽  
Howard B. Abikoff

Attention-deficit/hyperactivity disorder (ADHD) is a persistent disorder of childhood and adolescence that mandates early and effective intervention. Among psychosocial interventions, direct contingency management applies systematic manipulation of rewards and punishments in specialized settings. It typically yields large effects on behavior and academic performance, but (a) outcomes are often appraised through single-case experimental designs, outside the typology of clinical trials used in this volume, and (b) their effects tend not to generalize or maintain beyond the settings in which they are applied. Clinical behavior therapy involves consultation with parents and teachers regarding optimal home and school management practices. A number of Type 2 trials demonstrate the clinical value of such procedures for the behavior problems of children with ADHD as rated by parents and teachers but typically not by independent observations. Several Type 1 investigations of systematic combinations of direct contingency management plus clinical behavior therapy have yielded findings indicating significant improvements, but effects on symptoms are smaller than those found with medication. Multimodal treatment—combining intensive behavioral intervention with well-delivered pharmacological agents—does not always reveal significantly superior outcomes to medication alone, but it more consistently yields normalization of behavior patterns among children with ADHD. Further work on tailoring psychosocial interventions to ADHD-related deficits and impairments and on promoting generalized change beyond specifically targeted behaviors is urgently needed.


2015 ◽  
Vol 4 (1) ◽  
pp. 4-11
Author(s):  
Maha Khalid ◽  
Amina Asif Siddiqui ◽  
Tahoora Javed Chandna

Attention Deficit Hyperactivity Disorder (ADHD) is a behavioral disorder of childhood, having neurogenic origin. Children with ADHD are characterized by lack of focus and attention on tasks that typically developing children are able to perform. The increased prevalence of ADHD globally may be attributed to increased awareness of the condition in society, and also its genuine rise in children. The prevalence of children with ADHD at CSLHS estimates to four per month. These children warrant treatment by a team of medical and allied health professionals who are psychologists, neurologists, pediatricians, behavior therapist, occupational and speech-language therapists and remedial educationists. A meta-analysis was carried out to review three clinical trials conducted in developed countries that addressed the efficacy and effectiveness of stimulant and non-stimulant drugs given to children with ADHD, in concomitance with behavior therapy. Medication along with the allied therapy services presented globally better results in the children with ADHD, with fulfilled educational needs and improved quality of life for their families. Appropriate attentional skills, are a key pre-requisite for acquisition and learning of communication skills in all modalities, which manifest a child’s academic success, through childhood and adolescence. Further, children presenting with ADHD are challenged by the dearth of early intervention in developing countries; hence an appropriate combination of pharmacological, behavior therapy along with parent and teacher training can lead to their successful rehabilitation.


2000 ◽  
Vol 42 (01) ◽  
pp. 8 ◽  
Author(s):  
S Overmeyer ◽  
A Simmons ◽  
J Santosh ◽  
C Andrew ◽  
S C R Williams ◽  
...  

2015 ◽  
Vol 29 (1) ◽  
pp. 26-32 ◽  
Author(s):  
Ching-Wen Huang ◽  
Chung-Ju Huang ◽  
Chiao-Ling Hung ◽  
Chia-Hao Shih ◽  
Tsung-Min Hung

Children with attention deficit hyperactivity disorder (ADHD) are characterized by a deviant pattern of brain oscillations during resting state, particularly elevated theta power and increased theta/alpha and theta/beta ratios that are related to cognitive functioning. Physical fitness has been found beneficial to cognitive performance in a wide age population. The purpose of the present study was to investigate the relationship between physical fitness and resting-state electroencephalographic (EEG) oscillations in children with ADHD. EEG was recorded during eyes-open resting for 28 children (23 boys and 5 girls, 8.66 ± 1.10 years) with ADHD, and a battery of physical fitness assessments including flexibility, muscular endurance, power, and agility tests were administered. The results indicated that ADHD children with higher power fitness exhibited a smaller theta/alpha ratio than those with lower power fitness. These findings suggest that power fitness may be associated with improved attentional self-control in children with ADHD.


1984 ◽  
Vol 39 (7) ◽  
pp. 777-786 ◽  
Author(s):  
Robert L. Woolfolk ◽  
Frank C. Richardson
Keyword(s):  

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