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Behavioral interventions in attention-deficit/hyperactivity disorder: a meta-analysis of randomized controlled trials across multiple outcome domains - Zurich Open Repository and Archive


Daley, David["lib/metafield:join_name" not defined]van der Oord, Saskia["lib/metafield:join_name" not defined]Ferrin, Maite["lib/metafield:join_name" not defined]Danckaerts, Marina["lib/metafield:join_name" not defined]Doepfner, Manfred["lib/metafield:join_name" not defined]Cortese, Samuele["lib/metafield:join_name" not defined]Sonuga-Barke, Edmund J S (2014). Behavioral interventions in attention-deficit/hyperactivity disorder: a meta-analysis of randomized controlled trials across multiple outcome domains. Journal of the American Academy of Child and Adolescent Psychiatry, 53(8):835-847.e5.

["eprint_fieldname_abstract" not defined]

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 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).

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.

["eprint_fieldname_abstract" not defined]

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 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).

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.

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0 ["page:downloads_n" not defined] ["page:deposited" not defined] 30 ["lib/utils:month_short_10" not defined] 2014
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["eprint_fieldname_type" not defined]:["eprint_typename_article" not defined], refereed, further contribution
["eprint_fieldname_subjects" not defined]:04 Faculty of Medicine["lib/metafield:join_subject_parts" not defined]Psychiatric University Hospital Zurich["lib/metafield:join_subject_parts" not defined]Center for Child and Adolescent Psychiatry
["eprint_fieldname_dewey" not defined]:610 Medicine & health
["eprint_fieldname_language_mult" not defined]:["eprint_fieldopt_language_mult_eng" not defined]
["eprint_fieldname_date" not defined]:["lib/utils:month_08" not defined] 2014
["page:deposited_on" not defined]:30 ["lib/utils:month_short_10" not defined] 2014 14:06
["eprint_fieldname_lastmod" not defined]:05 ["lib/utils:month_short_04" not defined] 2016 18:27
["eprint_fieldname_publisher" not defined]:Elsevier
["eprint_fieldname_issn" not defined]:0890-8567
["eprint_fieldname_doi" not defined]:https://doi.org/10.1016/j.jaac.2014.05.013
["eprint_fieldname_pubmedid" not defined]:25062591
["page:permanent_url" not defined]https://doi.org/10.5167/uzh-99990

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