Additive Effects of Psychostimulants, Parent Training, and Self-Control Therapy with ADHD Children

Horn, Wade F.; Ialongo, Nicholas S.; Pascoe, John M.; Greenberg, Gregory; Packard, Thomas; Lopez, Michael; Wagner, Ann E.; Puttler, Leon I.

doi:10.1097/00004583-199103000-00011

Cited by 153 publications

(73 citation statements)

References 19 publications

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“…If replicated, these the bulk of evidence to date suggests that stimulant medication is the most effective intervention for A D H D (e.g., Horn et al, 1991). Given the indication from our findings that children treated with stimulants have clearly elevated levels of A D H D symptoms, and that substantial numbers of children with A D H D are not receiving these efficacious interventions, our data do not support the notion that stimulants are overutilized for children with ADHD.…”

Section: Discussionmentioning

confidence: 51%

Are Stimulants Overprescribed? Treatment of ADHD in Four U.S. Communities

Jensen

Kettle

Roper

et al. 1999

Journal of the American Academy of Child & Adolescent Psych

270

158

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Objective: To address rising concerns about the possible overdiagnosis of attention-deficit hyperactivity disorder (ADHD) and overtreatment with stimulants.To date, almost no studies have examined ADHD in unbiased community-based studies, ascertaining both the prevalence of the diagnosis within nonreferred populations and the extent to which various treatments (i.e., stimulant medication, mental health treatments, and educational interventions) are used. Method: As a part of the Methods for the Epidemiology of Child and Adolescent Mental Disorders (MECA) Study, the authors examined epidemiological survey data obtained from 1,285 children and their parents across 4 US. communities. Analyses examined the frequency of children's ADHD diagnosis, the extent to which medications were prescribed, as well as the provision of other services (e.g., psychosocial treatments, school-based educational interventions). Results: Findings indicated that 5.1% of children met full DSM-//I-RADHD criteria across the pooled sample. Only 12.5% of children meeting ADHD criteria had been treated with stimulants during the previous 12 months. Some children who had been prescribed stimulants did not meet full ADHD diagnostic criteria, but these children manifested high levels of ADHD symptoms, suggesting that the medication had been appropriately prescribed. Children with ADHD were generally more likely to receive mental health counseling and/or school-based interventions than medication. Conclusions: Medication treatments are often not used in treating ADHD children identified in the community, suggesting the need for better education of parents, physicians, and mental health professionals about the effectiveness of these treatments. On the basis of these data it cannot be concluded that substantial "overtreatment" with stimulants is occurring across communities in general. J. Am. Acad. Child Adolesc. Psychiatry: 1999, 38 (7):797-804. Key Words:attention-deficit hyperactivity disorder, attention deficit, hyperactivity, stimulants, misdiagnosis, services, treatment.Recent media reports indicate that the public has become increasingly concerned about the apparent dramatic rise in the diagnosis of attention-deficit hyperactivity disorder (ADHD) and the prescription of psychostimulant

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Section: Discussionmentioning

confidence: 51%

Are Stimulants Overprescribed? Treatment of ADHD in Four U.S. Communities

Jensen

Kettle

Roper

et al. 1999

Journal of the American Academy of Child & Adolescent Psych

270

158

View full text Add to dashboard Cite

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“…After excluding case reports and general review articles, the subcommittee formally reviewed 28 articles and included 12 articles of relevance that had not been cited previously in other reviews. 45,47,51,[72][73][74][75][76][77][78][79] Table 1 summarizes the evidence of these reviews. The subcommittee assessed the additional evidence obtained from this review and noted an imbalance in the quality of evidence available for drugs versus behavioral interventions.…”

Section: Additional Subcommittee Search and Reviewmentioning

confidence: 99%

Treatment of Attention-Deficit/Hyperactivity Disorder: Overview of the Evidence

Brown¹,

Amler²,

Freeman³

et al. 2005

Pediatrics

278

151

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“…Multimodal programmes typically include stimulant treatment of children with drugs such as methylphenidate combined with family therapy or parent training; school-based behavioural programmes; and coping skills training for children (e.g. Horn et al, 1991;Ialongo et al, 1993). Family-based multimodal programmes are probably effective because they provide the family with a forum within which to develop strategies for managing a chronic disability.…”

mentioning

confidence: 99%

Evidence‐based practice in family therapy and systemic consultation

Carr

2000

Journal of Family Therapy

128

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Evidence for the effectiveness of family therapy and family-based interventions from critical literature reviews and controlled trials is considered for families with children and adolescents who present with various difficulties. The evidence supports the effectiveness of family therapy as an effective treatment either alone or as part of a multimodal or multisystemic treatment programme for child abuse and neglect, conduct problems, emotional problems and psychosomatic problems. Implications for practice, training and continuing professional development in the field of family therapy are discussed.

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Additive Effects of Psychostimulants, Parent Training, and Self-Control Therapy with ADHD Children

Cited by 153 publications

References 19 publications

Are Stimulants Overprescribed? Treatment of ADHD in Four U.S. Communities

Are Stimulants Overprescribed? Treatment of ADHD in Four U.S. Communities

Treatment of Attention-Deficit/Hyperactivity Disorder: Overview of the Evidence

Evidence‐based practice in family therapy and systemic consultation

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