Social Functioning in Children With ADHD Treated With Long-Term Methylphenidate and Multimodal Psychosocial Treatment

To test that methylphenidate combined with intensive multimodal psychosocial intervention, which includes social skills training, significantly enhances social functioning in children with attention-deficit/hyperactivity disorder (ADHD) compared with methylphenidate alone and methylphenidate plus no...

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Veröffentlicht in:Journal of the American Academy of Child and Adolescent Psychiatry 2004-07, Vol.43 (7), p.820-829
Hauptverfasser: ABIKOFF, HOWARD, HECHTMAN, LILY, KLEIN, RACHEL G., GALLAGHER, RICHARD, FLEISS, KAREN, ETCOVITCH, JOY, COUSINS, LORNE, GREENFIELD, BRIAN, MARTIN, DIANE, POLLACK, SIMCHA
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container_end_page 829
container_issue 7
container_start_page 820
container_title Journal of the American Academy of Child and Adolescent Psychiatry
container_volume 43
creator ABIKOFF, HOWARD
HECHTMAN, LILY
KLEIN, RACHEL G.
GALLAGHER, RICHARD
FLEISS, KAREN
ETCOVITCH, JOY
COUSINS, LORNE
GREENFIELD, BRIAN
MARTIN, DIANE
POLLACK, SIMCHA
description To test that methylphenidate combined with intensive multimodal psychosocial intervention, which includes social skills training, significantly enhances social functioning in children with attention-deficit/hyperactivity disorder (ADHD) compared with methylphenidate alone and methylphenidate plus nonspecific psychosocial treatment (attention control). One hundred three children with ADHD (ages 7–9), free of conduct and learning disorders, who responded to short-term methylphenidate were randomized for 2 years to receive (1) methylphenidate alone, (2) methylphenidate plus multimodal psychosocial treatment that included social skills training, or (3) methylphenidate plus attention control treatment. Assessments included parent, child, and teacher ratings of social function and direct school observations in gym. No advantage was found on any measure of social functioning for the combination treatment over methylphenidate alone or methylphenidate plus attention control. Significant improvement occurred across all treatments and continued over 2 years. In young children with ADHD, there is no support for clinic-based social skills training as part of a long-term psychosocial intervention to improve social behavior. Significant benefits from methylphenidate were stable over 2 years.
doi_str_mv 10.1097/01.chi.0000128797.91601.1a
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subjects Attention Control
Attention Deficit Disorder with Hyperactivity - drug therapy
Attention Deficit Disorder with Hyperactivity - therapy
Attention Deficit Disorders
Attention deficit hyperactivity disorder
Central Nervous System Stimulants - administration & dosage
Central Nervous System Stimulants - therapeutic use
Child
Children & youth
Combined Modality Therapy
Drug Administration Schedule
Drug therapy
Female
Humans
Hyperactivity
Intervention
long-term stimulant treatment
Male
Medical treatment
Methylphenidate - administration & dosage
Methylphenidate - therapeutic use
Psychiatry
psychosocial treatment
Psychotherapy
Psychotherapy - methods
school observations
Social Behavior
social function
Social interaction
title Social Functioning in Children With ADHD Treated With Long-Term Methylphenidate and Multimodal Psychosocial Treatment
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