Cognitive-behavioral and pharmacologic interventions for hyperactive boys: Comparative and combined effects

Assessed the effects of 2 interventions--reinforcement and reinforced self-evaluation--on the positive social behavior of 24 8-13 yr old hyperactive males to test the hypothesis that reinforced self-evaluation would produce greater positive social behavior in Ss. Comparisons between Ss receiving met...

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Veröffentlicht in:Journal of consulting and clinical psychology 1984-10, Vol.52 (5), p.739-749
Hauptverfasser: Hinshaw, Stephen P, Henker, Barbara, Whalen, Carol K
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container_issue 5
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container_title Journal of consulting and clinical psychology
container_volume 52
creator Hinshaw, Stephen P
Henker, Barbara
Whalen, Carol K
description Assessed the effects of 2 interventions--reinforcement and reinforced self-evaluation--on the positive social behavior of 24 8-13 yr old hyperactive males to test the hypothesis that reinforced self-evaluation would produce greater positive social behavior in Ss. Comparisons between Ss receiving methylphenidate (5-40 mg/day) and Ss receiving placebo were also conducted to clarify the effects of stimulant medication on Ss' social behavior. The primary outcome measures were direct observations of appropriate and negative social interactions. Results indicate that both methylphenidate and reinforced self-evaluation were superior to the contrast treatments. When the effects of the 4 treatment combinations were rank ordered, medication plus cognitive-behavioral self-evaluation proved optimal; placebo plus reinforcement alone was significantly worse than all other conditions. Medication enhanced the accuracy of Ss' self-evaluation. Findings are discussed in the context of the need for intervention with the social and interpersonal difficulties of hyperactive children. (46 ref)
doi_str_mv 10.1037/0022-006X.52.5.739
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Comparisons between Ss receiving methylphenidate (5-40 mg/day) and Ss receiving placebo were also conducted to clarify the effects of stimulant medication on Ss' social behavior. The primary outcome measures were direct observations of appropriate and negative social interactions. Results indicate that both methylphenidate and reinforced self-evaluation were superior to the contrast treatments. When the effects of the 4 treatment combinations were rank ordered, medication plus cognitive-behavioral self-evaluation proved optimal; placebo plus reinforcement alone was significantly worse than all other conditions. Medication enhanced the accuracy of Ss' self-evaluation. Findings are discussed in the context of the need for intervention with the social and interpersonal difficulties of hyperactive children. 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Comparisons between Ss receiving methylphenidate (5-40 mg/day) and Ss receiving placebo were also conducted to clarify the effects of stimulant medication on Ss' social behavior. The primary outcome measures were direct observations of appropriate and negative social interactions. Results indicate that both methylphenidate and reinforced self-evaluation were superior to the contrast treatments. When the effects of the 4 treatment combinations were rank ordered, medication plus cognitive-behavioral self-evaluation proved optimal; placebo plus reinforcement alone was significantly worse than all other conditions. Medication enhanced the accuracy of Ss' self-evaluation. Findings are discussed in the context of the need for intervention with the social and interpersonal difficulties of hyperactive children. (46 ref)</description><subject>Adolescent</subject><subject>Antineoplastic agents</subject><subject>Attention Deficit Disorder with Hyperactivity - therapy</subject><subject>Behavior Therapy - methods</subject><subject>Biological and medical sciences</subject><subject>Chemotherapy</subject><subject>Child</subject><subject>Cognition</subject><subject>Cognitive Therapy</subject><subject>Combined Modality Therapy</subject><subject>Drug Therapy</subject><subject>Human</subject><subject>Humans</subject><subject>Hyperactivity</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Methylphenidate</subject><subject>Methylphenidate - therapeutic use</subject><subject>Pharmacology. Drug treatments</subject><subject>Psychology. Psychoanalysis. Psychiatry</subject><subject>Psychopathology. 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Comparisons between Ss receiving methylphenidate (5-40 mg/day) and Ss receiving placebo were also conducted to clarify the effects of stimulant medication on Ss' social behavior. The primary outcome measures were direct observations of appropriate and negative social interactions. Results indicate that both methylphenidate and reinforced self-evaluation were superior to the contrast treatments. When the effects of the 4 treatment combinations were rank ordered, medication plus cognitive-behavioral self-evaluation proved optimal; placebo plus reinforcement alone was significantly worse than all other conditions. Medication enhanced the accuracy of Ss' self-evaluation. Findings are discussed in the context of the need for intervention with the social and interpersonal difficulties of hyperactive children. (46 ref)</abstract><cop>Washington, DC</cop><pub>American Psychological Association</pub><pmid>6501659</pmid><doi>10.1037/0022-006X.52.5.739</doi><tpages>11</tpages></addata></record>
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source APA PsycARTICLES; MEDLINE; Periodicals Index Online
subjects Adolescent
Antineoplastic agents
Attention Deficit Disorder with Hyperactivity - therapy
Behavior Therapy - methods
Biological and medical sciences
Chemotherapy
Child
Cognition
Cognitive Therapy
Combined Modality Therapy
Drug Therapy
Human
Humans
Hyperactivity
Male
Medical sciences
Methylphenidate
Methylphenidate - therapeutic use
Pharmacology. Drug treatments
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Reinforcement
Reinforcement (Psychology)
Self-Evaluation
Social Behavior
title Cognitive-behavioral and pharmacologic interventions for hyperactive boys: Comparative and combined effects
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