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Published on: June 12, 2020
Psychosocial treatments for preschool-aged children with Attention-Deficit Hyperactivity Disorder
Doré R Laforett1, Desiree W Murray, Scott H Kollins
1Department of Psychiatry, Duke University Medical Center, Durham, North Carolina 27705, USA.
Insights
Psychosocial treatments for preschool Attention-Deficit Hyperactivity Disorder (ADHD) show promise, especially parent training. Multimodal, individualized, and developmentally appropriate interventions are most effective for young children with ADHD.
Area of Science:
- Developmental Psychology
- Pediatric Psychiatry
- Clinical Child Psychology
Background:
- Preschool-aged children with Attention-Deficit Hyperactivity Disorder (ADHD) present unique developmental and contextual needs.
- Existing research on psychosocial interventions for this age group is limited but growing.
- Parenting demands and classroom structures require tailored treatment approaches.
Purpose of the Study:
- To review the existing research literature on psychosocial treatments for preschool ADHD.
- To discuss the effectiveness and limitations of parent-training, classroom management, and multimodal treatments.
- To identify optimal treatment strategies for young children diagnosed with ADHD.
Main Methods:
- Systematic review of empirical studies on psychosocial interventions for preschool ADHD.
- Analysis of findings related to parent-training, classroom management, and multimodal approaches.
- Consideration of developmental and contextual factors specific to this age group.
Main Results:
- Parent-training interventions demonstrate the strongest empirical support for improving behavioral outcomes in preschool ADHD.
- Limited but promising initial data exist for teacher training and consultation interventions in classroom settings.
- Few studies specifically address classroom management and multimodal interventions for this population.
Conclusions:
- Individually delivered, developmentally appropriate, and multimodal treatments appear most effective for preschoolers with ADHD and their families.
- Further research is needed, particularly on classroom-based and multimodal interventions for this age group.
- Parent-training remains a cornerstone of psychosocial treatment for early childhood ADHD.
Abstract:
This article reviews the research literature on psychosocial treatments for preschool-aged children with Attention-Deficit Hyperactivity Disorder (ADHD) in the context of the developmental and contextual needs of this population (e.g., increased parenting demands, differences in classroom structure, and the child's emerging developmental capacities). Discussion of the findings and limitations of existing studies is provided for parent-training approaches, classroom management strategies, and multimodal treatments. Although the empirical base is quite small for ADHD-specific samples, parent-training interventions have the greatest overall support for improving behavioral outcomes, with a variety of different approaches having shown effectiveness. Very few studies of classroom management and multimodal interventions have been conducted in this age group; however, initial data show promising results for teacher training and consultation interventions. The body of research suggests that the most effective treatments for clinical samples of preschoolers with ADHD and their families may be individually delivered, developmentally appropriate, and multimodal.
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