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Attention-deficit/hyperactivity disorder with oppositional defiant disorder in Swedish children - an open study of

Mats Johnson1, Sven Ostlund, Gunnar Fransson

  • 1The Gillberg Neuropsychiatry Centre at the Sahlgrenska Academy, University of Gothenburg, Sweden.

Acta Paediatrica (Oslo, Norway : 1992)
|March 2, 2012
PubMed

Insights

Collaborative problem solving (CPS) effectively reduced oppositional defiant disorder (ODD) and attention-deficit/hyperactivity disorder (ADHD) symptoms in children. Some children required stimulant medication for persistent ADHD symptoms.

Area of Science:

  • Child Psychology
  • Neurodevelopmental Disorders
  • Behavioral Therapy

Background:

  • Attention-deficit/hyperactivity disorder (ADHD) and oppositional defiant disorder (ODD) are common in children.
  • Effective interventions are needed to manage these complex conditions.

Purpose of the Study:

  • To evaluate the effectiveness of collaborative problem solving (CPS) for children aged 6-13 with ADHD and ODD.
  • To assess symptom reduction and overall improvement post-intervention and at follow-up.

Main Methods:

  • Seventeen families participated in 6-10 sessions of CPS training.
  • Primary outcomes included SNAP-IV (ADHD/ODD scores) and Clinical Global Impression-Improvement (CGI-I).
  • Secondary outcomes used the Conners' scale and Family Burden of Illness Module (FBIM).

Main Results:

  • Significant reductions in ODD, ADHD, Conners' total, and FBIM scores were observed post-intervention and at 6-month follow-up.
  • A subgroup showed limited improvement in hyperactivity/impulsivity without stimulant medication.
  • 53% of participants showed much improved or very much improved CGI-I scores post-intervention, rising to 81% at follow-up.

Conclusions:

  • Collaborative problem solving (CPS) is a viable intervention for reducing ODD, ADHD, and emotional lability symptoms.
  • Adjunctive stimulant medication may be necessary for some children with ADHD to achieve symptom remission.
Abstract

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