An Individual Participant Data Meta-analysis: Behavioral Treatments for Children and Adolescents With
Behavioral interventions effectively treat attention-deficit/hyperactivity disorder (ADHD) in children. Children with severe conduct disorder (CD) or ADHD symptoms, a CD diagnosis, or single parents benefit most from early intervention.
Area of Science:
- Child and Adolescent Psychiatry
- Behavioral Psychology
- Clinical Psychology
Background:
- Behavioral interventions are established treatments for children with attention-deficit/hyperactivity disorder (ADHD).
- Limited insight exists into moderators influencing treatment outcomes for pediatric ADHD.
Purpose of the Study:
- To conduct an individual participant data meta-analysis (IPDMA) of randomized controlled behavioral intervention trials for children with ADHD.
- To identify moderators of treatment outcomes, including symptom severity, medication use, age, IQ, sex, socioeconomic status, and single parenthood.
Main Methods:
- IPDMA of randomized controlled trials for ADHD in individuals under 18.
- Outcomes assessed: ADHD, oppositional defiant disorder (ODD), and conduct disorder (CD) symptoms, and impairment.
- Moderators analyzed: symptom/impairment severity, medication, age, IQ, sex, SES, single parenthood.
Main Results:
- Behavioral interventions showed small-to-medium effects on ADHD, ODD, and CD symptoms, and impairment for proximal raters.
- Conduct disorder (CD) symptoms/diagnosis moderated ADHD, ODD, and CD outcomes.
- Single parenthood and ADHD severity moderated ODD and impairment outcomes, respectively.
Conclusions:
- Behavioral treatments effectively reduce ADHD symptoms, behavioral problems, and impairment.
- Prioritize treatment for children with severe CD or ADHD symptoms, a CD diagnosis, or single parents, as they may worsen without intervention.
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