Multimodal treatment in children and adolescents with attention-deficit/hyperactivity disorder: a 6-month follow-up
| Autor: | Doris Gundersen, Jörg Assmus, Irene Bircow Elgen, Nezla S. Duric, Alisa Duric Golos |
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| Rok vydání: | 2017 |
| Předmět: |
Male
Parents medicine.medical_specialty Time Factors Adolescent medicine.medical_treatment Placebo law.invention 03 medical and health sciences 0302 clinical medicine Randomized controlled trial law Surveys and Questionnaires mental disorders medicine Multimodal treatment Attention deficit hyperactivity disorder Humans Psychiatry Child Methylphenidate Neurofeedback medicine.disease Combined Modality Therapy 030227 psychiatry Stimulant Psychiatry and Mental health Attention Deficit Disorder with Hyperactivity Central Nervous System Stimulants Female Psychology 030217 neurology & neurosurgery medicine.drug Month follow up Follow-Up Studies |
| Zdroj: | Nordic journal of psychiatry. 71(5) |
| ISSN: | 1502-4725 |
| Popis: | Different treatment approaches aimed at reducing attention-deficit/hyperactivity disorder (ADHD) core symptoms are available. However, factors such as intolerance, side-effects, lack of efficacy, high new technology costs, and placebo effect have spurred on an increasing interest in alternative or complementary treatment.The aim of this study is to explore efficacy of multimodal treatment consisting of standard stimulant medication (methylphenidate) and neurofeedback (NF) in combination, and to compare it with the single treatment in 6-month follow-up in ADHD children and adolescents.This randomized controlled trial with 6-month follow-up comprised three treatment arms: multimodal treatment (NF + MED), MED alone, and NF alone. A total of 130 ADHD children/adolescents participated, and 62% completed the study. ADHD core symptoms were recorded pre-/post-treatment, using parents' and teachers' forms taken from Barkley's Defiant Children: A Clinician's Manual for Assessment and Parent Training, and a self-report questionnaire.Significant ADHD core symptom improvements were reported 6 months after treatment completion by parents, teachers, and participants in all three groups, with marked improvement in inattention in all groups. However, no significant improvements in hyperactivity or academic performance were reported by teachers or self-reported by children/adolescents, respectively, in the three groups. Changes obtained with multimodal treatment at 6-month follow-up were comparable to those with single medication treatment, as reported by all participants.Multimodal treatment using combined stimulant medication and NF showed 6-month efficacy in ADHD treatment. More research is needed to explore whether multimodal treatment is suitable for ADHD children and adolescents who showed a poor response to single medication treatment, and for those who want to reduce the use of stimulant medication. |
| Databáze: | OpenAIRE |
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