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Short-Term Effectiveness of Medication and Psychosocial Intervention in a Cohort of Newly Diagnosed Patients with Inattention, Impulsivity, and Hyperactivity Problems

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Title: Short-Term Effectiveness of Medication and Psychosocial Intervention in a Cohort of Newly Diagnosed Patients with Inattention, Impulsivity, and Hyperactivity Problems
Language: English
Authors: Falissard, Bruno, Coghill, David, Rothenberger, Aribert, Lorenzo, Maria
Source: Journal of Attention Disorders. Sep 2010 14(2):147-156.
Availability: SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Peer Reviewed: Y
Page Count: 10
Publication Date: 2010
Document Type: Journal Articles
Reports - Research
Descriptors: Intervention, Attention Deficit Hyperactivity Disorder, Foreign Countries, Drug Therapy, Psychological Patterns, Social Development, Outcomes of Treatment, Longitudinal Studies, Observation, Children, Symptoms (Individual Disorders), Counseling Techniques, Effect Size, Child Behavior, Behavior Problems, Therapy, Psychomotor Skills, Learning Problems, Gender Differences, Age Differences, Interpersonal Competence, Academic Achievement, Parents
DOI: 10.1177/1087054709347173
ISSN: 1087-0547
Abstract: Objective: The article discusses the ADHD Observational Research in Europe (ADORE) study that examined the impact of early treatment choices on outcome within the first few months, in previously untreated children with impairing inattention, impulsivity, and hyperactivity. Methods: Data are collected from a longitudinal, observational study conducted in 10 European countries that involve 1,478 children (aged 6 to 18 years) with symptoms of hyperactivity, impulsivity, or inattentiveness. Linear model with a propensity score adjustment compares the decrease in ADHD-RS scores between baseline and last recorded visit across treatment groups (2 to 5 months). Results: At baseline, 49.9% of participants are prescribed pharmacotherapy and 44.3% a psychosocial intervention. Analysis of the effect of treatment on the evolution of ADHD-RS scores shows a positive effect of medications and either an insignificant or negative effect of psychosocial intervention. Conclusions: Early use of medication effectively reduces ADHD symptoms in routine clinical practice in Europe. The effect of psychosocial intervention has to be interpreted cautiously because the number, length, and level of standard of the sessions are not taken into account in the analyses. (Contains 2 tables and 2 figures.)
Abstractor: As Provided
Number of References: 28
Entry Date: 2010
Accession Number: EJ894605
Database: ERIC
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Abstract:Objective: The article discusses the ADHD Observational Research in Europe (ADORE) study that examined the impact of early treatment choices on outcome within the first few months, in previously untreated children with impairing inattention, impulsivity, and hyperactivity. Methods: Data are collected from a longitudinal, observational study conducted in 10 European countries that involve 1,478 children (aged 6 to 18 years) with symptoms of hyperactivity, impulsivity, or inattentiveness. Linear model with a propensity score adjustment compares the decrease in ADHD-RS scores between baseline and last recorded visit across treatment groups (2 to 5 months). Results: At baseline, 49.9% of participants are prescribed pharmacotherapy and 44.3% a psychosocial intervention. Analysis of the effect of treatment on the evolution of ADHD-RS scores shows a positive effect of medications and either an insignificant or negative effect of psychosocial intervention. Conclusions: Early use of medication effectively reduces ADHD symptoms in routine clinical practice in Europe. The effect of psychosocial intervention has to be interpreted cautiously because the number, length, and level of standard of the sessions are not taken into account in the analyses. (Contains 2 tables and 2 figures.)
ISSN:1087-0547
DOI:10.1177/1087054709347173