TY - JOUR
T1 - Sequenced neurocognitive and behavioral parent training for the treatment of ADHD in school-age children
AU - Chacko, A.
AU - Bedard, A. C.V.
AU - Marks, D.
AU - Gopalan, G.
AU - Feirsen, N.
AU - Uderman, J.
AU - Chimiklis, A.
AU - Heber, E.
AU - Cornwell, M.
AU - Anderson, L.
AU - Zwilling, A.
AU - Ramon, M.
N1 - Publisher Copyright:
© 2017 Informa UK Limited, trading as Taylor & Francis Group.
PY - 2018/5/19
Y1 - 2018/5/19
N2 - The present study examines the potential of sequencing a neurocognitive intervention with behavioral parent training (BPT) to improve executive functions (EFs), psychiatric symptoms, and multiple indices of functional impairment in school-age children aged 7 to 11 years who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Specifically, in a randomized controlled trial design, 85 children were assigned to either Cogmed Working Memory Training (CWMT) followed by an empirically supported, manualized BPT intervention, or to a placebo version of CWMT followed by the same BPT intervention. Working memory maintenance (i.e., attention control/short-term memory), working memory processing and manipulation, ADHD and oppositional defiant disorder (ODD) symptoms, impairment in parent–child dynamics, familial impairment, and overall functional compromise were evaluated as outcomes. The results suggest specific effects of the combined CWMT and BPT program on verbal and nonverbal working memory storage and nonverbal working memory processing and manipulation but no incremental benefits in regard to ADHD symptoms, ODD symptoms, and functional outcomes. The present findings do not support the hypothesis regarding the complementary and augmentative benefits of sequenced neurocognitive and BPT interventions for the treatment of ADHD. These results, the study’s limitations, and future directions for research are further discussed.
AB - The present study examines the potential of sequencing a neurocognitive intervention with behavioral parent training (BPT) to improve executive functions (EFs), psychiatric symptoms, and multiple indices of functional impairment in school-age children aged 7 to 11 years who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Specifically, in a randomized controlled trial design, 85 children were assigned to either Cogmed Working Memory Training (CWMT) followed by an empirically supported, manualized BPT intervention, or to a placebo version of CWMT followed by the same BPT intervention. Working memory maintenance (i.e., attention control/short-term memory), working memory processing and manipulation, ADHD and oppositional defiant disorder (ODD) symptoms, impairment in parent–child dynamics, familial impairment, and overall functional compromise were evaluated as outcomes. The results suggest specific effects of the combined CWMT and BPT program on verbal and nonverbal working memory storage and nonverbal working memory processing and manipulation but no incremental benefits in regard to ADHD symptoms, ODD symptoms, and functional outcomes. The present findings do not support the hypothesis regarding the complementary and augmentative benefits of sequenced neurocognitive and BPT interventions for the treatment of ADHD. These results, the study’s limitations, and future directions for research are further discussed.
KW - ADHD
KW - Behavioral parent training
KW - Cognitive training
KW - Combined treatment
KW - Working memory training
UR - http://www.scopus.com/inward/record.url?scp=85013863360&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=85013863360&partnerID=8YFLogxK
U2 - 10.1080/09297049.2017.1282450
DO - 10.1080/09297049.2017.1282450
M3 - Article
C2 - 28277151
AN - SCOPUS:85013863360
SN - 0929-7049
VL - 24
SP - 427
EP - 450
JO - Child Neuropsychology
JF - Child Neuropsychology
IS - 4
ER -