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Behav Res Ther. 2008 Sep;46(9):983-92. doi: 10.1016/j.brat.2008.06.007. Epub 2008 Jun 27.

Treatment effectiveness of combined medication/behavioural treatment with chinese ADHD children in routine practice.

Author information

1
Kwai Chung Hospital, Hospital Authority, Hong Kong. cheryl-so@cuhk.edu.hk

Abstract

BACKGROUND:

The effectiveness of a combined methylphenidate/behavioural treatment (BT) versus methylphenidate-only for Chinese children with Attention-Deficit/Hyperactivity Disorder (ADHD) was tested in routine clinical practice in Hong Kong.

METHODS:

A randomized group comparison design was adopted with two treatment conditions (methylphenidate-only; methylphenidate/BT), which lasted for 6 months. There were four assessment time points (pre-treatment, post-treatment, and 6-month and 12-month follow-ups), using the Strengths and Weaknesses of ADHD Symptoms and Normal Behaviours (SWAN) Rating Scale. Parental attitude toward different treatment options of ADHD was also assessed at pre-treatment and post-treatment. Participants included 90 Chinese ADHD children (mean age=8 years, SD=.95).

RESULTS:

The combination of BT and a low-dose methylphenidate was significantly more effective than methylphenidate-only in reducing ADHD and ODD symptoms at post-treatment. At follow-ups, the benefits of the combined treatment were maintained, while the methylphenidate-only group caught up in improvement in ADHD symptoms. Parents in both treatment conditions showed improved attitude toward medication after the 6-month treatment phase, while their attitude toward BT was positive all along.

CONCLUSIONS:

This study supported the added benefits of BT, on top of medication, for Chinese ADHD children in routine practice with treatments conducted by regular medical and paramedical staffs.

PMID:
18692170
DOI:
10.1016/j.brat.2008.06.007
[Indexed for MEDLINE]

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