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J Korean Acad Nurs. 2015 Apr;45(2):169-82. doi: 10.4040/jkan.2015.45.2.169.

[Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis].

[Article in Korean]

Author information

1
College of Nursing; Research Institute of Nursing Science, Kyungpook National University, Daegu, Korea.
2
College of Social Sciences, Kyungpook National University, Daegu, Korea. sungdong@knu.ac.kr.

Abstract

PURPOSE:

This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea.

METHODS:

Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis.

RESULTS:

Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected.

CONCLUSION:

Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.

KEYWORDS:

Attention deficit hyperactivity disorder; Cognitive behavioral therapy; Meta-analysis

PMID:
25947179
DOI:
10.4040/jkan.2015.45.2.169
[Indexed for MEDLINE]

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