Table 6Study information and evidence summary table for trials of psychological interventions

Psychological intervention versus control
Total number of studies (number of participants)10 (549)
Study IDANTSHEL2003
BLOOMQUIST1991
BOR2002
FEHLINGS1991
GONZALEZ2002
HOATH2002
HOOFDAKKER2007
PFIFFNER1997
SONUGA-BARKE2001
TUTTY2003
Study population characteristics
Pre-school children with ADHDBOR2002
SONUGA-BARKE2001
School-age children with ADHDANTSHEL2003
BLOOMQUIST1991
FEHLINGS1991
GONZALEZ2002
HOATH2002
HOOFDAKKER2007
PFIFFNER1997
TUTTY2003
Not on medication for ADHDBOR2002
FEHLINGS1991
SONUGA-BARKE2001
Some on treatment-as-usual medication for ADHDHOATH2002
HOOFDAKKER2007
PFIFFNER1997
All on treatment-as-usual medication for ADHDANTSHEL2003
GONZALEZ2002
TUTTY2003
Medication status unclearBLOOMQUIST1991
Benefits (end of treatment)
Core ADHD symptoms at end of treatment (teacher-rated)SMD −0.25 (−0.56 to 0.07)
Quality: High
K = 4, N = 163
Core ADHD symptoms at end of treatment (parent-rated)SMD −0.57 (−1.00 to −0.14)
Quality: Moderate
K = 5, N = 288
Conduct at end of treatment (teacher-rated)SMD −0.12 (−0.61 to 0.38)
Quality: Moderate
K = 3, N = 63
Conduct at end of treatment (parent-rated)SMD −0.54 (−1.05 to −0.04)
Quality: Moderate
K = 5, N = 231
Social skills at end of treatment (teacher-rated)SMD −0.40 (−1.33 to 0.54)
Quality: Moderate
K = 1, N = 18
Social skills at end of treatment (parent-rated)SMD −0.59 (−1.80 to 0.61)
Quality: Low
K = 2, N = 138
Social skills at end of treatment (child-rated)SMD −0.23 (−0.61 to 0.15)
Quality: High
K = 1, N = 120
Emotional outcomes at end of treatment (teacher-rated)SMD −0.20 (−1.12 to 0.73)
Quality: Moderate
K = 1, N = 18
Emotional outcomes end of treatment (parent-rated)SMD −0.36 (−0.73 to 0.01)
Quality: High
K = 2, N = 112
Self-efficacy at end of treatment (child-rated)SMD −0.03 (−0.48 to 0.42)
Quality: High
K = 3, N = 78
Benefits (3–6 months post-treatment)
Core ADHD symptoms at 5–6 months post-treatment (teacher-rated)SMD −0.05 (−0.44 to 0.35)
Quality: High
K = 2, N = 101
Core ADHD symptoms at 5–6 months post-treatment (parent-rated)SMD −0.91 (−1.23 to −0.59)
Quality: High
K = 3, N = 174
Conduct at 3–4 months post-treatment (teacher-rated)SMD −0.13 (−1.05 to 0.80)
Quality: Moderate
K = 1, N = 18
Conduct at 3–5 months post-treatment (parent-rated)SMD −0.51 (−1.01 to −0.01)
Quality: High
K = 2, N = 68
Social skills at 3–4 months post-treatment (teacher-rated)SMD −0.06 (−0.98 to 0.86)
Quality: Moderate
K = 1, N = 18
Social skills at 3–4 months post-treatment (parent-rated)SMD 0.06 (−0.29 to 0.42)
Quality: High
K = 2, N = 138
Social skills at 3 months post-treatment (child-rated)SMD 0.04 (−0.34 to 0.42)
Quality: High
K = 1, N = 120
Emotional outcomes at 3–4 months post-treatment (teacher-rated)SMD −0.19 (−1.11 to 0.74)
Quality: Moderate
K = 1, N = 18
Emotional outcomes at 3–4 months post-treatment (parent-rated)SMD 0.04 (−0.89 to 0.96)
Quality: Moderate
K = 1, N = 18
Self-efficacy at 5 months post-treatment (child-rated)SMD −0.89 (−1.70 to −0.08)
Quality: Moderate
K = 1, N = 26
Dichotomous outcomes
Leaving study for any reasonData not pooled
ANTSHEL2003: 0% (psychological interview) versus 0% (control)
BLOOMQUIST1991: 31% versus 0%
BOR2002: 31% versus 16%
FEHLINGS1991: 0% versus 0%
GONZALEZ2002: not reported
HOATH2002: 10% versus 0%
HOOFDAKKER2007: 2% versus 2%
PFIFFNER1997: 0% versus 0%
SONUGA-BARKE2001: 7% total
TUTTY2003: 9% versus 0%
Non-respondersRR 0.49 (0.27 to 0.88)
Quality: High
K = 1, N = 48

From: 7, PSYCHOLOGICAL INTERVENTIONS AND PARENT TRAINING

Cover of Attention Deficit Hyperactivity Disorder
Attention Deficit Hyperactivity Disorder: Diagnosis and Management of ADHD in Children, Young People and Adults.
NICE Clinical Guidelines, No. 72.
National Collaborating Centre for Mental Health (UK).
Leicester (UK): British Psychological Society (UK); 2009.
Copyright © 2009, The British Psychological Society & The Royal College of Psychiatrists.

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