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Comprehensive Meta-Analysis of Attention-Deficit/Hyperactivity Disorder Psychosocial Treatments Investigated Within Between Group Studies
Review of Educational Research ( IF 11.2 ) Pub Date : 2021-07-08 , DOI: 10.3102/00346543211025092
Gregory A. Fabiano 1 , Nicole K. Schatz 2 , Ariel M. Aloe 3 , William E. Pelham 2 , Alyssa C. Smyth 1 , Xin Zhao , Brittany M. Merrill , Fiona Macphee , Marcela Ramos , Natalie Hong , Amy Altszuler 2 , Leah Ward 1 , Derek B. Rodgers , Zhijiang Liu , Rabia Karatoprak Ersen 3 , Stefany Coxe 2
Affiliation  

Interventions for attention-deficit/hyperactivity disorder (ADHD) include positive behavior supports (e.g., parent training, school-based contingency management, behavioral peer interventions), training interventions (e.g., organizational skills training, social skills training, etc.), and other interventions (e.g., academic accommodations/modifications, self-monitoring). There is a need to conduct a comprehensive meta-analysis of psychosocial treatments for ADHD given discrepancies between meta-analyses. The present meta-analysis reports the results of between-group studies that compared a psychosocial treatment to a control condition from 1968 to 2016. In total, 226 studies were identified that met inclusion criteria. Results of the meta-analysis were organized by treatment type, rater, and domain of outcome assessed. Results indicated considerable variability across these parameters, with the strongest effects for proximal outcomes of behavioral parent training (improvements in parenting behaviors yielded a standardized mean difference of 0.70) and improvements in child behavior following implementation of behavioral school intervention (standardized mean difference of 0.66 and 0.72 for teacher ratings of ADHD symptoms and impairment, respectively). Other interventions were not extensively studied as stand-alone approaches. Results are discussed in light of current support for the use of psychosocial interventions for individuals with ADHD.



中文翻译:

在小组研究之间调查的注意力缺陷/多动障碍心理社会治疗的综合元分析

注意力缺陷/多动障碍 (ADHD) 的干预措施包括积极行为支持(例如,家长培训、校本应急管理、行为同伴干预)、培训干预(例如,组织技能培训、社交技能培训等),以及其他干预措施(例如,学术便利/修改、自我监控)。鉴于荟萃分析之间的差异,有必要对 ADHD 的社会心理治疗进行全面的荟萃分析。本荟萃分析报告了从 1968 年到 2016 年将心理社会治疗与对照条件进行比较的组间研究的结果。总共确定了 226 项符合纳入标准的研究。荟萃分析的结果按治疗类型、评分者和评估结果的领域进行组织。结果表明这些参数之间存在相当大的差异,对行为父母培训的近端结果(养育行为的改善产生了 0.70 的标准化平均差异)和实施行为学校干预后儿童行为的改善(标准化平均差异为 0.66 和教师对 ADHD 症状和障碍的评分分别为 0.72)。其他干预措施没有作为独立方法进行广泛研究。根据目前对 ADHD 患者使用心理社会干预的支持,对结果进行了讨论。70)和实施行为学校干预后儿童行为的改善(教师对 ADHD 症状和障碍的评分的标准化平均差异分别为 0.66 和 0.72)。其他干预措施没有作为独立的方法进行广泛研究。根据目前对 ADHD 患者使用心理社会干预的支持,对结果进行了讨论。70)和实施行为学校干预后儿童行为的改善(教师对 ADHD 症状和障碍的评分的标准化平均差异分别为 0.66 和 0.72)。其他干预措施没有作为独立方法进行广泛研究。根据目前对 ADHD 患者使用心理社会干预的支持,对结果进行了讨论。

更新日期:2021-07-08
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