Treatment Options for Attention Deficit Hyperactivity Disorder
Effectiveness of ADHD or DBD Interventions in Children Under 6 Years of Age (1 of 2)
Twenty-eight randomized controlled trials (RCTs) show that parental behavior training is an efficacious treatment for preschoolers with disruptive behavior disorder; eight of these studies documented improvement specifically in ADHD symptoms. Long-term extension followup studies for the RCTs suggest that the benefits are maintained for at least 6 months and up to 2 years in some studies. Parents who attend more parental behavior training sessions see more improvement in their child’s behavior.
Strength of evidence: High
There are only a few short-term studies examining psychostimulant use in preschoolers, most with small sample sizes. One RCT with a more robust sample size offered excellent evidence that methylphenidate (MPH) is both efficacious and generally safe for treatment of ADHD symptoms. However, there has been limited long-term followup in preschoolers beyond 12 months.
Strength of evidence: Low
Keywords: efficacy | methylphenidate | outcomes | parent behavior training | preschoolers | strength of evidence | comparative effectiveness
- Charach A, Dashti B, Carson P, et al. Attention Deficit Hyperactivity Disorder: Effectiveness of Treatment in At-Risk Preschoolers; Long-Term Effectiveness in All Ages; and Variability in Prevalence, Diagnosis, and Treatment. Comparative Effectiveness Review No. 44 (Prepared by McMaster University Evidence-based Practice Center under Contract No. MME 2202 290-02-0020). Rockville, MD: Agency for Healthcare Research and Quality; October 2011. AHRQ Publication No. 11(12)-EHC003-EF. Available at www.effectivehealthcare.ahrq.gov/adhdtreatment.cfm.
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