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Treatment Options for Attention Deficit Hyperactivity Disorder

Slide: 13 of 31

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