Psychosocial Interventions in Attention Deficit Hyperactivity Disorder

Antshel, Kevin M.; Barkley, Russell

doi:10.1016/j.chc.2007.11.005

Cited by 172Attention Deficit Hyperactivity DisorderBehavioral and Psychological StudiesChild and Adolescent Psychosocial and Emotional Development

Psychosocial Interventions in Attention Deficit Hyperactivity Disorder

Antshel, Kevin M., Barkley, Russell·2008·Child and Adolescent Psychiatric Clinics of North America

DOI 10.1016/j.chc.2007.11.005

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Abstract

This brief overview of psychosocial treatment approaches to attention deficit hyperactivity disorder (ADHD) concentrates on the two that receive the greatest research support, parent training in child behavior management and teacher training in classroom management. Cognitive-behavioral training of children who have ADHD has little evidence of efficacy and group social skills training has mixed or limited evidence of effectiveness. Research should focus on more theoretically driven psychosocial treatment approaches, on potential side effects or adverse events associated with this form of intervention, and on the complex pathways that affect impairment in major life activities that could guide subsequent treatment design for such impairments.

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Evidence-based ADHD treatments have not demonstrated long-term benefits, and both practical and theoretical problems reduce their usefulness and strength.
“these treatment approaches have not been shown to have long-term benefits, and both practical and theoretical issues limit their utility and potency.”
From Improving Outcomes for Youth with ADHD: A Conceptual Framework for Combined Neurocognitive and Skill-Based Treatment Approaches (2014) · cites this paper as Antshel & Barkley, 2008
Deficits in response to contingency management and low neurotransmitter levels (e.g., dopamine) are not central to ADHD pathophysiology.
“deficits in response to contingency management or low levels of neurotransmitters (e.g., dopamine) – the foci of behavioral and stimulant medication treatments, respectively – are not central to the pathophysiology of ADHD.”
From Improving Outcomes for Youth with ADHD: A Conceptual Framework for Combined Neurocognitive and Skill-Based Treatment Approaches (2014) · cites this paper as Antshel and Barkley, 2008
Current evidence-based treatments are not theoretically designed to address the underlying pathophysiology of ADHD or the compensatory mechanisms involved in recovery.
“Current evidence-based treatments are not theoretically derived to address the underlying pathophysiology of, or compensatory mechanisms associated with recovery from ADHD.”
From Improving Outcomes for Youth with ADHD: A Conceptual Framework for Combined Neurocognitive and Skill-Based Treatment Approaches (2014) · cites this paper as Antshel and Barkley, 2008

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EDUCATIONAL MANAGEMENT
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Comorbid Externalising Disorders and Child Anxiety Treatment Outcomes
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Treatment Response in Depressed Adolescents With and Without Co-Morbid Attention-Deficit/Hyperactivity Disorder in the Treatment for Adolescents with Depression Study
Kratochvil, C. J., MAY, D. E., Silva, S. G., Madaan, V., Puumala, S. E., Curry, J. F., Walkup, J. T., Kepley, H. O., Vitiello, B., & March, J. S. (2009) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2008.0143 · Cited by 39 · see citing works
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Vestibular and Visual Rotational Stimulation as Treatment for Attention Deficit and Hyperactivity
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Attention Deficit Hyperactivity Disorder
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Response to Commentary on the Multimodal Treatment Study of ADHD (MTA): Mining the Meaning of the MTA
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Ethnicity as a Moderator of Treatment Effects on Parent—Child Interaction for Children With ADHD
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School-Based Interventions for Adolescents With Attention-Deficit/Hyperactivity Disorder
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Social Skills Training
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More Rewards or More Punishment?
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Flagged first, then by citations

2 of the 133 references couldn’t be matched to a known paper.

Sorted by citations

Social and Emotional Impairment in Children and Adolescents with ADHD and the Impact on Quality of Life
Wehmeier, P. M., Schacht, A., & Barkley, R. A. (2010) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2009.09.009 · Cited by 628 · see citing works
Self-citation
A Systematic Review of Parenting in Relation to the Development of Comorbidities and Functional Impairments in Children with Attention-Deficit/Hyperactivity Disorder (ADHD)
Deault, L. (2009) · Child Psychiatry & Human Development · doi:10.1007/s10578-009-0159-4 · Cited by 475 · see citing works
Developmental phenotypes and causal pathways in attention deficit/hyperactivity disorder: potential targets for early intervention?
Sonuga‐Barke, E. J. S., & Halperin, J. M. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2009.02195.x · Cited by 320 · see citing works
Attention Deficit–Hyperactivity Disorder in Children and Adolescents
Feldman, H. M., & Reiff, M. I. (2014) · New England Journal of Medicine · doi:10.1056/nejmcp1307215 · Cited by 245 · see citing works
Integrated behavioral health in primary care: Step-by-step guidance for assessment and intervention.
Hunter, C. L., Goodie, J. L., Oordt, M. S., & Dobmeyer, A. C. (2016) · American Psychological Association eBooks · doi:10.1037/0000017-000 · Cited by 191 · see citing works
A meta-analysis of behavioral parent training for children with attention deficit hyperactivity disorder
Lee, P.-C., Niew, W.-I., Yang, H.-J., Chen, V. C.-H., & Lin, K.-C. (2012) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2012.05.011 · Cited by 176 · see citing works
“The benefit of BPT is to create better fit among parent–child interactions in social settings such as school, the park, and after-school events (Antshel & Barkley, 2008; Barkley, Robin, & Benton, 2008).”
Background
Early detection and intervention for attention-deficit/hyperactivity disorder
Sonuga-Barke, E. J., Koerting, J., Smith, E., McCann, D. C., & Thompson, M. (2011) · Expert Review of Neurotherapeutics · doi:10.1586/ern.11.39 · Cited by 150 · see citing works
Advances in understanding and treating ADHD
Antshel, K. M., Hargrave, T. M., Simonescu, M., Kaul, P., Hendricks, K., & Faraone, S. V. (2011) · BMC Medicine · doi:10.1186/1741-7015-9-72 · Cited by 140 · see citing works
“In pediatric ADHD, a combined treatment approach generally consists of pharmacotherapy and some form of psychosocial intervention, generally consisting of training parents in behavioral management, consultation with teachers/school personnel and individual work with the child [116].”
BackgroundSelf-citation
Meta-analysis: Which Components of Parent Training Work for Children With Attention-Deficit/Hyperactivity Disorder?
Dekkers, T. J., Hornstra, R., der Oord, S. V., Luman, M., Hoekstra, P. J., Groenman, A. P., & van den Hoofdakker, B. J. (2021) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2021.06.015 · Cited by 119 · see citing works
A Randomized Controlled Trial of Mindfulness-Based Cognitive Therapy for College Students With ADHD
Gu, Y., Xu, G., & Zhu, Y. (2018) · Journal of Attention Disorders · doi:10.1177/1087054716686183 · Cited by 99 · see citing works
“Important research demonstrates the efficacy of psychosocial interventions for ADHD (Antshel, 2015; Antshel & Barkley, 2008; Sonuga-Barke et al., 2013).”
Background
Improving Outcomes for Youth with ADHD: A Conceptual Framework for Combined Neurocognitive and Skill-Based Treatment Approaches
Chacko, A., Kofler, M., & Jarrett, M. (2014) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-014-0171-5 · Cited by 93 · see citing works
“In light of these significant limitations, some have posed a more fundamental obstacle (Antshel and Barkley 2008; Halperin and Healey 2011; Rapport et al. 2013): Current evidence-based treatments are not theoretically derived to address the underlying pathophysiology of, or compensatory mechanisms associated with reco…”
Influential
How to improve behavioral parent and teacher training for children with ADHD: Integrating empirical research on learning and motivation into treatment
van der Oord, S., & Tripp, G. (2020) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-020-00327-z · Cited by 91 · see citing works
Adverse event reporting in intervention research for young autistic children
Bottema-Beutel, K., Crowley, S., Sandbank, M., & Woynaroski, T. G. (2021) · Autism · doi:10.1177/1362361320965331 · Cited by 84 · see citing works
“As Antshel and Barkley (2008) note, “psychosocial treatments of any power to influence behavior will produce AEs [adverse events] in some subset of the treated population” (p. 433).”
BackgroundResult
Characteristics of Parents of Children with ADHD Who Never Attend, Drop Out, and Complete Behavioral Parent Training
Chacko, A., Wymbs, B. T., Rajwan, E., Wymbs, F. A., & Feirsen, N. (2016) · Journal of Child and Family Studies · doi:10.1007/s10826-016-0618-z · Cited by 80 · see citing works
“2015), and others have noted the potential insufficiency of BPT to address what many consider a biologically-driven disorder (Antshel and Barkley 2008; Chacko et al. 2014).”
Background
Group Therapy for Adolescents With Attention-Deficit/Hyperactivity Disorder: A Randomized Controlled Trial
Vidal, R., Castells, J., Richarte, V., Palomar, G., García, M., Nicolau, R., Lazaro, L., Casas, M., & Ramos-Quiroga, J. A. (2015) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2014.12.016 · Cited by 69 · see citing works
CBT for adult ADHD: adaptations and hypothesized mechanisms of change
Ramsay, J. R. (2010) · Journal of Cognitive Psychotherapy · doi:10.1891/0889-8391.24.1.37 · Cited by 67 · see citing works
“In fact, developmental delays in verbal working memory and affect regulation may explain why CBT has not been found to be effective in the treatment of children and younger adolescents with ADHD (Antshel & Barkley, 2008).”
Background
Attention-Deficit/Hyperactivity Disorder
Leung, A. K. C., & Hon, K. E. (2016) · Advances in Pediatrics · doi:10.1016/j.yapd.2016.04.017 · Cited by 69 · see citing works
Mother–child dyadic synchrony is associated with better functioning in hyperactive/inattentive preschool children
Healey, D. M., Gopin, C. B., Grossman, B. R., Campbell, S. B. G., & Halperin, J. M. (2010) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.2010.02220.x · Cited by 67 · see citing works
Peer Rejection and Perceived Quality of Relations With Schoolmates Among Children With ADHD
Grygiel, P., Humenny, G., Rębisz, S., Bajcar, E. A., & Świtaj, P. (2014) · Journal of Attention Disorders · doi:10.1177/1087054714563791 · Cited by 63 · see citing works
“…of which is that negative reputations persist, even after maladaptive behavior has changed (Hymel, Wagner, & Butler, 1990), an effective intervention should not be limited to behavioral management and social skills training (Antshel & Barkley, 2008; Hinshaw, 2006) without addressing peers’ biases.”
Background
Pharmacotherapy for Child and Adolescent Attention-deficit Hyperactivity Disorder
Kaplan, G., & Newcorn, J. H. (2011) · Pediatric Clinics of North America · doi:10.1016/j.pcl.2010.10.009 · Cited by 63 · see citing works
Developments and challenges in the diagnosis and treatment of ADHD
Dias, T. G. C., Kieling, C., Graeff-Martins, A. S., Moriyama, T. S., Rohde, L. A., & Polanczyk, G. V. (2013) · Revista Brasileira de Psiquiatria · doi:10.1590/1516-4446-2013-s103 · Cited by 62 · see citing works
Global Issues Related to the Impact of Untreated Attention-Deficit/Hyperactivity Disorder From Childhood to Young Adulthood
Barkley, R. A. (2008) · Postgraduate Medicine · doi:10.3810/pgm.2008.09.1907 · Cited by 71 · see citing works
Self-citation
Propelling the Global Advancement of School Mental Health
Weist, M. D., Hoover, S., Daly, B. P., Short, K. H., & Bruns, E. J. (2023) · Clinical Child and Family Psychology Review · doi:10.1007/s10567-023-00434-7 · Cited by 49 · see citing works
Effects of a Psychosocial Intervention on the Executive Functioning in Children With ADHD
Miranda, A., Herrero, M. J. P., Hierro, R. S., & Jiménez, P. J. (2011) · Journal of Learning Disabilities · doi:10.1177/0022219411427349 · Cited by 49 · see citing works
“…well-founded and evidence-based treatments for managing the main symptoms of ADHD and dealing with the many problems associated with the disorder (Antshel & Barkley, 2008; Chronis, Jones, & Raggi, 2006; DuPaul & Weyandt, 2006; Hoza, Kaiser, & Hurt, 2008; Miranda, Jarque, & Tárraga, 2006; Pelham…”
Background
Meta-analysis of the effects of physical activity on executive function in children and adolescents with attention deficit hyperactivity disorder
Song, Y., Fan, B., Wang, C., & Yu, H. (2023) · PLOS ONE · doi:10.1371/journal.pone.0289732 · Cited by 50 · see citing works
Effectiveness of Cognitive–Functional (Cog–Fun) Occupational Therapy Intervention for Young Children With Attention Deficit Hyperactivity Disorder: A Controlled Study
Maeir, A., Fisher, O., Bar-Ilan, R. T., Boas, N., Berger, I., & Landau, Y. E. (2014) · American Journal of Occupational Therapy · doi:10.5014/ajot.2014.011700 · Cited by 48 · see citing works
“Intervention at a young age is of vital importance to improve current occupational functioning and lower the risks for future disabilities (Antshel & Barkley, 2008; Young & Amarasinghe, 2010).”
Review: Which components of behavioral parent and teacher training work for children with ADHD ? – a metaregression analysis on child behavioral outcomes
Hornstra, R., Groenman, A. P., der Oord, S. V., Luman, M., Dekkers, T. J., van der Veen‐Mulders, L., Hoekstra, P. J., & van den Hoofdakker, B. J. (2022) · Child and Adolescent Mental Health · doi:10.1111/camh.12561 · Cited by 50 · see citing works
Adult Attention Deficit Hyperactivity Disorder and Violence in the Population of England: Does Comorbidity Matter?
González, R. A., Kallis, C., & Coid, J. (2013) · PLoS ONE · doi:10.1371/journal.pone.0075575 · Cited by 38 · see citing works
“However, because comorbidity is highly prevalent among those with ADHD, violence should be seen as prominent among problems resulting in burden of care and high costs [58,59].”
Background
Diagnosis and Treatment of Attention Deficit Hyperactivity Disorder During Adolescence in the Primary Care Setting: A Concise Review
Brahmbhatt, K., Hilty, D. M., Hah, M., Han, J., Angkustsiri, K., & Schweitzer, J. B. (2016) · Journal of Adolescent Health · doi:10.1016/j.jadohealth.2016.03.025 · Cited by 43 · see citing works
Peer Inclusion in Interventions for Children with ADHD: A Systematic Review and Meta-Analysis
Cordier, R., Vilaysack, B., Doma, K., Wilkes‐Gillan, S., & Speyer, R. (2018) · BioMed Research International · doi:10.1155/2018/7693479 · Cited by 45 · see citing works
Treatment Response in Depressed Adolescents With and Without Co-Morbid Attention-Deficit/Hyperactivity Disorder in the Treatment for Adolescents with Depression Study
Kratochvil, C. J., MAY, D. E., Silva, S. G., Madaan, V., Puumala, S. E., Curry, J. F., Walkup, J. T., Kepley, H. O., Vitiello, B., & March, J. S. (2009) · Journal of Child and Adolescent Psychopharmacology · doi:10.1089/cap.2008.0143 · Cited by 39 · see citing works
“Although several studies have suggested that CBT may be helpful in decreasing functional impairment in depressed adolescents, large controlled studies of CBT that are speciﬁc to adolescents with co-morbid ADHD and MDD have not been conducted (Antshel and Barkley 2008).”
Do Phenotypic Characteristics, Parental Psychopathology, Family Functioning, and Environmental Stressors Have a Role in the Response to Methylphenidate in Children With Attention-Deficit/Hyperactivity Disorder?: A Naturalistic Study From a Developing Country
Chazan, R., Borowski, C., Pianca, T., Ludwig, H., Rohde, L. A., & Polanczyk, G. (2011) · Journal of Clinical Psychopharmacology · doi:10.1097/jcp.0b013e318217b4df · Cited by 39 · see citing works
Incremental Validity of Neuropsychological Assessment in the Identification and Treatment of Youth with ADHD
Pritchard, A. E., Koriakin, T. A., Jacobson, L. A., & Mahone, E. M. (2013) · The Clinical Neuropsychologist · doi:10.1080/13854046.2013.863978 · Cited by 36 · see citing works
“…of effective, behaviorally based therapeutic interventions, or play or talk therapies, which have not been demonstrated to be effective in the treatment of ADHD (Antshel & Barkley, 2008), or whether there were differences in the type of individual therapy initiated between the two groups.”
Background
Sequenced neurocognitive and behavioral parent training for the treatment of ADHD in school-age children
Chacko, A., Bedard, A., Marks, D. J., Gopalan, G., Feirsen, N., Uderman, J. Z., Chimiklis, A. L., Heber, E., Cornwell, M. A., Anderson, L., et al. (2017) · Child Neuropsychology · doi:10.1080/09297049.2017.1282450 · Cited by 36 · see citing works
“…current evidence-based treatments are not theoretically derived to address the underlying pathophysiology of, or compensatory mechanisms associated with, recovery from ADHD (Antshel & Barkley, 2008; Chacko, Kofler, et al., 2014; Halperin & Healey, 2011; Rapport, Orban, Kofler, & Friedman, 2013).”
Background
Which Techniques Work in Behavioral Parent Training for Children with ADHD? A Randomized Controlled Microtrial
Hornstra, R., der Oord, S. V., Staff, A. I., Hoekstra, P. J., Oosterlaan, J., van der Veen‐Mulders, L., Luman, M., & van den Hoofdakker, B. J. (2021) · Journal of Clinical Child & Adolescent Psychology · doi:10.1080/15374416.2021.1955368 · Cited by 34 · see citing works
“A possible explanation for the stronger effects of the antecedent-based techniques on inattention could be that through the use of these types of techniques poor executive functions of children with ADHD are being supported (Anil Chacko et al., 2014; Antshel & Barkley, 2008).”
Background
The Alliance in a Friendship Coaching Intervention for Parents of Children With ADHD
Lerner, M. D., Mikami, A. Y., & McLeod, B. D. (2011) · Behavior Therapy · doi:10.1016/j.beth.2010.11.006 · Cited by 33 · see citing works
“Social problems in ADHD populations are persistent and pervasive (Mannuzza & Klein, 2000), and are among the most intractable domains of impairment to child-focused psychosocial and psychopharmacological treatment (Antshel & Barkley, 2008; Hoza et al., 2005).”
Nonmedication treatments for adult ADHD: Evaluating impact on daily functioning and well-being.
Ramsay, J. R. (2010) · American Psychological Association eBooks · doi:10.1037/12056-000 · Cited by 33 · see citing works
Symptoms of ADHD and Close Friendships in Adolescence
Glass, K., Flory, K., & Hankin, B. L. (2010) · Journal of Attention Disorders · doi:10.1177/1087054710390865 · Cited by 32 · see citing works
“…to generalize positive friendship qualities to other areas of social functioning—may be more effective for this population than some previously used group treatments that have focused on general social skills training and generally demonstrate little evidence of efficacy (Antshel & Barkley, 2008).”
Result
Eighteen‐month follow‐up of a play‐based intervention to improve the social play skills of children with attention deficit hyperactivity disorder
Wilkes‐Gillan, S., Bundy, A. C., Cordier, R., & Lincoln, M. (2014) · Australian Occupational Therapy Journal · doi:10.1111/1440-1630.12124 · Cited by 31 · see citing works
Academic, Interpersonal, Recreational, and Family Impairment in Children with Tourette Syndrome and Attention-Deficit/Hyperactivity Disorder
Ricketts, E. J., Wolicki, S. B., Danielson, M. L., Rozenman, M. S., Mcguire, J. F., Piacentini, J. C., Mink, J. W., Walkup, J. T., Woods, D. W., & Bitsko, R. H. (2021) · Child Psychiatry & Human Development · doi:10.1007/s10578-020-01111-4 · Cited by 31 · see citing works
The child behavior checklist can aid in characterizing suspected comorbid psychopathology in clinically referred youth with ADHD
Biederman, J., DiSalvo, M., Vaudreuil, C., Wozniak, J. R., Uchida, M., Woodworth, K. Y., Green, A., Farrell, A., & Faraone, S. V. (2021) · Journal of Psychiatric Research · doi:10.1016/j.jpsychires.2021.04.028 · Cited by 31 · see citing works
Effectiveness of Social Skills Interventions Incorporating Peer Interactions for Children With Attention Deficit Hyperactivity Disorder: A Systematic Review
Fox, A., Dishman, S., Valicek, M., Ratcliff, K., & Hilton, C. L. (2020) · American Journal of Occupational Therapy · doi:10.5014/ajot.2020.040212 · Cited by 30 · see citing works
Evaluation of a School-Based Social Skills Program for Children With Attention-Deficit/Hyperactivity Disorder
Corkum, P. V., Corbin, N., & Pike, M. M. (2010) · Child & Family Behavior Therapy · doi:10.1080/07317101003776472 · Cited by 30 · see citing works
“Empirical support for the effectiveness of these programs, however, has been mixed (Antshel & Barkley, 2008).”
Method
The role of sleep quality and quantity in moderating the effectiveness of medication in the treatment of children with ADHD
Morash-Conway, J., Gendron, M. A., & Corkum, P. V. (2016) · ADHD Attention Deficit and Hyperactivity Disorders · doi:10.1007/s12402-016-0204-7 · Cited by 29 · see citing works
Child outcomes of a pilot parent-delivered intervention for improving the social play skills of children with ADHD and their playmates
Wilkes‐Gillan, S., Bundy, A. C., Cordier, R., & Lincoln, M. (2014) · Developmental Neurorehabilitation · doi:10.3109/17518423.2014.948639 · Cited by 28 · see citing works
“involvement, treatment delivered in group contexts involving peers with similar difficulties and interventions that focus on poor social skills without considering the underlying impairment or natural environments within which children develop social skills [3, 5, 6].”
Background
Use of Cognitive Behavioral Therapy and Token Economy to Alleviate Dysfunctional Behavior in Children with Attention-Deficit Hyperactivity Disorder
Coelho, L. F., Barbosa, D. L. F., Rizzutti, S., Muszkat, M., Bueno, O. F. A., & Miranda, M. C. (2015) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2015.00167 · Cited by 28 · see citing works
ADHD: an integration with pediatric traumatic brain injury
Eme, R. F. (2012) · Expert Review of Neurotherapeutics · doi:10.1586/ern.12.15 · Cited by 28 · see citing works
Multimodal treatment for childhood attention-deficit/hyperactivity disorder
Kaiser, N. M., Hoza, B., & Hurt, E. A. (2008) · Expert Review of Neurotherapeutics · doi:10.1586/14737175.8.10.1573 · Cited by 27 · see citing works
Managing ADHD across the Lifespan in the Primary Care Setting
Goodman, D. W., Lasser, R. A., Babcock, T., Pucci, M. L., & Solanto, M. V. (2011) · Postgraduate Medicine · doi:10.3810/pgm.2011.09.2456 · Cited by 27 · see citing works
“Pediatric patients signifi cantly benefi t from concurrent behavioral therapy.(7,8) There is also growing literature providing evidence-based support for the benefi t of psychosocial treatment in adults with ADHD.”
Parent and Family Processes Related to ADHD Management in Ethnically Diverse Youth
Paidipati, C. P., Brawner, B. M., Eiraldi, R. B., & Deatrick, J. A. (2017) · Journal of the American Psychiatric Nurses Association · doi:10.1177/1078390316687023 · Cited by 26 · see citing works
Evaluation of a Pilot Parent-Delivered Play-Based Intervention for Children With Attention Deficit Hyperactivity Disorder
Wilkes‐Gillan, S., Bundy, A. C., Cordier, R., & Lincoln, M. (2014) · American Journal of Occupational Therapy · doi:10.5014/ajot.2014.012450 · Cited by 23 · see citing works
“Although preliminary, these results hold promise, even though psychosocial interventions targeting the social impairments of children with ADHD have previously demonstrated minimal effectiveness (Antshel & Barkley, 2008; Antshel & Remer, 2003; Pelham & Fabiano, 2008).”
Effects of therapeutic climbing activities wearing a weighted vest on a child with attention deficit hyperactivity disorder: a case study
Lee, H., & Song, C.-S. (2015) · Journal of Physical Therapy Science · doi:10.1589/jpts.27.3337 · Cited by 23 · see citing works
Melatonin reduces neuronal loss and cytoskeletal deterioration: implications for Psychiatry
Reiter, R. J., & Benítez‐King, G. (2009) · Redalyc (Universidad Autónoma del Estado de México) · Cited by 23 · see citing works
The social play, social skills and parent–child relationships of children with ADHD 12 months following a RCT of a play‐based intervention
Barnes, G., Wilkes‐Gillan, S., Bundy, A. C., & Cordier, R. (2017) · Australian Occupational Therapy Journal · doi:10.1111/1440-1630.12417 · Cited by 21 · see citing works
Parents’ perspectives on the appropriateness of a parent-delivered intervention for improving the social play skills of children with ADHD
Wilkes‐Gillan, S., Bundy, A. C., Cordier, R., Lincoln, M., & Hancock, N. (2015) · British Journal of Occupational Therapy · doi:10.1177/0308022615573453 · Cited by 17 · see citing works
“When parents discontinue interventions, negative parent–child interactions remain, and parental confidence for supporting their children remains low (Antshel and Barkley, 2008; Fischer et al., 1993; Lifford et al., 2008).”
Background
Pharmacological Management of Pediatric Patients with Comorbid Attention-Deficit Hyperactivity Disorder Oppositional Defiant Disorder
Connor, D. (2015) · Pediatric Drugs · doi:10.1007/s40272-015-0143-3 · Cited by 14 · see citing works
The Cambridge Handbook of Applied School Psychology
Worrell, T. L. H. F. C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108235532 · Cited by 15 · see citing works
Teacher-Provided Positive Attending to Improve Student Behavior
Perle, J. G. (2016) · Teaching Exceptional Children · doi:10.1177/0040059916643707 · Cited by 15 · see citing works
“Immediacy and emphasizing positive behaviors at the time of performance may prove especially helpful for children who are fast moving or exhibit attention-related difficulties (Antshel & Barkley, 2008).”
Background
Study protocol for a randomized controlled trial comparing the efficacy of a specialist and a generic parenting programme for the treatment of preschool ADHD
McCann, D., Thompson, M. J. J., Daley, D., Barton, J., Laver‐Bradbury, C., Hutchings, J., Coghill, D., Stanton, L., Maishman, T., Dixon, L., et al. (2014) · Trials · doi:10.1186/1745-6215-15-142 · Cited by 14 · see citing works
“Nonpharmacological treatments, such as classroom-based behaviour modification or parent-training programmes can also be valuable but appear not to provide the same control of ADHD symptoms offered by pharmacological treatments [17].”
Background
A Strength-Based Intervention to Increase Participation in Leisure Activities in Children with Neuropsychiatric Disabilities: A Pilot Study
Ullenhag, A., Granlund, M., Almqvist, L., & Krumlinde‐Sundholm, L. (2020) · Occupational Therapy International · doi:10.1155/2020/1358707 · Cited by 14 · see citing works
Psychosocial perceptions and executive functioning: Hope and school belonging predict students' executive functioning
Dixson, D. D., & Gill-Scalcucci, S. (2021) · Psychology in the Schools · doi:10.1002/pits.22475 · Cited by 15 · see citing works
Comparing the executive attention of adult females with ADHD to that of females with sensory modulation disorder (SMD) under aversive and non-aversive auditory conditions
Mazor‐Karsenty, T., Parush, S., Bonneh, Y. S., & Shalev, L. (2014) · Research in Developmental Disabilities · doi:10.1016/j.ridd.2014.10.041 · Cited by 12 · see citing works
A Multimodal Intervention for Children with ADHD Reduces Inequity in Health and Education Outcomes
Enns, J. E., Randall, J. R., Smith, M. J., Chateau, D. G., Taylor, C. R., Brownell, M. D., Bolton, J. M., Burland, E., Katz, A., Katz, L. Y., et al. (2017) · The Canadian Journal of Psychiatry · doi:10.1177/0706743717692301 · Cited by 12 · see citing works
“Clinical and research efforts have focused on improving mental health and educational outcomes for several decades.(11) The Canadian ADHD Resource Alliance recommends long-acting psychostimulants as first-line pharmacotherapy for children and adolescents.”
Background
Functional impairment in ADHD
Weiss, M. D. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781139035491.005 · Cited by 11 · see citing works
Time estimation exposure modifies cognitive aspects and cortical activity of attention deficit hyperactivity disorder adults
Fontes, R. M., Marinho, V., Carvalho, V., Rocha, K. D. M., Magalhães, F. E. X., Moura, I., Ribeiro, P. F. M., Velasques, B., Cagy, M., Gupta, D. S., et al. (2020) · International Journal of Neuroscience · doi:10.1080/00207454.2020.1715394 · Cited by 11 · see citing works
“This observation corroborates the evidence that ADHD subjects tend to overestimate and sub produce time intervals in the range of seconds to minutes [19], presenting higher scores for the late rewards [66].”
Result
Community-Clinic-Based Parent Intervention Addressing Noncompliance in Children With Attention-Deficit/Hyperactivity Disorder
Canu, W. H., & Bearman, S. K. (2011) · Cognitive and Behavioral Practice · doi:10.1016/j.cbpra.2010.07.005 · Cited by 11 · see citing works
Helping Parents Decide on ADHD Treatment for Their Children
McGuinness, T. M. (2008) · Journal of Psychosocial Nursing and Mental Health Services · doi:10.3928/02793695-20080801-08 · Cited by 11 · see citing works
Attachment Representation Moderates the Effectiveness of Behavioral Parent Training Techniques for Children with ADHD: Evidence from a Randomized Controlled Microtrial
Hornstra, R., Dekkers, T. J., Bosmans, G., van den Hoofdakker, B. J., & der Oord, S. V. (2022) · Research on Child and Adolescent Psychopathology · doi:10.1007/s10802-022-00921-5 · Cited by 10 · see citing works
“Consequent-based techniques are for example the use of praise, ignoring or mild punishment (Antshel & Barkley, 2008).”
Method
Eficacia de las intervenciones con niños y adolescentes con Trastorno por Déficit de Atención con Hiperactividad (TDAH)
Fernández, S. J. (2012) · RECERCAT (Consorci de Serveis Universitaris de Catalunya) · Cited by 10 · see citing works
The Quality of Life (QoL) in Attention Deficit Hyperactivity Disorder (ADHD)
Uneri, O., Şenses-Dinç, G., & Goker, Z. (2015) · InTech eBooks · doi:10.5772/60955 · Cited by 8 · see citing works
“BPT has been shown to be effective in parent-child conflicts to improve child oppositional behavior rather than ADHD symptoms themselves [21].”
Background
Efficacy of a self‐help parenting intervention for parents of children with attention deficit hyperactivity disorder in adjunct to usual treatment—Small‐scale randomized controlled trial
Daley, D., Tarver, J., & Sayal, K. S. (2020) · Child Care Health and Development · doi:10.1111/cch.12825 · Cited by 9 · see citing works
“Assessments of psychosocial intervention should include outcomes where the effects of medication are more uncertain (Antshel & Barkley, 2008).”
Background
Computerized Progressive Attention Training (CPAT) vs. Active Control in Adults with ADHD
Kolodny, T., Ashkenazi, Y., Farhi, M., & Shalev, L. (2017) · Journal of Cognitive Enhancement · doi:10.1007/s41465-017-0056-x · Cited by 9 · see citing works
Involving Parents in Child Mental Health Treatments: Survey of Clinician Practices and Variables in Decision Making
Kurzweil, S. (2023) · American Journal of Psychotherapy · doi:10.1176/appi.psychotherapy.20220025 · Cited by 9 · see citing works
Evidence-Based Psychological Treatments of Pediatric Mental Disorders
Wu, M. S., Hamblin, R. J., & Storch, E. A. (2015) · Advances in Pediatrics · doi:10.1016/j.yapd.2015.04.007 · Cited by 8 · see citing works
The Hidden Classroom: How Gender Stereotypes Impact Academic Achievement
Gonzalez, A. M., Oh, J. H. J., & Baron, A. S. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108235532.018 · Cited by 10 · see citing works
Intervention with students with ADHD: Analysis of the effects of a multi-component and multi-contextualized program on academic and socio-emotional adjustment
Miranda, A., Herrero, M. J. P., García, R., & Siegenthaler, R. (2009) · Advances in learning and behavioral disabilities · doi:10.1108/s0735-004x(2009)0000022010 · Cited by 8 · see citing works
ADHD and Risk-Taking Behavior: Associations, Mechanisms, and Interventions
Pollak, Y., Shoham, R., Scheres, A., & Dekkers, T. J. (2023) · Autism and child psychopathology series · doi:10.1007/978-3-031-41709-2_12 · Cited by 6 · see citing works
Social and Emotional Learning in Schools
DiPerna, J. C., Frey, J. R., & Hart, S. C. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108235532.025 · Cited by 7 · see citing works
Reviewing the role of emerging therapies in the ADHD armamentarium
Childress, A. C., Beltran, N., Supnet, C., & Weiss, M. D. (2020) · Expert Opinion on Emerging Drugs · doi:10.1080/14728214.2020.1846718 · Cited by 7 · see citing works
A pairwise randomised controlled trial of a peer-mediated play-based intervention to improve the social play skills of children with ADHD: Outcomes of the typically-developing playmates
Wilkes‐Gillan, S., Cordier, R., Bundy, A. C., Lincoln, M., Chen, Y.-W. R., Parsons, L., & Cantrill, A. (2022) · PLoS ONE · doi:10.1371/journal.pone.0276444 · Cited by 6 · see citing works
Assessing the Effectiveness of Real-Time Online Parent Training for Parents of Children with Diverse Neurodevelopmental Disorders Residing in the Community
Yamanaka, T., Yuruki, K., Sanabe, Y., Yasutake, M., & Inoue, M. (2023) · Yonago acta medica · doi:10.33160/yam.2023.11.010 · Cited by 6 · see citing works
What Is the Role of Schools in the Treatment of Children’s Mental Illness?
Hoover, S., Bostic, J. Q., & Nealis, L. K. (2019) · Springer eBooks · doi:10.1007/978-3-030-11908-9_15 · Cited by 6 · see citing works
Pharmacists’ knowledge, experiences and perceptions of treatments for attention-deficit/hyperactivity disorder
Yuen, T., Zhang, H., & Bonin, R. P. (2021) · Canadian Pharmacists Journal / Revue des Pharmaciens du Canada · doi:10.1177/1715163520981397 · Cited by 6 · see citing works
“Research studies show that multimodal approaches with both psychosocial interventions and medication improve both core ADHD symptoms and quality of life.(24,25) Psychosocial interventions include cognitive behavioural therapy, behavioural interventions, parent training, cognitive training and social skills training.”
Background
Effectiveness of Behavioral Parent Therapy in Preschool Children With Attention‐Deficit Hyperactivity Disorder
Huang, H., Lu, C., Tsai, H., Chao, C., Ho, T., Chuang, S., Tsai, C., & Yang, P. (2009) · The Kaohsiung Journal of Medical Sciences · doi:10.1016/s1607-551x(09)70528-5 · Cited by 6 · see citing works
Parent–Child Groups for Externalizing Disorders: Outcomes, Sociodemographic Moderators, Attendance, and Attrition in a Real-World Setting
Williamson, A. A., Harrison, R. R., Reader, S. K., & Tynan, W. D. (2016) · Evidence-Based Practice in Child and Adolescent Mental Health · doi:10.1080/23794925.2016.1227945 · Cited by 6 · see citing works
“…Years program (IY; WebsterStratton & Reid, 2010), or Parent Management Training (PMT; Kazdin, 1996, 2003), these packages similarly teach parents the basic principles of operant conditioning as a method to manage child disruptive behaviors (Antshel & Barkley, 2008; Barkley, 1987; Lau, 2006).”
Background
Learning Disabilities in Mathematics
McKerracher, A. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108235532.004 · Cited by 6 · see citing works
Introduction: ADHD and modifiers of the syndrome: Influences on educational outcomes
DENCKLA, M. B. (2008) · Developmental Disabilities Research Reviews · doi:10.1002/ddrr.43 · Cited by 6 · see citing works
Training sozialer Fertigkeiten für Kinder mit ADHS
Pothmann, M. S. G., Petermann, U., Petermann, F., & Zakis, D. (2011) · Zeitschrift für Kinder- und Jugendpsychiatrie und Psychotherapie · doi:10.1024/1422-4917/a000114 · Cited by 5 · see citing works
“Während sich viele Studien mit den häufigen komorbiden Diagnosen beschäftigen (z. B. Gau et al., 2010; Schmidt, Brücher & Petermann, 2006) werden begleitende soziale Defizite zwar vielfach erwähnt, sind jedoch nur selten abgeklärt (Antshel & Barkley, 2008; Soliva Z. Kinder-Jugendpsychiatr.”
Background
Review of clinical guidelines for children and adolescents with attention deficit hyperactivity disorder and their application to an Irish context
Kavanagh, G., O’Hanrahan, S., Hughes, G. C., & McNicholas, F. (2014) · Irish Journal of Psychological Medicine · doi:10.1017/ipm.2014.63 · Cited by 5 · see citing works
Curso del trastorno por déficit de atención y/o hiperactividad en una muestra ambulatoria
Seco, F. L., Marín, A. M., Serrano, S. M., García, S., & Gaviria, A. M. (2011) · Anales de Pediatría · doi:10.1016/j.anpedi.2011.09.027 · Cited by 5 · see citing works
Parental Autonomy and Relatedness Support
Froiland, J. M. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108235532.016 · Cited by 5 · see citing works
The Academic Support Index: A Tool for Contextualizing Student Data
Stevens, D. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108235532.009 · Cited by 5 · see citing works
Cognitive‐behavioral therapy, behavioral therapy, and related treatments in children
Kendall, P. C., Peterman, J. S., & Cummings, C. M. (2015) · Wiley eBooks · doi:10.1002/9781118381953.ch38 · Cited by 6 · see citing works
Identifying and Serving Gifted and Talented Students
Olszewski‐Kubilius, P., Worrell, F. C., & Subotnik, R. F. (2020) · Cambridge University Press eBooks · doi:10.1017/9781108235532.034 · Cited by 4 · see citing works
Indirect Associations between Middle-Childhood Externalizing Behaviors and Adolescent Substance Use through Late-Childhood Exposure to Violence
Savell, S. M., Womack, S. R., Wilson, M. N., Lemery‐Chalfant, K., & Shaw, D. S. (2022) · Journal of Youth and Adolescence · doi:10.1007/s10964-022-01575-8 · Cited by 4 · see citing works
“Several family-based interventions have been shown to reduce children’s externalizing behavior through increases in positive parenting techniques (e.g., monitoring, limit setting, and positive behavior support; Antshel & Barkley, 2008).”
Background
Real-World Efficacy and Safety of Extended-Release Methylphenidate (PRC-063) in the Treatment of ADHD in Pediatric and Adult Subjects: Results of a Phase IV Multicenter Comparison With Lisdexamfetamine Dimesylate
van Stralen, J., Parhar, G., Parhar, A., Tourjman, V., Khattak, S., Ahmed, T., Donnelly, G. A. E., & Ratz, J. D. (2023) · Journal of Attention Disorders · doi:10.1177/10870547231172767 · Cited by 4 · see citing works
The short- and longer-term effects of brief behavioral parent training versus care as usual in children with behavioral difficulties: study protocol for a randomized controlled trial
van Doornik, R., der Oord, S. V., Luijckx, J., Groenman, A. P., Leijten, P. H. O., Luman, M., Hoekstra, P. J., van den Hoofdakker, B. J., & Dekkers, T. J. (2024) · BMC Psychiatry · doi:10.1186/s12888-024-05649-8 · Cited by 5 · see citing works
Efficacy of an Intervention Program for Attention and Reflexivity in Children With Attention Deficit Hyperactivity Disorder
Martínez, Y. C., Santiago‐Ramajo, S., Asencio, E. N., Vergara‐Moragues, E., & Bermejo, V. S. (2017) · Mind Brain and Education · doi:10.1111/mbe.12136 · Cited by 4 · see citing works
Actualización en el tratamiento del trastorno del déficit de atención con/sin hiperactividad (TDAH) en Atención Primaria
Fontiveros, Á. M., Vera, J. M., González, A., Igeño, V. G., & Resa, Ó. G. (2015) · Revista Clínica de Medicina de Familia · doi:10.4321/s1699-695x2015000300006 · Cited by 3 · see citing works
Feasibility and Efficacy of the Alert Program® for Children with Attention-Deficit/Hyperactivity Disorder
Mah, J. W. T., Gill, H., & Doherty, M. (2023) · Clinical Child Psychology and Psychiatry · doi:10.1177/13591045231162680 · Cited by 4 · see citing works
“This underlies why traditional social skills training programs for children with ADHD have also demonstrated similarly limited efficacy (Antshel & Barkley, 2008).”
Background

Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder.
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Evidence-Based Treatments for Attention-Deficit/Hyperactivity Disorder (ADHD)
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Evidence-based Psychosocial Treatments for Childhood ADHD
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PSYCHOLOGY OF CHILDREN WITH ATTENTION DEFICIT HYPERACTIVITY DISORDER
Omonova, M., & Melibayeva, R. N. (2023) · International Bulletin of Applied Sciences and Technology · doi:10.5281/zenodo.10418692
Skills Versus Pills: Psychosocial Treatments for ADHD in Childhood and Adolescence
Schoenfelder, E. N., & Sasser, T. R. (2016) · Pediatric Annals · doi:10.3928/19382359-20160920-04 · Cited by 16 · see citing works

Authors: Antshel, K. M., & Barkley, R.
Affiliations: SUNY Upstate Medical University (US)
Medical University of South Carolina (US)
Corresponding author: Antshel, Kevin M.
ORCID: Antshel, Kevin M.
Venue: Child and Adolescent Psychiatric Clinics of North America
Publisher: Elsevier BV
Published: 2008-04
Volume: 17
Issue: 2
Pages: 421-437
ISSN: 1056-4993 (ISSN-L)
DOI: 10.1016/j.chc.2007.11.005
OpenAlex: W2011661706
Cited by: 172
References: 133
Citations by year: 2026: 3 · 2025: 1 · 2024: 2 · 2023: 9 · 2022: 6 · 2021: 8 · 2020: 47 · 2019: 3 · 2018: 3 · 2017: 8 · 2016: 14 · 2015: 11 · 2014: 16 · 2013: 5 · 2012: 5
FWCI: 1.32
Type: journal article
Language: en
Open access: closed
Licence: www.elsevier.com/tdm/userlicense/1.0/ (tdm)
www.elsevier.com/legal/tdmrep-license (tdm)
Locations: Child and Adolescent Psychiatric Clinics of North America (publishedVersion)
PubMed (publishedVersion)
Topics: Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords: attention deficit hyperactivity disorder, psychosocial interventions, behavior therapy, operant conditioning, behavioral parent training, school-based intervention, stimulant medication, functional disability, children and adolescents
MeSH terms: Adolescent, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Child, Child Behavior Disorders, Combined Modality Therapy, Education, Educational Status, Faculty, Humans, Social Adjustment, Cognitive Behavioral Therapy

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Psychosocial Interventions in Attention Deficit Hyperactivity Disorder

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