Cited by 161Attention Deficit Hyperactivity DisorderChild and Adolescent Psychosocial and Emotional DevelopmentBehavioral and Psychological Studies

Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD

Arnold, L. Eugene, Elliott, Michael, Sachs, Larry, Bird, Hector, Kraemer, Helena C., Wells, Karen C., Abikoff, Howard B., Comarda, Anne +14 more·2003·Journal of Consulting and Clinical Psychology

Abstract

From the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder--a randomized clinical trial of 579 children ages 7-9 years receiving 14 months of medication management, behavioral treatment, combination, or community care--the authors matched each African American and Latino participant with randomly selected Caucasian participants of same sex, treatment group, and site. Although Caucasian children were significantly less symptomatic than African American and Latino children on some ratings, response to treatment did not differ significantly by ethnicity after controlling for public assistance. Ethnic minority families cooperated with and benefited significantly from combination (multimodal) treatment (d = 0.36, compared with medication). This incremental gain withstood statistical control for mother's education, single-parent status, and public assistance. Treatment for lower socioeconomic status minority children, especially if comorbid, should combine medication and behavioral treatment.

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Crossref · 10.1037/0022-006x.71.4.713

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  • The difference between the current saliva-based findings and the previously reported adherence rates may stem from the earlier analyses defining adherence as attending at least 80% of the 14 monthly medication-monitoring visits.

    “The discrepancy between our current saliva findings and our previously reported 35 adherence rates may be because our earlier findings concerning ethnicity were based on the definition of medication adherence as ''80% or greater attendance'' at the 14 months of medication-monitoring visits.”

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Authors
Arnold, L. E., Elliott, M., Sachs, L., Bird, H., Kraemer, H. C., Wells, K. C., Abikoff, H. B., Comarda, A., Conners, C. K., Elliott, G. R., Greenhill, L. L., Hechtman, L., Hinshaw, S. P., Hoza, B., Jensen, P. S., March, J. S., Newcorn, J. H., Pelham, W. E., Severe, J. B., Swanson, J. M., Vitiello, B., & Wigal, T.
Affiliations
  • The Ohio State University (US)
  • Stanford University (US)
  • Duke University (US)
  • NYU Langone Health (US)
  • University of California, San Francisco (US)
  • Columbia University (US)
  • McGill University (CA)
  • University of California, Berkeley (US)
  • Purdue University West Lafayette (US)
  • Mount Sinai Hospital (US)
  • University at Buffalo, State University of New York (US)
  • National Institute of Mental Health (US)
  • University of California, Irvine (US)
Venue
Journal of Consulting and Clinical Psychology
Published
2003-08
Volume
71
Issue
4
Pages
713-727
ISSN
  • 0022-006X (ISSN-L)
  • 1939-2117
OpenAlex
W2010108781
Cited by
159
References
38
Citations by year
2026: 1 · 2025: 2 · 2024: 3 · 2023: 4 · 2022: 1 · 2020: 5 · 2019: 7 · 2018: 7 · 2017: 4 · 2016: 8 · 2015: 11 · 2014: 12 · 2013: 8 · 2012: 3
FWCI
7.14
Type
journal article
Language
en
Open access
closed
Locations
  • Journal of Consulting and Clinical Psychology (publishedVersion)
  • PubMed (publishedVersion)
  • Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
Funders
National Institute of Mental Health (U01 MH50447, U01MH50461, U01MH50440, U01MH050467, U01MH50454, U01MH050447, U01MH050440, U01MH050453, U01MH50467, U01MH050461, U01MH50453, U01MH050454)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
Keywords
attention deficit hyperactivity disorder, ethnicity, African American children, Latino children, treatment attendance, stimulant medication response, dosage, multimodal therapy, social assistance, socioeconomic status, comorbidities, children
MeSH terms
Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Child, Double-Blind Method, Ethnicity, Female, Humans, Male, Methylphenidate, Patient Compliance, Attention Deficit and Disruptive Behavior Disorders

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