Combined cognitive and parent training interventions for adolescents with ADHD and their mothers: A randomized controlled trial
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This study examined the individual and combined effects of two nonpharmacological treatments for attention deficit/hyperactivity disorder (ADHD): Cogmed working memory training (CWMT) for adolescents and behavioral parent training (BPT) for mothers. Ninety-one adolescents (ages 11-15) and their mothers were randomized to one of four CWMT and BPT treatment and active control (placebo) group combinations of 5-week interventions. At pre- and posttest, mothers and teachers completed rating forms, and adolescents completed neuropsychological measures of working memory (WM). Individual intervention effects showed that treatment CWMT significantly improved WM spans, whereas there were no significant differences for treatment or control BPT on reports of parent-related outcomes. Combined treatment effects indicated an overall pattern of greatest improvements for the control CWMT/treatment BPT group, as compared to the other three groups, on adolescent WM deficit, behavioral regulation problems, and global executive deficit. Most significant effects for outcomes were main effects of improvements over time. A combination of CWMT and BPT did not result in increased treatment gains. However, potential effects of combined treatment may have been masked by greater perceived benefits arising from lack of struggle in the nonadaptive, CWMT active control condition. Future combined intervention research should focus on specific, theoretically driven WM deficits among individuals with ADHD, should include possible adaptations to the standard CWMT program, should examine effectiveness of cognitive treatments combined with contextual interventions and should utilize appropriate control groups to fully understand the unique and combined effects of interventions.
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Five studies examined psychosocial interventions provided to students with ADHD in a school setting and eight studies tested psychosocial interventions in a clinical setting.
“Five studies examined psychosocial interventions provided to students with ADHD in a school setting [62,63,64,65,66] and eight studies tested psychosocial interventions in a clinical setting [67,68,69,70,71,72,73,74].”
From Treatment of Adolescents with Concurrent Substance Use Disorder and Attention-Deficit/Hyperactivity Disorder: A Systematic Review (2021) · cites this paper as [66]
The Method sections confirm that this was an intervention study involving adolescents with ADHD and their mothers. They do not support classifying its interventions as delivered in a clinical setting: adolescents completed working-memory training at home, and mothers attended parent-training sessions in a university classroom. This paper also cannot establish the citing document’s counts of five school-based and eight clinical studies. (LLM, conf=0.86)
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- Authors
- Steeger, C. M., Gondoli, D. M., Gibson, B. S., & Morrissey, R. A.
- Affiliations
- University of Notre Dame (US)
- Corresponding author
- Steeger, Christine M.
- Venue
- Child Neuropsychology
- Publisher
- Informa UK Limited
- Published
- 2015-03-03
- Volume
- 22
- Issue
- 4
- Pages
- 394-419
- ISSN
- 0929-7049 (ISSN-L)
- 1744-4136
- PMC
- PMC4621267
- OpenAlex
- W1999455942
- Cited by
- 88
- References
- 72
- Citations by year
- 2026: 1 · 2025: 3 · 2024: 1 · 2023: 4 · 2022: 7 · 2021: 5 · 2020: 45 · 2019: 3 · 2018: 4 · 2017: 10 · 2016: 3 · 2015: 1 · 2013: 1
- FWCI
- 4.88
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Child Neuropsychology (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health (RR025761)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Cognitive Abilities and Testing
- Keywords
- attention deficit hyperactivity disorder, adolescents, working memory training, Cogmed, behavioral parent training, mothers, working memory deficits, executive function, non-pharmacological treatment
- MeSH terms
- Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Cognition, Combined Modality Therapy, Female, Humans, Learning, Male, Memory Disorders, Memory, Short-Term, Mothers, Parents, Cognitive Behavioral Therapy, Treatment Outcome
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