Does Methylphenidate Normalize the Classroom Performance of Children with Attention Deficit Disorder?
Abstract
The present study examined the degree to which methylphenidate (MPH) normalized the classroom behavior and academic functioning of 31 children with attention deficit disorder (ADD). Subjects with ADD participated in a double-blind, placebo-controlled trial in which children received each of four doses (5, 10, 15, and 20 mg) of MPH and a placebo following baseline measures. Children with ADD were compared with a group of 25 normal control children on teacher ratings of social conduct, direct observations of on-task behavior, and academic efficiency. At a group level of analysis, MPH exerted a significant effect on classroom measures of attention and academic efficiency to a point where they were no longer statistically deviant from scores obtained by normal control children. Nevertheless, when examined at the individual level, 25% of the sample failed to show normalized levels of classroom performance, thus implying the need for ancillary school-based interventions.
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Even in non-comorbid ADHD cases, optimal functioning occurs in only roughly one in four children with ADHD.
“Even in non-comorbid ADHD cases, optimal functioning occurs in only roughly one in four children with ADHD [127,128].”
From Advances in understanding and treating ADHD (2011) · cites this paper as [127]
Cites
Jacobson, N. S., & Truax, P. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.1.12 · Cited by 7,770 · see citing works
The use of ranks to avoid the assumption of normality implicit in the analysis of variance
Friedman, M. (1937) · Journal of the American Statistical Association · doi:10.1080/01621459.1937.10503522 · Cited by 7,005 · see citing works
Four Factor Index of Social Status
Paschou, R. (1975) · Cited by 6,989 · see citing works
Four Factor Index of Social Status [1975]
Hollingshead, A. B. (1975) · Cited by 5,151 · see citing works
Attention Deficit Hyperactivity Disorder: A Handbook for Diagnosis and Treatment
Barkley, R. A., & Poillion, M. J. (1994) · Behavioral Disorders · doi:10.1177/019874299401900205 · Cited by 4,632 · see citing works
Arky, R. A. (1994) · Cited by 2,632 · see citing works
Normative data on Revised Conners Parent and Teacher Rating Scales
Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00919127 · Cited by 1,712 · see citing works
BARKLEY, R. A., FISCHER, M., EDELBROCK, C. S., & SMALLISH, L. (1990) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199007000-00007 · Cited by 1,507 · see citing works
Schooling and the Acquisition of Knowledge
Marshall, S. P., Cotton, J. W., Anderson, R. C., Spiro, R. J., & Montague, W. E. (1978) · The American Journal of Psychology · doi:10.2307/1421522 · Cited by 1,459 · see citing works
Attention Deficit Hyperactivity Disorder. A Handbook for Diagnosis and Treatment
Silver, L. B. (1991) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199107000-00040 · Cited by 1,395 · see citing works
Jacobson, N. S., Follette, W. C., & Revenstorf, D. (1984) · Behavior Therapy · doi:10.1016/s0005-7894(84)80002-7 · Cited by 1,294 · see citing works
Information processing in the child: Significance of analytic and reflective attitudes.
Kagan, J., Rosman, B. L., Day, D., Albert, J. A., & Phillips, W. A. (1964) · The Psychological Monographs · doi:10.1037/h0093830 · Cited by 1,121 · see citing works
Bijou, S. W., Peterson, R. F., & Ault, M. H. (1968) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1968.1-175 · Cited by 773 · see citing works
Schooling and the Acquisition of Knowledge
(2017) · Routledge eBooks · doi:10.4324/9781315271644 · Cited by 759 · see citing works
Weiss, G. (1986) · Cited by 582 · see citing works
A method of assessing change in a single subject: An alteration of the RC index
Christensen, L., & Mendoza, J. L. (1986) · Behavior Therapy · doi:10.1016/s0005-7894(86)80060-0 · Cited by 536 · see citing works
Hyperactive Children: A Handbook for Diagnosis and Treatment
Barkley, R. A. (1981) · Medical Entomology and Zoology · Cited by 408 · see citing works
Academic underachievement and the disruptive behavior disorders.
Frick, P. J., Kamphaus, R. W., Lahey, B. B., Loeber, R., Christ, M. A. G., Hart, E. L., & Tannenbaum, L. E. (1991) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.59.2.289 · Cited by 405 · see citing works
Hyperactive Children: A Handbook for Diagnosis and Treatment
Wender, E. H. (1982) · Archives of Pediatrics and Adolescent Medicine · doi:10.1001/archpedi.1982.03970430087038 · Cited by 386 · see citing works
Association Between Attention Deficit-Hyperactivity Disorder and Learning Disorders
Cantwell, D. P., & Baker, L. (1991) · Journal of Learning Disabilities · doi:10.1177/002221949102400205 · Cited by 311 · see citing works
Assessment and Diagnosis in Child Psychopathology
Kourany, R. F. C. (1989) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198907000-00034 · Cited by 278 · see citing works
A Survey of Medication Treatment for Hyperactive/Inattentive Students
Safer, D. J. (1988) · JAMA · doi:10.1001/jama.1988.03410150104040 · Cited by 273 · see citing works
Conners' Teacher Rating Scale for use in drug studies with children ? An empirical study
WERRY, J. S., Sprague, R. L., & Cohen, M. N. (1976) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00916752 · Cited by 268 · see citing works
Teacher Ratings of Academic Skills: The Development of the Academic Performance Rating Scale
DuPaul, G. J., Rapport, M. D., & Perriello, L. M. (1991) · School Psychology Review · doi:10.1080/02796015.1991.12085552 · Cited by 236 · see citing works
Self-citationDevelopment of activity level in children.
Routh, D. K., Schroeder, C. S., & O’Tuama, L. A. (1974) · Developmental Psychology · doi:10.1037/h0035993 · Cited by 208 · see citing works
Methylphenidate and Children With Attention Deficit Disorder
Pelham, W. E. (1985) · Archives of General Psychiatry · doi:10.1001/archpsyc.1985.01790330028003 · Cited by 208 · see citing works
Swanson, J., Kinsbourne, M., Roberts, W., & Zucker, K. (1978) · PEDIATRICS · doi:10.1542/peds.61.1.21 · Cited by 205 · see citing works
Assessment and Diagnosis in Child Psychopathology
Rutter, M. L., Tuma, A. H., & Lann, I. S. (1988) · Cited by 189 · see citing works
RITALIN VS. RESPONSE COST IN THE CONTROL OF HYPERACTIVE CHILDREN: A WITHIN‐SUBJECT COMPARISON
Rapport, M. D., Murphy, H. A., & Bailey, J. S. (1982) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1982.15-205 · Cited by 168 · see citing works
Self-citationHinshaw, S. P., Henker, B. A., Whalen, C. K., Erhardt, D., & Dunnington, R. E. (1989) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.57.5.636 · Cited by 167 · see citing works
Pelham, W. E., Sturges, J., Hoza, J., Schmidt, C., Bijlsma, J. J., Milich, R., & Moorer, S. (1987) · PEDIATRICS · doi:10.1542/peds.80.4.491 · Cited by 167 · see citing works
Jacobvitz, D. B., Sroufe, L. A., STEWART, M., & Leffert, N. (1990) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199009000-00001 · Cited by 156 · see citing works
Barkley, R. A., & Cunningham, C. E. (1978) · Clinical Pediatrics · doi:10.1177/000992287801700112 · Cited by 152 · see citing works
The Efficacy of Stimulant Drug Treatment for Hyperactivity: A Meta-Analysis
Kavale, K. (1982) · Journal of Learning Disabilities · doi:10.1177/002221948201500508 · Cited by 152 · see citing works
A SOCIAL ECOLOGY OF HYPERACTIVE BOYS: MEDICATION EFFECTS IN STRUCTURED CLASSROOM ENVIRONMENTS
Whalen, C. K., Henker, B. A., Collins, B. E., Finck, D., & Dotemoto, S. (1979) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1979.12-65 · Cited by 143 · see citing works
DOSAGE EFFECTS AND INDIVIDUAL RESPONSIVITY TO METHYLPHENIDATE IN ATTENTION DEFICIT DISORDER
Douglas, V. I., Barr, R. G., Amin, K., O'Neill, M. E., & Britton, B. G. (1988) · Journal of Child Psychology and Psychiatry · doi:10.1111/j.1469-7610.1988.tb00737.x · Cited by 140 · see citing works
Rapport, M. D., DuPaul, G. J., Stoner, G. D., & Jones, J. T. (1986) · Journal of Consulting and Clinical Psychology · doi:10.1037/0022-006x.54.3.334 · Cited by 123 · see citing works
Self-citationPelham, W. E., Schnedler, R., Bologna, N. C., & Contreras, J. A. (1980) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1980.13-221 · Cited by 103 · see citing works
EVALUATING INTEROBSERVER RELIABILITY OF INTERVAL DATA1
Hopkins, B. L., & Hermann, J. A. (1977) · Journal of Applied Behavior Analysis · doi:10.1901/jaba.1977.10-121 · Cited by 96 · see citing works
Child behavior rating scales and checklists.
Barkley, R. A. (1988) · Cited by 94 · see citing works
Rapport, M. D., & Kelly, K. L. (1991) · Clinical Psychology Review · doi:10.1016/0272-7358(91)90138-k · Cited by 93 · see citing works
Self-citationThe normalizing effects of methylphenidate on the classroom behavior of ADDH children
Abikoff, H., & Gittelman, R. (1985) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00918370 · Cited by 90 · see citing works
Pharmacological and behavioral treatment: An integrative approach
Bigwood, G. F. (1987) · Journal of Behavior Therapy and Experimental Psychiatry · doi:10.1016/0005-7916(87)90056-5 · Cited by 89 · see citing works
Whalen, C. K., Collins, B. E., Henker, B. A., Alkus, S. R., Adams, D., & Stapp, J. (1978) · Journal of Pediatric Psychology · doi:10.1093/jpepsy/3.4.177 · Cited by 85 · see citing works
Academic Engaged Time, Content Covered, and Direct Instruction
Rosenshine, B. V. (1978) · Journal of Education · doi:10.1177/002205747816000304 · Cited by 82 · see citing works
Rapport, M. D., DUPAUL, G., & Kl, K. (1989) · PubMed · Cited by 74 · see citing works
Self-citationPharmacological and behavioral treatment : an integrative approach
Hersen, M. (1986) · Cited by 52 · see citing works
A survey of medication treatment for hyperactive/inattentive students
Safer, D. J. (1988) · JAMA · doi:10.1001/jama.260.15.2256 · Cited by 52 · see citing works
Comparing psychological and pharmacological treatments for hyperkinetic boys and their classmates
Loney, J., Weissenburger, F. E., Woolson, R. F., & Lichty, E. C. (1979) · Research on Child and Adolescent Psychopathology · doi:10.1007/bf00918894 · Cited by 38 · see citing works
Schwei, M., & Cantwell, D. P. (1987) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-198707000-00032 · Cited by 35 · see citing works
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Dulcan, M. (1997) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1097/00004583-199710001-00007 · Cited by 628 · see citing works
Methylphenidate for children and adolescents with attention deficit hyperactivity disorder (ADHD)
Storebø, O. J., Ramstad, E., Krogh, H. B., Nilausen, T. D., Skoog, M., Holmskov, M., Rosendal, S., Groth, C., Magnusson, F. L., Moreira-Maia, C. R., et al. (2015) · Cochrane Database of Systematic Reviews · doi:10.1002/14651858.cd009885.pub2 · Cited by 347 · 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
Effects of white noise on off-task behavior and academic responding for children with ADHD.
Cook, A., Bradley‐Johnson, S., & Johnson, C. M. (2014) · Journal of Applied Behavior Analysis · doi:10.1002/jaba.79 · Cited by 34 · see citing works
- Authors
- DUPAUL, G. J., & RAPPORT, M. D.
- Affiliations
- University of Hawaiʻi at Mānoa (US)
- Corresponding author
- DUPAUL, GEORGE J.
- Venue
- Journal of the American Academy of Child & Adolescent Psychiatry
- Publisher
- Elsevier BV
- Published
- 1993-01
- Volume
- 32
- Issue
- 1
- Pages
- 190-198
- ISSN
- 0890-8567 (ISSN-L)
- OpenAlex
- W1998328668
- Semantic Scholar
- ea146db3083b9386c81a124b54427c1ece9d723d
- Cited by
- 87
- References
- 50
- Citations by year
- 2025: 1 · 2023: 1 · 2022: 1 · 2020: 1 · 2018: 2 · 2017: 1 · 2015: 3 · 2014: 2 · 2013: 1 · 2012: 1
- FWCI
- 3.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institutes of Health (2s07rr005712-20)
- National Center for Research Resources (S07 RR05712)
- 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 › Neuropsychology and Physiological Psychology › Developmental and Educational Neuropsychology
- Keywords
- methylphenidate, attention deficit disorder, classroom behavior, academic efficiency, on-task behavior, dose-response relationship, teacher ratings, school-based intervention, children
- MeSH terms
- Achievement, Attention Deficit Disorder with Hyperactivity, Child, Double-Blind Method, Female, Humans, Learning, Male, Methylphenidate, Placebos, Psychiatric Status Rating Scales, Schools
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