The impact of late-afternoon stimulant dosing for children with ADHD on parent and parent-child domains
Abstract
Examined the impact of late-afternoon stimulant dosing on parent and parent-child domains. Twenty-one children with attention deficit hyperactivity disorder (ADHD) participated in a double-blind, placebo-controlled medication assessment comparing varying doses of methylphenidate (MPH) and Adderall in the context of an intensive treatment program. Children received varying doses of stimulant medication, including active medication or placebo at 3:30 p.m. daily. Parent ratings of their mood, pleasantness of parent-child interactions, and perceived parenting effectiveness and successfulness were obtained each evening. Effective medication doses had a beneficial impact on parent-child domains (e.g., parent-child interactions) but did not significantly affect non-child-related parent variables (e.g., negative affect [NA]). Findings suggested that doses with beneficial effects lasting into the evening improved parent reports of the pleasantness of parent-child interactions but were insufficient to produce positive changes in parent functioning.
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Gains from these interventions are rarely maintained after treatment termination.
“However, such gains are rarely maintained after the termination of treatment (Chronis, Pelham, Jr., Gnagy, Roberts, & Aronoff, 2003; Chronis et al., 2004; Jensen et al., 2007)”
From The influences of environmental enrichment, cognitive enhancement, and physical exercise on brain development: Can we alter the developmental trajectory of ADHD? (2011) · cites this paper as Chronis et al., 2003
Treatment effects rarely persist past the point of active dosing or implementation.
“treatment effects rarely persist past the point of active dosing/ implementation (Chronis et al., 2003; Chronis et al., 2004).”
From The influences of environmental enrichment, cognitive enhancement, and physical exercise on brain development: Can we alter the developmental trajectory of ADHD? (2011) · cites this paper as Chronis et al., 2003
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- Authors
- Chronis, A. M., Pelham, W. E., Gnagy, E. M., Roberts, J. E., & Aronoff, H. R.
- Affiliations
- University at Buffalo, State University of New York (US)
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2003-02
- Volume
- 32
- Issue
- 1
- Pages
- 118-126
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- OpenAlex
- W2021008737
- Cited by
- 52
- References
- 40
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 2 · 2022: 5 · 2021: 1 · 2020: 2 · 2019: 1 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 5 · 2013: 2 · 2012: 2
- FWCI
- 2.25
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- Funders
- National Institute on Alcohol Abuse and Alcoholism (AA 11873)
- National Institute of Mental Health (U01MH050467, MH-50467, R01MH053554, MH-53554)
- 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, methylphenidate, Adderall, parent-child interaction, parenting effectiveness, negative affect, medication dose, intensive treatment program, children
- MeSH terms
- Adult, Affect, Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Child, Circadian Rhythm, Drug Administration Schedule, Family Health, Female, Humans, Male, Methylphenidate, Parent-Child Relations
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