Peer-assessed outcomes in the multimodal treatment study of children with attention deficit hyperactivity disorder
Open accessAbstract
Peer-assessed outcomes were examined at the end of treatment (14 months after study entry) for 285 children (226 boys, 59 girls) with attention deficit hyperactivity disorder (ADHD) who were rated by their classmates (2,232 classmates total) using peer sociometric procedures. All children with ADHD were participants in the Multimodal Treatment Study of Children with ADHD (MTA). Treatment groups were compared using the orthogonal treatment contrasts that accounted for the largest amount of variance in prior MTA outcome analyses: Medication Management + Combined Treatment versus Behavior Therapy + Community Care; Medication Management versus Combined Treatment; Behavior Therapy versus Community Care. There was little evidence of superiority of any of the treatments for the peer-assessed outcomes studied, although the limited evidence that emerged favored treatments involving medication management. Post hoc analyses were used to examine whether any of the four treatment groups yielded normalized peer relationships relative to randomly selected-classmates. Results indicated that children from all groups remained significantly impaired in their peer relationships.
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A significant number of children with ADHD are not normalized by stimulant medication and/or behavioral interventions.
“the behavior of a significant number of children with ADHD is not normalized by the use of these interventions (Hoza et al., 2005; Swanson et al., 2001).”
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 Hoza et al., 2005
Hoza et al. found that despite intensive treatment over 14 months, children continued to have difficulties in peer relationships.
“Hoza et al. (Hoza et al., 2005) found that despite intensive treatment over 14 months, children continued to have difficulties in peer relationships.”
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 Hoza et al., 2005
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- Authors
- Hoza, B., Gerdes, A. C., Mrug, S., Hinshaw, S. P., Bukowski, W. M., Gold, J. A., Arnold, L. E., Abikoff, H. B., Conners, C. K., Elliott, G. R., Greenhill, L. L., Hechtman, L., Jensen, P. S., Kraemer, H. C., March, J. S., Newcorn, J. H., Severe, J. B., Swanson, J. M., Vitiello, B., Wells, K. C., & Wigal, T.
- Affiliations
- Purdue University West Lafayette (US)
- Suburban Hospital (US)
- ORCID
- Venue
- Journal of Clinical Child & Adolescent Psychology
- Publisher
- Informa UK Limited
- Published
- 2005-02
- Volume
- 34
- Issue
- 1
- Pages
- 74-86
- ISSN
- 1537-4416 (ISSN-L)
- 1537-4424
- OpenAlex
- W2127760169
- Cited by
- 276
- References
- 62
- Citations by year
- 2026: 6 · 2025: 10 · 2024: 9 · 2023: 4 · 2022: 14 · 2021: 10 · 2020: 10 · 2019: 11 · 2018: 12 · 2017: 11 · 2016: 13 · 2015: 18 · 2014: 25 · 2013: 17 · 2012: 14
- FWCI
- 9.87
- Type
- journal article
- Language
- en
- Open access
- green
- hdl.handle.net
- Locations
- Journal of Clinical Child & Adolescent Psychology (publishedVersion)
- PubMed (publishedVersion)
- The Knowledge Bank (The Ohio State University) (submittedVersion)
- Institutional Research Information System University of Turin (University of Turin) (submittedVersion)
- Funders
- U.S. Department of Education
- University of Pittsburgh (UO1 MH50467)
- National Institutes of Health (5r01mh062583-02)
- National Institute of Mental Health (U01 MH50447, U01MH50461, U01MH50440, U01MH050467, U01MH50454, MH-50467, U01MH050447, U01MH050440, U01MH050453, R01 MH62583, 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, peer assessment, peer relationships, sociometric status, medication management, behavior therapy, community-based care, treatment comparison, children
- MeSH terms
- Central Nervous System Stimulants, Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Child, Combined Modality Therapy, Female, Humans, Male, Peer Group, Social Behavior, Treatment Outcome, Endpoint Determination
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