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A Systematic Review of Meta-Analyses of Psychosocial Treatment for Attention-Deficit/Hyperactivity Disorder

  • Gregory A. Fabiano
  • Nicole K. Schatz
  • Ariel M. Aloe
  • Anil Chacko
  • Andrea Chronis-Tuscano
Article

Abstract

The present report synthesizes outcomes across meta-analyses of psychosocial (i.e., non-pharmacological) treatments for ADHD. A total of 12 meta-analyses were identified that met search criteria. The meta-analyses were notable in that there was surprisingly little overlap in studies included across them (range of overlap was 2–46 %). Further, there was considerable diversity across the meta-analyses in terms of the inclusion/exclusion criteria, types of psychosocial treatments reviewed, methodological characteristics, and magnitude of reported effect sizes, making it difficult to aggregate findings across meta-analyses or to investigate moderators of outcome. Effect sizes varied across the outcomes assessed, with meta-analyses reporting positive and significant effect sizes for measures of some areas of child impairment (e.g., social impairment) and small and more variable effect sizes for distal and/or untargeted outcomes (e.g., academic achievement). Results are reviewed in light of the larger literature on psychosocial interventions for ADHD, and specific recommendations for future meta-analyses of psychosocial treatments for ADHD are offered.

Keywords

Attention-deficit/hyperactivity disorder Meta-analysis Psychosocial treatment 

Notes

Acknowledgments

During preparation of portions of this manuscript, Dr. Fabiano and Dr. Schatz were supported by funding from the Eunice K. Shriver National Institute for Child Health and Human Development Number R01HD58588.

References

  1. Abikoff, H. B. (1991). Cognitive training in ADHD children: Less to it than meets the eye. Journal of Learning Disabilities, 24, 205–209.CrossRefPubMedGoogle Scholar
  2. Abramowitz, A. J., & O’Leary, S. G. (1991). Behavioral interventions for the classroom: Implications for students with ADHD. School Psychology Review, 20, 219–233.Google Scholar
  3. American Academy of Child and Adolescent Psychiatry. (2007). Practice parameter for the assessment and treatment of children and adolescents with attention-deficit/hyperactivity disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 46, 894–921.CrossRefGoogle Scholar
  4. American Academy of Pediatrics, Subcommittee on Attention-Deficit/Hyperactivity Disorder, & Steering Committee on Quality Improvement and Management. (2011). ADHD: Clinical practice guideline for the diagnosis, evaluation, and treatment of attention-deficit/hyperactivity disorder in children and adolescents. Pediatrics. doi: 10.1542/peds.2011-2654.Google Scholar
  5. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: American Psychiatric Association.CrossRefGoogle Scholar
  6. APA Publications and Communications Board Working Group on Journal Article Reporting Standards. (2008). Reporting standards for research in psychology: Why do we need them? What might they be? American Psychologist, 63, 839–851.CrossRefPubMedCentralGoogle Scholar
  7. Baer, R. A., & Nietzel, M. T. (1991). Cognitive behavioral treatment of impulsivity in children: A meta-analytic review of the outcome literature. Journal of Clinical Child Psychology, 20, 400–412.CrossRefGoogle Scholar
  8. Becker, B. J. (1988). Synthesizing standardized mean change measures. British Journal of Mathematical and Statistical Psychology, 41, 257–278.CrossRefGoogle Scholar
  9. Becker, B. J. (1990). Coaching for the Scholastic Aptitude Test: Further synthesis and appraisal. Review of Educational Research, 60, 373–417.CrossRefGoogle Scholar
  10. Borenstein, M., & Rothstein, H. (1999). Comprehensive Meta-analysis: A computer program for research synthesis. Englewood, NJ: Biostat Inc.Google Scholar
  11. Borenstein, M., & Rothstein, H. (2001). Comprehensive meta-analysis. Englewood, NJ: Biostat Inc.Google Scholar
  12. Busk, P. L., & Serlin, R. C. (1992). Meta-analysis for single-case research. In T. R. Kratochwill & J. R. Levin (Eds.), Single-case research design and analysis (pp. 187–212). Hillside, NJ: Lawrence Erlbaum.Google Scholar
  13. Chacko, A., Bedard, A. C., Marks, D. J., Feirsen, N., Uderman, J. Z., Chimiklis, A., et al. (2013). A randomized clinical trial of Cogmed Working Memory Training in school-aged children with ADHD: A replication in a diverse sample using a control condition. Journal of Child Psychology and Psychiatry. doi: 10.1111/jcpp.12146.PubMedGoogle Scholar
  14. Charach, A., Carson, P., Fox, S., Ali, M. U., Beckett, J., & Lim, C. G. (2013). Interventions for preschool children at high risk for ADHD: A comparative effectiveness review. Pediatrics, 131, 1–21.CrossRefGoogle Scholar
  15. Conners, C. K. (2002). Forty years of methylphenidate treatment in attention-deficit/hyperactivity disorder. Journal of Attention Disorders, 6(1), S17–S30.PubMedGoogle Scholar
  16. Cooper, H., & Hedges, L. V. (1994). The handbook of research synthesis. New York, NY: Russell Sage Foundation.Google Scholar
  17. Cooper, H., Hedges, L. V., & Valentine, J. C. (2009). The handbook of research synthesis and meta-analysis. New York, NY: Russell Sage Foundation.Google Scholar
  18. Corcoran, J., & Dattalo, P. (2006). Parent involvement in treatment for ADHD: A meta-analysis of the published studies. Research on Social Work Practice, 16, 561–570.CrossRefGoogle Scholar
  19. DuPaul, G. J., & Eckert, T. L. (1997). The effects of school-based interventions for attention deficit hyperactivity disorder: A meta-analysis. School Psychology Review, 26, 5–27.Google Scholar
  20. DuPaul, G. J., Eckert, T. L., & Vilardo, B. (2012). The effects of school-based interventions for attention deficit hyperactivity disorder: A meta-analysis 1996–2010. School Psychology Review, 41, 387–412.Google Scholar
  21. Evans, S. W., Owens, J. S., & Bunford, N. (2013). Evidence-based psychosocial treatments for children and adolescents with attention-deficit/hyperactivity disorder. Journal of Clinical Child and Adolescent Psychology. doi: 10.1080/15374416.850700.Google Scholar
  22. Fabiano, G. A., Pelham, W. E., Coles, E. K., Gnagy, E. M., Chronis, A. M., & O’Connor, B. C. (2009). A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder. Clinical Psychology Review, 29, 129–140.CrossRefPubMedGoogle Scholar
  23. Fabiano, G. A., Pelham, W. E., Majumdar, A., Evans, S. W., Manos, M., Caserta, D., et al. (2013). Elementary and middle school teacher perceptions of attention-deficit/hyperactivity disorder incidence. Child & Youth Care Forum, 42, 87–99.CrossRefGoogle Scholar
  24. Fabiano, G. A., Pelham, W. E., Waschbusch, D., Gnagy, E. M., Lahey, B. B., Chronis, A. M., et al. (2006). A practical impairment measure: Psychometric properties of the impairment rating scale in samples of children with attention-deficit/hyperactivity disorder and two school-based samples. Journal of Clinical Child and Adolescent Psychology, 35, 369–385.CrossRefPubMedGoogle Scholar
  25. Faraone, S. V., Biederman, J., Spencer, T. J., & Aleardi, M. (2006). Comparing the efficacy of medications for ADHD using meta-analysis. Medscape General Medicine, 8, 4.Google Scholar
  26. Glass, G. V. (1977). Integrating findings: The meta-analysis of research. Review of Research in Education, 5, 351–379.Google Scholar
  27. Glass, G. V., McGaw, B., & Smith, M. L. (1981). Meta-analysis in Social Research. Beverly Hills, CA: Sage Publications.Google Scholar
  28. Hedges, L. V., & Olkin, I. (1985). Statistical methods for meta-analysis. Orlando, FL: Academic Press.Google Scholar
  29. Hedges, L. V., Pustejovsky, J. E., & Shadish, W. R. (2012). A standardized mean difference effect size for single case designs. Research Synthesis Methods, 3, 224–239.CrossRefGoogle Scholar
  30. Hinshaw, S. P., & Schleffer, R. M. (2014). The ADHD explosion: Myths, medication, money, and today’s push for performance. New York, NY: Oxford University Press.Google Scholar
  31. Hinshaw, S. P., Schleffer, R. M., Fulton, B. D., Aase, H., Banaschewski, T., Cheng, W., & Weiss, M. D. (2011). International variation in treatment procedures for ADHD: Social context and recent trends. Psychiatric Services, 62, 1–5.CrossRefGoogle Scholar
  32. Hoagwood, K., Kelleher, K. J., Feil, M., & Comer, D. M. (2000). Treatment services for children with ADHD: A national perspective. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 198–206.CrossRefPubMedGoogle Scholar
  33. Hodgson, K., Hutchinson, A. D., & Denson, L. (2012). Nonpharmacological treatments for ADHD: A meta-analytic review. Journal of Attention Disorders. doi: 10.1177/1087054712444732.PubMedGoogle Scholar
  34. Hunter, J. E., & Schmidt F. L. (1990). Methods of meta-analysis: Correcting error and bias in research findings. Newbury Park, CA: Sage.Google Scholar
  35. Hunter, J. E., & Schmidt, F. L. (2004). Methods of meta-analysis: Correcting error and bias in research findings (2nd ed.). Thousand Oaks, CA: Sage Publications.Google Scholar
  36. Jadad, A. R., Booker, L., Gauld, M., Kakuma, R., Boyle, M., Cunningham, C. E., & Schachar, R. (1999a). The treatment of attention-deficit hyperactivity disorder: An annotated bibliography and critical appraisal of published systematic reviews and meta-analyses. Canadian Journal of Psychiatry, 44, 1025–1035.Google Scholar
  37. Jadad, A. R., Boyle, M., Cunningham, C. E., Kim, M., Schachar, R., Willan, A. R., et al. (1999b). Evidence report/technology assessment number 11: Treatment of attention-deficit/hyperactivity disorder. Rockville, MD: Agency for Healthcare Research and Quality.Google Scholar
  38. Kavale, K. (1982). The efficacy of stimulant drug treatment for hyperactivity: A meta-analysis. Journal of Learning Disabilities, 15, 280–289.CrossRefPubMedGoogle Scholar
  39. Kent, K. M., Pelham, W. E., Molina, B. S., Sibley, M. H., Waschbusch, D. A., Yu, J., et al. (2011). The academic experience of male high school students with ADHD. Journal of Abnormal Child Psychology, 39, 451–462.CrossRefPubMedCentralPubMedGoogle Scholar
  40. Klassen, A., Miller, A., Raina, P., Lee, S. K., & Olsen, L. (1999). Attention-deficit hyperactivity disorder in children and youth: A quantitative systematic review of the efficacy of different management strategies. Canadian Journal of Psychiatry, 44, 1007–1016.Google Scholar
  41. Lee, P., Niew, W., Yang, H., Chen, V. C., & Lin, K. (2012). A meta-analysis of behavioral parent training for children with attention-deficit/hyperactivity disorder. Research in Developmental Disabilities, 33, 2040–2049.CrossRefPubMedGoogle Scholar
  42. Lipsey, M. W., & Wilson, D. B. (2001). Practical meta-analysis. Thousand Oaks, CA: Sage.Google Scholar
  43. Majewicz-Hefley, A., & Carlson, J. S. (2007). A meta-analysis of combined treatments for children diagnosed with ADHD. Journal of Attention Disorders, 10, 239–250.CrossRefPubMedGoogle Scholar
  44. Orwin, R. G. (1983). A fail-safe-N for effect size in meta-analysis. Journal of Educational Statistics, 8, 157–159.CrossRefGoogle Scholar
  45. Pelham, W. E., & Fabiano, G. A. (2008). Evidence-based psychosocial treatment for ADHD: An update. Journal of Clinical Child and Adolescent Psychology, 37, 184–214.CrossRefPubMedGoogle Scholar
  46. Pelham, W. E., Fabiano, G. A., & Massetti, G. M. (2005). Evidence-based assessment of attention-deficit/hyperactivity disorder in children and adolescents. Journal of Clinical Child and Adolescent Psychology, 34, 449–476.CrossRefPubMedGoogle Scholar
  47. Pelham, W. E., Foster, E. M., & Robb, J. A. (2007). The economic impact of ADHD in children and adolescents. Ambulatory Pediatrics, 7, 121–131.CrossRefPubMedGoogle Scholar
  48. Pelham, W. E., Wheeler, T., & Chronis, A. (1998). Empirically supported psychosocial treatments for attention deficit hyperactivity disorder. Journal of Clinical Child Psychology, 27, 190–205.CrossRefPubMedGoogle Scholar
  49. Purdie, N., Hattie, J., & Carroll, A. (2002). A review of the research on interventions for attention deficit hyperactivity disorder: What works best? Review of Educational Research, 72, 61–99.CrossRefGoogle Scholar
  50. Rapport, M. D., Orban, S. A., Kofler, M. J., & Friedman, L. M. (2013). Do programs designed to train working memory, other executive functions, and attention benefit children with ADHD? A meta-analytic review of cognitive, academic, and behavioral outcomes. Clinical Psychology Review, 33, 1237–1252.CrossRefPubMedGoogle Scholar
  51. Robb, J. A., Sibley, M. H., Pelham, W. E., Foster, E. M., Molina, B. S. G., Gnagy, E. M., & Kuriyan, A. B. (2011). The estimated annual cost of ADHD to the US education system. School Mental Health, 3, 169–177.CrossRefPubMedCentralPubMedGoogle Scholar
  52. Rosenthal, R. (1991). Meta-analytic procedures for social research. Newbury Park, CA: Sage Publications, Inc.Google Scholar
  53. Saxe, J. G. (1892). Saxe's complete poetical works. New York, NY: Houghton, Mifflin, and Company.Google Scholar
  54. Schachar, R., Jadad, A. R., Gauld, M., Boyle, M., Booker, L., Snider, A., & Cunningham, C. E. (2002). Attention-deficit hyperactivity disorder: Critical appraisal of extended treatment studies. Canadian Journal of Psychiatry, 47, 337–348.Google Scholar
  55. Shadish, W. R., Hedges, L. V., & Pustejovsky, J. E. (2013). Analysis and meta-analysis of single-case designs with a standardized mean difference statistic: A primer and applications. Journal of School Psychology, 52, 123–147.CrossRefPubMedGoogle Scholar
  56. Shaw, M., Hodgkins, P., Caci, H., Young, S., Kahle, J., Woods, A.G., & Arnold, L. E. (2012). A systematic review and analysis of long-term outcomes in attention deficit hyperactivity disorder: Effects of treatment and non-treatment. BMC Medicine. Retrieved http://www.biomedcentral.com/1741-7015/10/99.
  57. Smith, M. L., Glass, G. V., & Miller, T. I. (1980). The benefits of psychotherapy. Baltimore, MD: Johns Hopkins University Press.Google Scholar
  58. Stage, S. A., & Quiroz, D. R. (1997). A meta-analysis of interventions to decrease disruptive classroom behavior in public education settings. School Psychology Review, 26, 333–368.Google Scholar
  59. Sonuga-Barke, E. J. S., Brandeis, D., Cortese, S., Daley, D., Ferrin, M., Holtmann, M., et al. (2013). Nonpharmacological interventions for ADHD: Systematic review and meta-analyses of randomized controlled trials of dietary and psychological treatments. American Journal of Psychiatry, 170, 275–289.CrossRefPubMedGoogle Scholar
  60. Vallerand, I. A., Kalenchuk, A. L., & McLennan, J. D. (2014). Behavioural treatment recommendations in clinical practice guidelines for attention-deficit/hyperactivity disorder: A scoping review. Child and Adolescent Mental Health. doi: 10.1111/camh.12062.Google Scholar
  61. Van de Oord, S., Prins, P. J. M., Oosterlaan, J., & Emmelkamp, P. M. G. (2008). Efficacy of methylphenidate, psychosocial treatments and their combination in school-aged children with ADHD: A meta-analysis. Clinical Psychology Review, 28, 783–800.CrossRefPubMedGoogle Scholar
  62. Visser, S. N., Bitsko, R. H., Danielson, M. L., Perou, R., & Blumberg, S. J. (2010). Increasing prevalence of parent-reported attention-deficit/hyperactivity disorder among children—United States, 2003 and 2007. Morbidity and Mortality Weekly Report, 59, 1439–1443.Google Scholar
  63. White, D. M., Rusch, F. R., Kazdin, A. E., & Hartmann, D. P. (1989). Applications of meta-analysis in individual subject research. Behavioral Assessment, 11, 281–296.Google Scholar
  64. Wolf, F. M. (1986). Meta-analysis: Quantitative methods for research synthesis. Newbury Park, CA: Sage.Google Scholar
  65. Zwi, M., Jones, H., Thorgaard, C., York, A., & Dennis, J. A. (2011). Parent training interventions for attention-deficit/hyperactivity disorder (ADHD) in children aged 5–18 years. Cochrane Database of Systematic Reviews 2011, 12: CD003018.Google Scholar

Copyright information

© Springer Science+Business Media New York 2015

Authors and Affiliations

  • Gregory A. Fabiano
    • 1
  • Nicole K. Schatz
    • 1
  • Ariel M. Aloe
    • 2
  • Anil Chacko
    • 3
  • Andrea Chronis-Tuscano
    • 4
  1. 1.University at Buffalo, SUNYBuffaloUSA
  2. 2.University at Northern IowaCedar FallsUSA
  3. 3.New York UniversityNew YorkUSA
  4. 4.University of MarylandCollege ParkUSA

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