Skip to main content

Advertisement

Log in

Early Intervention for Young Children with ADHD: Academic Outcomes for Responders to Behavioral Treatment

  • Original Paper
  • Published:
School Mental Health Aims and scope Submit manuscript

Abstract

Symptoms of attention-deficit/hyperactivity disorder (ADHD) generally emerge in early childhood, and research has demonstrated that early intervention can effectively reduce those symptoms. Little attention, however, has addressed pre-academic skills in spite of data indicating older students with ADHD are at high risk for academic failure. In the current study, we examined whether behavioral response to psychosocial intervention was associated with improvement in early reading and math skills 12 and 24 months post-intervention. Participants were 41 children, 3–6 years old who received a comprehensive early intervention package across 6 months. Some differences in pre-academic skill performance between behavioral responders and non-responders (based on changes in oppositional behavior) were observed at 12 months; however, few differences maintained after 24 months. Behavioral responders (based on changes in ADHD behavior) showed improvements on only one measure (early numeracy). The findings underscore the need for specific pre-academic skill interventions in the context of ongoing behavioral interventions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  • American Psychiatric Association. (2000). Diagnostic and statistical manual of mental disorders (4th ed.-text revision). Washington, DC: Author.

    Book  Google Scholar 

  • Barkley, R. A. (Ed.). (2006). Attention-deficit/hyperactivity disorder: A handbook for diagnosis and treatment (3rd ed.). New York: Guilford.

    Google Scholar 

  • Barkley, R. A., Fischer, M., & Murphy, K. R. (2008). ADHD in adults: What the science says. New York: Guilford.

    Google Scholar 

  • Bracken, B. A. (1998). Examiner’s manual for the Bracken Basic Concept Scale—Revised. San Antonio, TX: The Psychological Corporation, Harcourt Brace & Co.

    Google Scholar 

  • Conners, C. K. (1997). Conners’ Rating Scales—Revised technical manual. New York: Multi- Health Systems, Inc.

    Google Scholar 

  • Cunningham, C. E., Bremner, R., & Secord, M. (1998). Community parent education program. Ontario, Canada: Hamilton Health Sciences Corp.

    Google Scholar 

  • 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 

  • DuPaul, G. J., McGoey, K. E., Eckert, T. L., & Van Brakle, J. (2001). Preschool children with attention-deficit/hyperactivity disorder: Impairments in behavioral, social, and school functioning. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 508–515.

    Article  PubMed  Google Scholar 

  • Elliott, C. D. (1990). The Differential Ability Scales. San Antonio, TX: The Psychological Corporation.

    Google Scholar 

  • Fabiano, G. A., Pelham, W. E., Jr., Coles, E. K., Gnagy, E. M., Chronis-Tuscano, A., & O’Connor, B. C. (2009). A meta-analysis of behavioral treatments for attention-deficit/hyperactivity disorder. Clinical Psychology Review, 29, 129–140.

    Article  PubMed  Google Scholar 

  • Ghuman, J. K., Arnold, L. E., & Anthony, B. J. (2008). Psychopharmacological and other treatments in preschool children with attention-deficit/hyperactivity disorder: Current evidence and practice. Journal of Child and Adolescent Psychopharmacology, 18, 413–447.

    Article  PubMed  Google Scholar 

  • Gordon, M., Antshel, K., Faraone, S., Barkley, R., Lewandowski, L., Hudziak, J. J., … Cunningham, C. (2006). Symptoms versus impairment: The case for respecting DSM-IV’s criterion D. Journal of Attention Disorders, 9, 465–475.

  • Greenhill, L., Kollins, S., Abikoff, H., McCracken, J., Riddle, M., Swanson, J., … Cooper, T. (2006). Efficacy and safety of immediate-release methylphenidate treatment for preschoolers with ADHD. Journal of the American Academy of Child and Adolescent Psychiatry, 45, 1284–1293.

  • Hollingshead, A. B., & Redlich, F. C. (1958). Social class and mental illness. New York: Wiley.

    Book  Google Scholar 

  • Kaminski, R. A., & Good, R. H. (1996). Toward a technology for assessing basic early literacy skills. School Psychology Review, 25, 215–227.

    Google Scholar 

  • Kern, L., DuPaul, G. J., Volpe, R. J., Sokol, N. G., Lutz, J. G., Arbolino, L. A., … VanBrakle, J. (2007). Multisetting assessment-based intervention for young children at risk for attention deficit hyperactivity disorder: Initial effects on academic and behavioral functioning. School Psychology Review, 36, 237–255.

  • Kratochwill, T. R., & Bergan, J. R. (1990). Behavioral consultation in applied settings. New York: Plenum Press.

    Google Scholar 

  • Lahey, B. B., Pelham, W. E., Loney, J., Kipp, H., Ehrhardt, A., Lee, S. S., … Massetti, G. (2004). Three-year predictive validity of DSM-IV attention deficit hyperactivity disorder in children diagnosed at 4–6 years of age. American Journal of Psychiatry, 161, 2014–2020.

  • McGoey, K. E., & DuPaul, G. J. (2000). Token reinforcement and response cost procedures: Reducing the disruptive behavior of preschool children with ADHD. School Psychology Quarterly, 15, 330–343.

    Article  Google Scholar 

  • Molina, B. S. G., Hinshaw, S. P., Swanson, J. M., Arnold, L. E., Vitiello, B., Jensen, P. S., … the MTA Cooperative Group. (2009). MTA at 8 years: Prospective follow-up of children treated for combined-type ADHD in a multisite study. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 484–500.

    Google Scholar 

  • MTA Cooperative Group. (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Archives of General Psychiatry, 56, 1073–1086.

    Article  Google Scholar 

  • Notad-Syverson, A., O’Conner, R. E., & Vadasy, P. F. (1998). Ladders to literacy: A preschool activity book. Baltimore, MD: Brookes Publishing.

    Google Scholar 

  • Owens, J. S., Johannes, L. M., & Karpenko, V. (2009). The relation between change in symptoms and functioning in children with ADHD receiving school-based mental health services. School Mental Health, 1, 183–195.

    Article  Google Scholar 

  • Reid, J. B., & Eddy, J. M. (2002). Preventive efforts during the elementary school years: the Linking the Interests of Families and Teachers (LIFT) project. In J. B. Reid, G. R. Patterson, & J. Snyder (Eds.), Antisocial behavior in children and adolescents: A developmental analysis and model for intervention (pp. 219–233). Washington, DC: American Psychological Association.

    Chapter  Google Scholar 

  • Shaffer, D., Fisher, P., Lucas, C., Dulcan, M., & Schwab-Stone, M. (2000). NIMH Diagnostic Interview Schedule for Children version IV (NIMH DISC-IV): Description, differences from previous versions, and reliability of some common diagnoses. Journal of the American Academy of Child and Adolescent Psychiatry, 39, 28–38.

    Article  PubMed  Google Scholar 

  • Shaffer, D., Gould, M. S., Brasic, J., Ambrosini, P., Fisher, P., Bird, H., … Aluwahlia, S. (1983). A children’s global assessment scale (CGAS). Archives of General Psychiatry, 40, 1228–1231.

    Google Scholar 

  • Sonuga-Barke, E. J., Daley, D., Thompson, M., Laver-Bradbury, C., & Weeks, A. (2001). Parent-based therapies for preschool attention-deficit/hyperactivity disorder: A randomized, controlled trial with a community sample. Journal of the American Academy of Child and Adolescent Psychiatry, 40, 402–408.

    Article  PubMed  Google Scholar 

  • Van der 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.

    Article  PubMed  Google Scholar 

Download references

Acknowledgment

The preparation of this article was supported by the National Institute of Mental Health, Grant R01-MH61563. However, the opinions and positions are of the authors and no endorsement by NIMH should be inferred.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to George J. DuPaul.

Rights and permissions

Reprints and permissions

About this article

Cite this article

DuPaul, G.J., Kern, L., Gormley, M.J. et al. Early Intervention for Young Children with ADHD: Academic Outcomes for Responders to Behavioral Treatment. School Mental Health 3, 117–126 (2011). https://doi.org/10.1007/s12310-011-9053-x

Download citation

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s12310-011-9053-x

Keywords

Navigation