Practitioner Review: Non-pharmacological treatments for ADHD: A lifespan approach

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158 Citations (Scopus)

Abstract

Background: Attention-deficit/hyperactivity disorder (ADHD) is a chronic and pervasive developmental disorder that is not restricted to the childhood years.

Methods: This paper reviews non-pharmaco- logical interventions that are available at present for preschoolers, school-age children, adolescents and adults.

Results: The most appropriate intervention for preschoolers is parent training. For school-age children with moderate impairments there is some evidence to suggest that group parent training programmes and classroom behavioural interventions may suffice as a first-line treatment. For school- age children with severe impairments, interventions are more appropriate when combined with stim- ulant medication (i.e., integrated treatment packages are likely to be more successful than ‘standalone’ treatments). Multimodal interventions seem to be best suited for middle school/adolescent children, which most likely reflects that these interventions usually integrate home and school treatment strat- egies and often include an element of social skills training. Stimulant medication is generally the first line of treatment for adults but CBT has also been found to be effective at addressing the complex needs of this population.

Conclusion: Current research has largely ignored that ADHD is a developmental disorder that spans the preschool to adult years. Most studies focus on young school-age children and outside of this age group there is a dearth of controlled trials that provide conclusive evidence. As children mature the mode and agent of intervention will shift to reflect the developmental needs and circumstances of the individual.
Original languageEnglish
Pages (from-to)116 - 133
Number of pages18
JournalJournal of Child Psychology and Psychiatry
Volume51
Issue number2
DOIs
Publication statusPublished - Feb 2010

Keywords

  • ADHD
  • preschool children
  • school-age children
  • Adolescent
  • Adults
  • Behavioural parent training
  • Classroom interventions
  • Cognitive behaviour therapy
  • Social skills training

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