Editorial Perspective: When to start de-implementation of interventions: the case of cognitive training for children with ADHD

featured ACAMH papers
Bringing you some selected Open Access journal papers from our portfolio; The Journal of Child Psychology and Psychiatry (JCPP), Child and Adolescent Mental Health journal (CAMH), and JCPP Advances.

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Open Access paper from the JCPP

Editorial Perspective: Over the last decades, not much has changed in which interventions are most often recommended for school-age children with Attention-Deficit/Hyperactivity Disorder (ADHD). Most clinical practice guidelines advise stimulant medication and behavioral parent training as evidence-based interventions. The short-term efficacy of medication is supported by ample evidence (Faraone et al., 2021), but there are several disadvantages: normalization is rare, long-term effects are uncertain, side effects are frequently reported and many children and their parents are resistant. Behavioral parent training leads to improvements in parenting practices (Dekkers et al., 2022), as well as decreases in conduct problems of the child, but effect sizes are generally only small-to-medium, and it is less clear how effects on the core ADHD symptoms can be interpreted as these typically diminish when raters of the behavior are blinded to the intervention (Daley et al., 2017). Together, this emphasizes the need for innovation with regard to the treatment of children with ADHD.

Authors; Tycho J. Dekkers, Saskia van der Oord

First published: 30 December 2022

doi.org/10.1111/jcpp.13751

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