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Adding multimodal behavioural therapy to methylphenidate does not improve ADHD outcomes

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Does adding multimodal behavioural therapy to methylphenidate provide additional benefit in children with attention-deficit hyperactivity disorder?

van der Oord S, Prins PJM, Oosterlaan J, et al. Does brief, clinically based, intensive multimodal behavior therapy enhance the effects of methylphenidate in children with ADHD? Eur Child Adolesc Psychiatry 2007;16:48–57.

METHODS

Embedded ImageDesign:

Randomised controlled trial.

Embedded ImageAllocation:

Unclear.

Embedded ImageBlinding:

Unclear.

Embedded ImageFollow-up period:

Ten weeks (treatment period only).

Embedded ImageSetting:

Psychiatric outpatient clinics in Netherlands; time period not stated.

Embedded ImagePatients:

Fifty children aged 8–12 years with DSM-IV diagnosis of ADHD (using parent version of Diagnostic Interview Schedule for Children-Fourth Edition) and an IQ of 75 or above (Wechsler Intelligence Scale for Children-Revised).

Embedded ImageIntervention:

Methylphenidate or methylphenidate plus multimodal behaviour therapy (child cognitive behavioural therapy, parent behavioural therapy, and teacher behavioural training) for 10 weeks. Child cognitive …

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