A conceptual model of child psychopathology: implications for understanding attention deficit hyperactivity disorder and treatment efficacy.
Highlights the desirability of using a theoretical framework for guiding the design and evaluation of therapeutic interventions for children with attention deficit hyperactivity disorder (ADHD). A general conceptual model is introduced and used to evaluate ADHD treatment outcome research. Treatments designed to target the substrate level (pharmacological interventions) result in broad, robust improvement in both core and peripheral areas of functioning. Those targeting hypothesized core features of the disorder (i.e., attention, impulsivity-hyperactivity) produce corresponding improvement in core and peripheral outcome measures with the exception of studies employing cognitive-behavior therapy. Those targeting peripheral features of the disorder effect change only in corresponding peripheral areas of functioning. Implications for clinical practice are discussed, and an alternative conceptual model of ADHD is introduced and compared with existing models.
Rapport
M D
MD
University of Central Florida, Department of Psychology, P.O. Box 161390, Orlando, FL 32816-1390, USA.
Chung
K M
KM
Shore
G
G
Isaacs
P
P
D001288:Attention; D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology* / Q000628:therapy*; D001521:Behavior Therapy; D000697:Central Nervous System Stimulants / Q000627:therapeutic use*; D002648:Child; D015928:Cognitive Behavioral Therapy; D006801:Humans; D007175:Impulsive Behavior; D008960:Models, Psychological; D011613:Psychotherapy / Q000379:methods*; D012951:Socialization
D000697:Central Nervous System Stimulants