title: No beneficial effects of adding parent training to methylphenidate treatment for ADHD + ODD/CD children: a 1-year prospective follow-up study.
abstract: OBJECTIVE
  The aim of this study was to compare the effect of methylphenidate (MPH) versus MPH + parent training in children with ADHD and oppositional defiant disorder/conduct disorder (ODD/CD) over a 12-month period.
  
  
  METHODS
  After careful screening, 120 children diagnosed with ADHD + ODD/CD were included in the study. Treatment consisted of ongoing medication management for 12 months, with or without participation in a parent-training program beginning after the 1st month. Participants were not randomly assigned to treatment groups because of ethical, practical, and methodological reasons.
  
  
  RESULTS
  Data analyses revealed that mother-child relationship improvements and symptom severity did not benefit from parent training.
  
  
  CONCLUSIONS
  The results of this study highlighted the positive role of MPH in ADHD. No significant effects were observed after the addition of parent training to MPH treatment. Clinicians should carefully follow patients' improvements and titrate the MPH dosage during long-term treatment.
authors.affiliation: 1Ege University School of Medicine, Izmir, Turkey.
authors.forename: Eyup Sabri
authors.initials: ES
authors.lastname: Ercan
authors.forename: Ulku Akyol
authors.initials: UA
authors.lastname: Ardic
authors.forename: Ayse
authors.initials: A
authors.lastname: Kutlu
authors.forename: Sibel
authors.initials: S
authors.lastname: Durak
mesh_terms: D000293:Adolescent; D000704:Analysis of Variance; D001289:Attention Deficit Disorder with Hyperactivity / Q000188:drug therapy*; D002648:Child; D019955:Conduct Disorder / Q000188:drug therapy*; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008774:Methylphenidate / Q000008:administration & dosage / Q000627:therapeutic use*; D009034:Mother-Child Relations; D010290:Parents / Q000193:education*; D015397:Program Evaluation; D011446:Prospective Studies; D016896:Treatment Outcome; D014421:Turkey
chemical_list: D008774:Methylphenidate