title: Sequenced neurocognitive and behavioral parent training for the treatment of ADHD in school-age children.
abstract: The present study examines the potential of sequencing a neurocognitive intervention with behavioral parent training (BPT) to improve executive functions (EFs), psychiatric symptoms, and multiple indices of functional impairment in school-age children aged 7 to 11 years who have been diagnosed with attention-deficit/hyperactivity disorder (ADHD). Specifically, in a randomized controlled trial design, 85 children were assigned to either Cogmed Working Memory Training (CWMT) followed by an empirically supported, manualized BPT intervention, or to a placebo version of CWMT followed by the same BPT intervention. Working memory maintenance (i.e., attention control/short-term memory), working memory processing and manipulation, ADHD and oppositional defiant disorder (ODD) symptoms, impairment in parent-child dynamics, familial impairment, and overall functional compromise were evaluated as outcomes. The results suggest specific effects of the combined CWMT and BPT program on verbal and nonverbal working memory storage and nonverbal working memory processing and manipulation but no incremental benefits in regard to ADHD symptoms, ODD symptoms, and functional outcomes. The present findings do not support the hypothesis regarding the complementary and augmentative benefits of sequenced neurocognitive and BPT interventions for the treatment of ADHD. These results, the study's limitations, and future directions for research are further discussed.
authors.affiliation: a Department of Applied Psychology , New York University , NY , USA.
authors.forename: A
authors.identifier: 0000-0002-3275-4726
authors.initials: A
authors.lastname: Chacko
authors.affiliation: b Department of Applied Psychology and Human Development, Ontario Institute for Studies in Education , University of Toronto , Canada.
authors.forename: A-C V
authors.initials: AV
authors.lastname: Bedard
authors.affiliation: c Department of Child and Adolescent Psychiatry , New York University School of Medicine , NY , USA.
authors.forename: D
authors.initials: D
authors.lastname: Marks
authors.affiliation: d Department of Social Work , University of Maryland at Baltimore , MD , USA.
authors.forename: G
authors.initials: G
authors.lastname: Gopalan
authors.affiliation: e Department of Psychology , City University of New York , NY , USA.
authors.forename: N
authors.initials: N
authors.lastname: Feirsen
authors.affiliation: e Department of Psychology , City University of New York , NY , USA.
authors.forename: J
authors.initials: J
authors.lastname: Uderman
authors.affiliation: e Department of Psychology , City University of New York , NY , USA.
authors.forename: A
authors.initials: A
authors.lastname: Chimiklis
authors.affiliation: e Department of Psychology , City University of New York , NY , USA.
authors.forename: E
authors.initials: E
authors.lastname: Heber
authors.affiliation: e Department of Psychology , City University of New York , NY , USA.
authors.forename: M
authors.initials: M
authors.lastname: Cornwell
authors.affiliation: e Department of Psychology , City University of New York , NY , USA.
authors.forename: L
authors.initials: L
authors.lastname: Anderson
authors.affiliation: e Department of Psychology , City University of New York , NY , USA.
authors.forename: A
authors.initials: A
authors.lastname: Zwilling
authors.affiliation: e Department of Psychology , City University of New York , NY , USA.
authors.forename: M
authors.initials: M
authors.lastname: Ramon
mesh_terms: D001289:Attention Deficit Disorder with Hyperactivity / Q000473:pathology / Q000628:therapy*; D001521:Behavior Therapy / Q000379:methods*; D002648:Child; D005260:Female; D006801:Humans; D008297:Male; D010290:Parents / Q000523:psychology*
keywords: ADHD; Behavioral parent training; Cognitive training; Combined treatment; Working memory training