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What was the overall goal of the Pelham et al. study?
The overall goal of this study was to determine the most effective sequence of treatments for children with ADHD.
What was the sequencing finding of the Pelham et al. study?
the "behavioral first group, medication second" group ultimately did better than "medication first, behavioral second" group
What were the two different treatment in the Pelham et al. study?
Medication first or behavior first treatment
What was the medication first treatment in the Pelham et al. study?
Methylphenidate or Ritalin
What was the behavioral first treatment in the Pelham et al. study?
behavioral intervention was behavioral parent training PLUS teacher consultation
What was the best treatment sequencing in the Pelham et al. study?
Behavioral treatment of Behavior Parent training and teacher consultation FIRST then followed medication treatment of methylphenidate or ritalin did better.
What were some of the reasons why behavior first, medication second order was better?
Parental attendance was better for the parents who did it first
What where other key findings from the Pelham et al. study?
Almost everyone needed more than one treatment, children starting with behavioral treatment first then followed medication did better, and sequencing does matter
What are the two pieces of neurodevelopmental disorders?
“Neuro” piece is the differences in brain happening overtime and “Development” piece is onset in early life (has to be in infancy)
What are neurodevelopmental disorders?
Disorders diagnosed first in infancy, childhood, or adolescence and Differences in brain development believed to underlie conditions
What are the general features of ADHD?
Inattention, overactivity, and impulsivity
What numerous impairments is ADHD associated with?
Behavioral, cognitive, social and academic problems
ADHD symptoms must be present before age?
12
What are the DSM5-TR subtypes of ADHD?
Predominantly Hyperactive/impulsive type, Predominantly inattentive type, and Combined presentation
What is the diagnostic criteria for ADHD?
>6 symptoms of inattention and/or >6 symptoms of hyperactivity/impulsivity present for at least 6 months in two or more settings.
In diagnostic criteria for ADHD for 17yrs and older the number of symptoms changes to?
5