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Effects of a school-based cognitive-behavioral intervention for ADHD children


Two variations of school-based cognitive-behavioral training (CBT) program were compared to each other and to a waiting-list control condition in the treatment of children with attention-deficit hyperactivity disorder (ADHD). The experimental interventions included a multicomponent condition that provided coordinated training programs for parents, teachers, and children and a teacher-only condition that offered training for classroom teachers only. Evaluation of outcome occurred at pre-intervention, post-intervention and at 6-week followup periods. Depedent measures included classroom behavior observations, teacher ratings of child behavior, child self-report, and teacher ratings of adjustment. The multicomponent CBT condition was significantly better than the other conditions at improving observed off-task/disruptive behavior at post-test. This improvement was maintained at followup, although treatment condition differences were no longer significant. There were no treatment condition differences on any other measures at postintervention or followup. It was concluded that the intervention had minimal short-term effects on the ADHD children. The results are discussed within the context of several methodological limitations of the study which serve as proposals for continued research in this area.

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  1. Abikoff, H. (1987). An evaluation of cognitive behavior therapy for hyperactive children. In B. B. Lahey & A. E. Kazdin (Ed.),Advances in clinical child psychology (pp. 171–212). New York: Plenum Press.

  2. Abikoff, H., & Gittelman, R. (1985). Hyperactive children treated with stimulants: Is cognitive training a useful adjunct?Archives of General Psychiatry, 42, 953–965.

  3. Achenbach, T. M., & Edelbrock, C. (1986).Manual for the teachers version of the Child Behavior Profile. Burlington, VT: University of Vermont, Department of Psychiatry.

  4. Achenbach, T. M., & Edelbrock, C. (1987).Manual for the Child Behavior Checklist and Revised Child Behavior Profile. Burlington, VT: University of Vermont, Department of Psychiatry.

  5. Bierman, K. L., & Furman, W. (1984). The effects of social skills training and peer involvement on the social adjustment of pre-adolescents.Child Development, 55, 151–162.

  6. Bloomquist, M. L., August, G. J., & Garfinkel, B. G. (1991).Cognitive-behavioral therapy for children with attention-deficits and hyperactivity: Effects of parent involvement and methylphenidate. Manuscript submitted for publication.

  7. Bloomquist, M. L., & Braswell, L. (1989).Multicomponent cognitive-behavior intervention for attention-deficit hyperactivity disordered children, Unpublished treatment manual, University of Minnesota.

  8. Braswell, L., & Bloomquist, M. L. (1991).Cognitive-behavioral therapy for ADHD children: Child, family and school interventions. New York: Guilford Press.

  9. Brown, R. T., Borden, K. A., Wynne, M. E., Schleser, R., & Clingerman, S. R. (1986). Methyl-phenidate and cognitive therapy with ADD children: A methodological reconsideration.Journal of Abnormal Child Psychology, 14, 481–497.

  10. Brown, R. T., Wynne, M. E., & Medenis, R. (1985). Methylphenidate and cognitive therapy: A comparison of treatment approaches with hyperactive boys.Journal of Abnormal Child Psychology, 13, 69–87.

  11. Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on Revised Conners Parent and Teacher Rating Scales.Journal of Abnormal Psychology, 6, 221–236.

  12. Hinshaw, S. P., & Erhardt, D. (1991). Attention-deficit hyperactivity disorder. In P. C. Kendall (Ed.),Child and adolescent therapy: Cognitive-behavioral procedures (pp. 98–128). New York: Guilford Press.

  13. Kendall, P. C., & Braswell, L. (1985).Cognitive-behavioral treatment for impuslive children. New York: Guilford Press.

  14. Kendall, P. C., & Wilcox, L. E. (1979). Self-control in children: Development of a rating scale.Journal of Consulting and Clinical Psychology, 47, 1020–1029.

  15. Lochman, J. E., & Curry, J. F. (1986). Effects of social problem-solving training and self-instruction training with aggressive boys.Journal of Clinical Child Psychology, 15, 159–164.

  16. Piers, E.V. (1984).Piers-Harris Children's Self-Concept Scale-Revised manual. Los Angeles, Western Psychological Services.

  17. Reich, W., Welner, Z., Taibleson, C, & Kram, L. (1990).The Diagnostic Interview for Children and Adolescents-Revised-Parent. Unpublished structured psychiatric interview. Washington University.

  18. Shure, M. B., & Spivack, G. (1982). Interpersonal problem-solving in young children: A cognitive approach to prevention.American Journal of Community Psychology, 10, 341–356.

  19. Spivack, G., & Shure, M. B. (1974).Social adjustment of young children. San Francisco: Jossey-Bass.

  20. Walker, H. M., & McConnell, S. R. (1988).Walker-McConnell Scale of Social Competence and School Adjustment. Austin: Pro-Ed.

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Author information

Correspondence to Michael L. Bloomquist Ph.D..

Additional information

The authors gratefully acknowledge the support and assistance of the faculty and staff at Echo Park, Cedar Park and Westview Elementary Schools (Rosemount, MN, Independent School District), and the parents and children who participated in this study. The authors would also like to extent special thanks to the principals of these schools, Mr. Robert Keaton, Mr. William Mack and Mr. Marvin Skinner, and the school psychologists servicing these schools, Ms. Sheila Peterson, Ms. Ann O'Brien, and Mr. Mark Kaloski, for their commitment and service to children with attention-deficit hyperactivity disorder.

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Bloomquist, M.L., August, G.J. & Ostrander, R. Effects of a school-based cognitive-behavioral intervention for ADHD children. J Abnorm Child Psychol 19, 591–605 (1991). https://doi.org/10.1007/BF00925822

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  • Child Behavior
  • Methodological Limitation
  • Teacher Rating
  • Classroom Teacher
  • Depedent Measure