Psychosocial Interventions for Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis by the CADDRA Guidelines Work GROUP
Multiple psychosocial interventions to treat ADHD symptoms have been developed and empirically tested. However, no clear recommendations exist regarding the utilization of these interventions for treating core ADHD symptoms across different populations. The objective of this systematic review and me...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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MDPI AG
2022-08-01
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| Series: | Brain Sciences |
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| Online Access: | https://www.mdpi.com/2076-3425/12/8/1023 |
| _version_ | 1797432361210609664 |
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| author | Valerie Tourjman Gill Louis-Nascan Ghalib Ahmed Anaïs DuBow Hubert Côté Nadia Daly George Daoud Stacey Espinet Joan Flood Emilie Gagnier-Marandola Martin Gignac Gemma Graziosi Zeeshan Mansuri Joseph Sadek |
| author_facet | Valerie Tourjman Gill Louis-Nascan Ghalib Ahmed Anaïs DuBow Hubert Côté Nadia Daly George Daoud Stacey Espinet Joan Flood Emilie Gagnier-Marandola Martin Gignac Gemma Graziosi Zeeshan Mansuri Joseph Sadek |
| author_sort | Valerie Tourjman |
| collection | DOAJ |
| description | Multiple psychosocial interventions to treat ADHD symptoms have been developed and empirically tested. However, no clear recommendations exist regarding the utilization of these interventions for treating core ADHD symptoms across different populations. The objective of this systematic review and meta-analysis by the CADDRA Guidelines work Group was to generate such recommendations, using recent evidence. Randomized controlled trials (RCT) and meta-analyses (MA) from 2010 to 13 February 2020 were searched in PubMed, PsycINFO, EMBASE, EBM Reviews and CINAHL. Studies of populations with significant levels of comorbidities were excluded. Thirty-one studies were included in the qualitative synthesis (22 RCT, 9 MA) and 24 studies (19 RCT, 5 MA) were included in the quantitative synthesis. Using three-level meta-analyses to pool results of multiple observations from each RCT, as well as four-level meta-analyses to pool results from multiples outcomes and multiple studies of each MA, we generated recommendations using the GRADE approach for: Cognitive Behavioral Therapy; Physical Exercise and Mind–Body intervention; Caregiver intervention; School-based and Executive intervention; and other interventions for core ADHD symptoms across Preschooler, Child, Adolescent and Adult populations. The evidence supports a recommendation for Cognitive Behavioral Therapy for adults and Caregiver intervention for Children, but not for preschoolers. There were not enough data to provide recommendations for the other types of psychosocial interventions. Our results are in line with previous meta-analytic assessments; however, they provide a more in-depth assessment of the effect of psychosocial intervention on core ADHD symptoms. |
| first_indexed | 2024-03-09T09:59:24Z |
| format | Article |
| id | doaj.art-577d94a5f139427eb0c73b751b36ea5e |
| institution | Directory Open Access Journal |
| issn | 2076-3425 |
| language | English |
| last_indexed | 2024-03-09T09:59:24Z |
| publishDate | 2022-08-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Brain Sciences |
| spelling | doaj.art-577d94a5f139427eb0c73b751b36ea5e2023-12-01T23:31:02ZengMDPI AGBrain Sciences2076-34252022-08-01128102310.3390/brainsci12081023Psychosocial Interventions for Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis by the CADDRA Guidelines Work GROUPValerie Tourjman0Gill Louis-Nascan1Ghalib Ahmed2Anaïs DuBow3Hubert Côté4Nadia Daly5George Daoud6Stacey Espinet7Joan Flood8Emilie Gagnier-Marandola9Martin Gignac10Gemma Graziosi11Zeeshan Mansuri12Joseph Sadek13Department of Psychiatry, Université de Montréal, Montreal, QC H3T 1J4, CanadaDepartment of Psychiatry, Université de Montréal, Montreal, QC H3T 1J4, CanadaDepartments of Family Medicine and Psychiatry, University of Alberta, Edmonton, AB T6G 2R3, CanadaDepartment of Psychiatry, Université de Montréal, Montreal, QC H3T 1J4, CanadaDepartment of Psychiatry, Université de Montréal, Montreal, QC H3T 1J4, CanadaDepartment of Psychiatry, Harvard University, Boston, MA 02115, USADepartment of Psychiatry, Université de Sherbrooke, Sherbrooke, QC J1K 2R1, CanadaCADDRA—Canadian ADHD Resource Alliance, Toronto, ON M5A 3X9, CanadaDepartment of Psychiatry, The Shoniker Clinic, Scarborough, ON M1E 4B9, CanadaDepartment of Family Medicine, McGill University, Montreal, QC H3A 0G4, CanadaChild and Adolescent Psychiatry Division, McGill University, Montreal, QC H3A 0G4, CanadaDepartment of Psychology, York University, Toronto, ON M3J 1P3, CanadaBoston Children’s Hospital, Harvard University, Boston, MA 02115, USADepartment of Psychiatry, Dalhousie University, Halifax, NS B3H 4R2, CanadaMultiple psychosocial interventions to treat ADHD symptoms have been developed and empirically tested. However, no clear recommendations exist regarding the utilization of these interventions for treating core ADHD symptoms across different populations. The objective of this systematic review and meta-analysis by the CADDRA Guidelines work Group was to generate such recommendations, using recent evidence. Randomized controlled trials (RCT) and meta-analyses (MA) from 2010 to 13 February 2020 were searched in PubMed, PsycINFO, EMBASE, EBM Reviews and CINAHL. Studies of populations with significant levels of comorbidities were excluded. Thirty-one studies were included in the qualitative synthesis (22 RCT, 9 MA) and 24 studies (19 RCT, 5 MA) were included in the quantitative synthesis. Using three-level meta-analyses to pool results of multiple observations from each RCT, as well as four-level meta-analyses to pool results from multiples outcomes and multiple studies of each MA, we generated recommendations using the GRADE approach for: Cognitive Behavioral Therapy; Physical Exercise and Mind–Body intervention; Caregiver intervention; School-based and Executive intervention; and other interventions for core ADHD symptoms across Preschooler, Child, Adolescent and Adult populations. The evidence supports a recommendation for Cognitive Behavioral Therapy for adults and Caregiver intervention for Children, but not for preschoolers. There were not enough data to provide recommendations for the other types of psychosocial interventions. Our results are in line with previous meta-analytic assessments; however, they provide a more in-depth assessment of the effect of psychosocial intervention on core ADHD symptoms.https://www.mdpi.com/2076-3425/12/8/1023ADHDpsychosocial treatmentpsychological interventionsschool-based interventionsphysical exercisemind–body intervention |
| spellingShingle | Valerie Tourjman Gill Louis-Nascan Ghalib Ahmed Anaïs DuBow Hubert Côté Nadia Daly George Daoud Stacey Espinet Joan Flood Emilie Gagnier-Marandola Martin Gignac Gemma Graziosi Zeeshan Mansuri Joseph Sadek Psychosocial Interventions for Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis by the CADDRA Guidelines Work GROUP Brain Sciences ADHD psychosocial treatment psychological interventions school-based interventions physical exercise mind–body intervention |
| title | Psychosocial Interventions for Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis by the CADDRA Guidelines Work GROUP |
| title_full | Psychosocial Interventions for Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis by the CADDRA Guidelines Work GROUP |
| title_fullStr | Psychosocial Interventions for Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis by the CADDRA Guidelines Work GROUP |
| title_full_unstemmed | Psychosocial Interventions for Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis by the CADDRA Guidelines Work GROUP |
| title_short | Psychosocial Interventions for Attention Deficit/Hyperactivity Disorder: A Systematic Review and Meta-Analysis by the CADDRA Guidelines Work GROUP |
| title_sort | psychosocial interventions for attention deficit hyperactivity disorder a systematic review and meta analysis by the caddra guidelines work group |
| topic | ADHD psychosocial treatment psychological interventions school-based interventions physical exercise mind–body intervention |
| url | https://www.mdpi.com/2076-3425/12/8/1023 |
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