Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD

L. Eugene Arnold; Michael Elliott; Larry Sachs; Helena C. Kraemer; Howard B. Abikoff; C. Keith Conners; Laurence L. Greenhill; Stephen P. Hinshaw; Peter S. Jensen; Jeffrey H. Newcorn; Joanne B. Severe; Benedetto Vitiello; Hector Bird; Karen C. Wells; Anne Comarda; Glen R. Elliott; Lily Hechtman; Betsy Hoza; John S. March; William E. Pelham; James M. Swanson; Timothy Wigal

doi:10.1037/0022-006X.71.4.713

Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD

L. Eugene Arnold, Michael Elliott, Larry Sachs, Helena C. Kraemer, Howard B. Abikoff, C. Keith Conners, Laurence L. Greenhill, Stephen P. Hinshaw, Peter S. Jensen, Jeffrey H. Newcorn, Joanne B. Severe, Benedetto Vitiello, Hector Bird, Karen C. Wells, Anne Comarda, Glen R. Elliott, Lily Hechtman, Betsy Hoza, John S. March, William E. PelhamJames M. Swanson, Timothy Wigal

Research output: Contribution to journal › Article › peer-review

113 Scopus citations

Abstract

From the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder - a randomized clinical trial of 579 children ages 7-9 years receiving 14 months of medication management, behavioral treatment, combination, or community care - the authors matched each African American and Latino participant with randomly selected Caucasian participants of same sex, treatment group, and site. Although Caucasian children were significantly less symptomatic than African American and Latino children on some ratings, response to treatment did not differ significantly by ethnicity after controlling for public assistance. Ethnic minority families cooperated with and benefited significantly from combination (multimodal) treatment (d = 0.36. compared with medication). This incremental gain withstood statistical control for mother's education, single-parent status, and public assistance. Treatment for lower socioeconomic status minority children, especially if comorbid, should combine medication and behavioral treatment.

Original language	English (US)
Pages (from-to)	713-727
Number of pages	15
Journal	Journal of Consulting and Clinical Psychology
Volume	71
Issue number	4
DOIs	https://doi.org/10.1037/0022-006X.71.4.713
State	Published - Aug 2003
Externally published	Yes

ASJC Scopus subject areas

Clinical Psychology
Psychiatry and Mental health

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Arnold, L. E., Elliott, M., Sachs, L., Kraemer, H. C., Abikoff, H. B., Conners, C. K., Greenhill, L. L., Hinshaw, S. P., Jensen, P. S., Newcorn, J. H., Severe, J. B., Vitiello, B., Bird, H., Wells, K. C., Comarda, A., Elliott, G. R., Hechtman, L., Hoza, B., March, J. S., ... Wigal, T. (2003). Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD. Journal of Consulting and Clinical Psychology, 71(4), 713-727. https://doi.org/10.1037/0022-006X.71.4.713

Arnold, LE, Elliott, M, Sachs, L, Kraemer, HC, Abikoff, HB, Conners, CK, Greenhill, LL, Hinshaw, SP, Jensen, PS, Newcorn, JH, Severe, JB, Vitiello, B, Bird, H, Wells, KC, Comarda, A, Elliott, GR, Hechtman, L, Hoza, B, March, JS, Pelham, WE, Swanson, JM & Wigal, T 2003, 'Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD', Journal of Consulting and Clinical Psychology, vol. 71, no. 4, pp. 713-727. https://doi.org/10.1037/0022-006X.71.4.713

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abstract = "From the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder - a randomized clinical trial of 579 children ages 7-9 years receiving 14 months of medication management, behavioral treatment, combination, or community care - the authors matched each African American and Latino participant with randomly selected Caucasian participants of same sex, treatment group, and site. Although Caucasian children were significantly less symptomatic than African American and Latino children on some ratings, response to treatment did not differ significantly by ethnicity after controlling for public assistance. Ethnic minority families cooperated with and benefited significantly from combination (multimodal) treatment (d = 0.36. compared with medication). This incremental gain withstood statistical control for mother's education, single-parent status, and public assistance. Treatment for lower socioeconomic status minority children, especially if comorbid, should combine medication and behavioral treatment.",

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AU - Conners, C. Keith

AU - Greenhill, Laurence L.

AU - Hinshaw, Stephen P.

AU - Jensen, Peter S.

AU - Newcorn, Jeffrey H.

AU - Severe, Joanne B.

AU - Vitiello, Benedetto

AU - Bird, Hector

AU - Wells, Karen C.

AU - Comarda, Anne

AU - Elliott, Glen R.

AU - Hechtman, Lily

AU - Hoza, Betsy

AU - March, John S.

AU - Pelham, William E.

AU - Swanson, James M.

AU - Wigal, Timothy

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AB - From the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder - a randomized clinical trial of 579 children ages 7-9 years receiving 14 months of medication management, behavioral treatment, combination, or community care - the authors matched each African American and Latino participant with randomly selected Caucasian participants of same sex, treatment group, and site. Although Caucasian children were significantly less symptomatic than African American and Latino children on some ratings, response to treatment did not differ significantly by ethnicity after controlling for public assistance. Ethnic minority families cooperated with and benefited significantly from combination (multimodal) treatment (d = 0.36. compared with medication). This incremental gain withstood statistical control for mother's education, single-parent status, and public assistance. Treatment for lower socioeconomic status minority children, especially if comorbid, should combine medication and behavioral treatment.

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Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD

Abstract

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