The University of California, Irvine ADD Center recently conducted a synthesis of the literature on the use of stimulants with children with attention deficit disorder (ADD), using a unique “review of reviews” methodology. In this article, we compare three reviews from each of three review types (traditional, meta-analytic, general audience) and illustrate how coding variables can highlight sources of divergence. In general, divergent conclusions stemmed from variations in goal rather than from variations in the sources selected to review. Across quantitative reviews, the average effect size for symptomatic improvement (.83) was twice that for benefits on IQ and achievement measures (.35). A summary of what should and should not be expected of the use of stimulants with ADD children, derived from the literature synthesis, is provided.
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References
1.
AdelmanH. S., & CompasB. E. (1977). Stimulant drugs and learning problems. Journal of Special Education, 11, 377–416.
2.
BarkleyR. A. (1977). A review of stimulant drug research with hyperactive children. Journal of Child Psychology and Psychiatry, 18, 137–165.
3.
CarlsonC. L., & BunnerM. (1993). Effects of methylphenidate on the academic performance of children with attention-deficit hyperactivity disorder. School Psychology Review, 22, 184–198.
4.
CooperH. M. (1988). Organizing knowledge synthesis: A taxonomy of literature reviews. Knowledge in Society, 1, 104–126.
5.
CooperH. M. (1989). Integrating Research: A Guide for Literature Reviews (2nd ed.). Newbury Park, CA: Sage.
6.
GadowK. D. (1985). Prevalence and efficacy of stimulant drug use with mentally retarded children and youth. Psychopharmacology Bulletin, 21, 291–303.
7.
HinshawS. P. (1991). Stimulant medication and the treatment of aggression in children with attention deficits. Journal of Clinical Child Psychology, 20, 301–312.
8.
JacobvitzD.StroufeA.StewartM., & LeffertN. (1990). Treatment of attentional and hyperactivity problems in children with sympathomimetic drugs: A comprehensive review. Journal of the American Academy of Child and Adolescent Psychiatry, 29, 677–688.
9.
KavaleK. (1982). The efficacy of stimulant drug treatment of hyperactivity: A meta-analysis. Journal of Learning Disabilities, 15, 280–289.
10.
KohnA. (1989, November). Suffer the restless children. The Atlantic Monthly, pp. 90–98.
11.
McGuinessD. (1989). Attention deficit disorder: The Emperor's Clothes, Animal “Pharm,” and other fiction. In FisherS. & GreenbergR. (Eds.), The limits of biological treatments for psychological distress (151–187). Hillsdale, NJ: Laurence Erlbaum.
12.
NIMH-RFA. (1992). Cooperative agreement for a multi-site multimodal treatment study of attention deficit hyperactivity disorder (ADHD)/Attention Deficit Disorder (February 1992). Washington, DC: U.S. Department of Health and Human Services; Public Health Service; Alcohol, Drug Abuse, and Mental Health Administration; National Institute of Mental Health.
13.
OttenbacherK. J., & CooperH. M. (1983). Drug treatment of hyperactivity in children. Developmental Medicine and Child Neurology, 25, 358–366.
14.
PelhamW. E.CarlsonC.SamsS. E.VallanoG.DixonM. J., & HozaB. (in press). Separate and combined effects of methylphenidate and behavior modification on the classroom behavior and academic performance of ADHD boys: Group effects and individual differences. Journal of Consulting and Clinical Psychology.
15.
PelhamW., & MurphyH. A. (1986) Behavioral and pharmacological treatment of hyperactivity and attention deficit disorders. In HersenM. & BreuningS. E. (Eds.), Pharmacological and Behavioral Treatment: An Integrative Approach (pp. 108–147). New York: Wiley.
16.
RichtersJ. E.ArnoldL. E., & JensenP. S. (1992). The National Institute of Mental Health Collaborative multisite multimodal treatment study of Attention Deficit Hyperactivity Disorder: Background and rationale. Manuscript submitted for publication.
17.
SchragP., & DivokyD. (1975). The myth of the hyperactive child and other means of child control (pp. 68–107). New York: Pantheon Books.
18.
StevensonR. D., & WolraichM. L. (1989). Stimulant medication therapy in the treatment of children with attention deficit hyperactivity disorder. Pediatric Clinics of North America, 36, 1183–1197.
19.
SwansonJ. M. (1993). The UCI ADD Center: Final report. The effects of stimulant medication on children with ADD. Washington, DC: U.S. Department of Education; University of California, Irvine, Attention Deficit Disorder Center.
