The present paper reviews the available research on the effects of drug interventions with young hyperactive children. Following a brief discussion of hyperactivity in young children, several studies pertinent to the difficulties involved in the early identification of hyperactive behaviors and the drugs typically used in the management of such behaviors are summarized. It is concluded that the limited number of investigations does not justify the widespread utilization of stimulant drug treatment with young hyperactive children. Implications for future research and clinical practice are also discussed.
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References
1.
American Psychiatric Association. (1980). Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, DC: Author.
2.
Barkley, R.A. (1979). Using stimulant drugs in the classroom. School Psychology Digest, 8, 412–425.
3.
Barkley, R.A. (1981). Hyperactive children: A handbook for diagnoses and treatment. New York: Guilford Press.
4.
Barkley, R.A. (1982). Guidelines for defining hyperactivity in children: Attention deficit disorder with hyperactivity. In B.B. Lahey & A.E. Kazdin (Eds.), Advances in clinical child psychology (Vol. 5, pp. 137–175). New York: Plenum.
5.
Barkley, R.A., & Cunningham, C.E. (1978). Do stimulant drugs improve the academic performance of hyperkinetic children: A review of outcome studies. Clinical Pediatrics, 17, 85–92.
6.
Barkley, RA., Karlsson, J., Strzelecki, E., & Murphy, J.V. (1984). Effects of age and ritalin dosage on mother-child interactions of hyperactive children. Journal of Consulting and Clinical Psychology, 52, 750–758.
7.
Cantwell, D.P. (1975). The hyperactive child: Diagnosis, management, current research. New York: Spectrum.
8.
Cantwell, D.P., & Carlson, G.A. (1979). Stimulants, In J. Werry (Ed.), Pediatric psychopharmacology (pp. 171–207). New York: Brunner/Mazel.
9.
Cohen, N.J., Sullivan, J., Minde, K., Novak, C., & Helwig, C. (1981). Evaluation of the relative effectiveness of methylphenidate and cognitive behavior modification in the treatment of kindergarten-aged children. Journal of Abnormal Child Psychology, 9, 43–54.
10.
Conners, C.K. (1975). Controlled trial of methylphenidate in preschool children with minimal brain dysfunction. International Journal of Mental Health, 4, 61–74.
11.
Firestone, P., Peters, S., Rivier, M., & Knights, R.M. (1978). Minor physical anomalies in hyperactive, retarded, and normal children and their families. Journal of Child Psychology and Psychiatry, 19, 155–160.
12.
Gadow, K.D. (1981). Prevalence of drug treatment for hyperactivity and other childhood behavior disorders. In K.D. Gadow & J. Loney (Eds.), Psychosocial aspects of drug treatment for hyperactivity (pp. 13–76). Boulder, CO: Westview Press.
13.
Grinspoon, L., & Singer, S. (1973). Amphetamine in the treatment of hyperkinetic children. Harvard Educational Review, 43, 515–555.
14.
Hallahan, D.P., & Kauffman, J.M. (1982). Exceptional children: An introduction to special education. Englewood Cliffs, NJ: Prentice-Hall.
15.
Kinsbourne, M., & Swanson, J. (1979). Models of hyperactivity: Implications for diagnosis and treatment. In R. Trites (Ed.), Hyperactivity in children (pp. 5–23). Baltimore: University Park Press.
16.
Levine, M.D., Brooks, R., & Shonkoff, J.P. (1980). A pediatric approach to learning disorders. New York: Wiley.
17.
Loney, J. (1974). The intellectual functioning of hyperactive elementary school boys. A cross-sectional investigation. American Journal of Orthopsychiatry, 44, 754–762.
Quay, H.C., & Werry, J.S. (1979). Psychopathological disorders of childhood (2nd ed.). New York: Wiley.
20.
Ross, D.M., & Ross, S.A. (1982). Hyperactivity; Current issues, research, and theory (2nd ed.). New York: Wiley.
21.
Safer, D., & Krager, J.M. (1984). Trends in medication therapy for hyperactivity: National and international perspectives. In K.D. Gadow (Ed.), Advances in learning and behavioral disabilities (Vol. 3, pp. 125–149). London: JAI Press.
22.
Safford, P.L. (1978). Teaching young children with special needs. St. Louis: C.V. Mosby.
23.
Schleifer, M., Weiss, G., Cohen, N., Elman, M., Cvejic, H., & Kruger, E. (1975). Hyperactivity in preschoolers and the effect of methylphenidate. American Journal of Orthopsychiatry, 45, 38–50.
24.
Shafto, F., & Sulzbacher, S. (1977). Comparing treatment tactics with a hyperactive preschool child: Stimulant medication and programmed teacher intervention. Journal of Applied Behavior Analysis, 10, 13–20.
25.
Simeonsson, R.J., & Simeonsson, N.E. (1981). Medication effects in handicapped preschool children. Topics in Early Childhood Special Education, 1, 61–75.
26.
Weiss, G. (1975). The natural history of hyperactivity in childhood and treatment with stimulant medication at different ages: A summary of research findings. International Journal of Mental Health, 4, 213–226.
27.
Weiss, G., Minde, K., Werry, J.S., Douglas, V., & Nemeth, E. (1971). Studies on the hyperactive child—VIII: Five-year follow-up. Archives of General Psychiatry, 24, 409–414.
28.
Werry, J.S. (1982). Pharmacotherapy. In B.B. Lahey & A.E. Kazdin (Eds.), Advances in clinical child psychology (Vol. 5, pp. 283–322). New York: Plenum.
29.
Werry, J.S., Weiss, G., & Douglas, V. (1964). Studies on the hyperactive child: I. Some preliminary findings. Canadian Psychiatric Association Journal, 9, 120–130.
30.
Zara, M.M. (1973). Effects of medication on learning in hyperactive four-year-old children. Dissertation Abstracts International, A34, 2407.
