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 journalArticle

112 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 languageEnglish (US)
Pages (from-to)713-727
Number of pages15
JournalJournal of Consulting and Clinical Psychology
Volume71
Issue number4
DOIs
StatePublished - Aug 2003

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