A clinical review of outcomes of the multimodal treatment study of children with attention-deficit/hyperactivity disorder (MTA)

Curr Psychiatry Rep. 2008 Oct;10(5):424-31. doi: 10.1007/s11920-008-0068-4.

Abstract

Over the past decade, the Multimodal Treatment Study of Children with Attention-Deficit/Hyperactivity Disorder has provided a bewildering wealth of data (more than 70 peer-reviewed articles) addressing treatment-related questions for children with attention-deficit/hyperactivity disorder. However, the take-home messages for clinicians may not always be clear. Therefore, this article reviews key findings, including relative benefits of medication and behavioral treatments, long-term effects at 2 and 3 years, treatment mediators and moderators, preliminary delinquency and substance use outcomes, and growth suppression related to stimulant use. Appropriate interpretations of the findings and their limitations are discussed, and recommendations for clinical practice are derived.

Publication types

  • Review

MeSH terms

  • Achievement
  • Adolescent
  • Attention Deficit Disorder with Hyperactivity / epidemiology
  • Attention Deficit Disorder with Hyperactivity / rehabilitation*
  • Attention Deficit and Disruptive Behavior Disorders / epidemiology
  • Attention Deficit and Disruptive Behavior Disorders / rehabilitation
  • Behavior Therapy*
  • Central Nervous System Stimulants / adverse effects
  • Central Nervous System Stimulants / therapeutic use*
  • Child
  • Child, Preschool
  • Combined Modality Therapy
  • Community Mental Health Services
  • Comorbidity
  • Follow-Up Studies
  • Humans
  • Juvenile Delinquency / rehabilitation
  • Juvenile Delinquency / statistics & numerical data
  • Social Adjustment
  • Socialization
  • Substance-Related Disorders / epidemiology
  • Substance-Related Disorders / rehabilitation
  • Treatment Outcome

Substances

  • Central Nervous System Stimulants