Efficacy of cognitive-behavioral therapy in the treatment of children with ADHD, with and without aggressiveness

  • Miranda A
  • Presentacion M
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The objectives of this study were twofold: to show the efficacy of a
cognitive-behavioral self-control therapy on children with ADHD and to
determine whether the combination of training in self-control with
training in anger management has better outcomes on two subgroups of
hyperactive children, aggressive and nonaggressive. Thirty-two children
with ADHD, 16 aggressive and 16 nonaggressive, participated in the
research. We applied a cognitive-behavioral self-control training, which
included self-instructional training via modeling and behavioral
contingencies, to 16 of the 32 hyperactive children. The other 16
hyperactive children were taught the same program, but combined with
anger management training. The interventions were carried out by two
therapists each taking care of four groups, one of each in the following
conditions: hyperactive with the cognitive-behavioral self-control
therapy, hyperactive with the combined treatment, hyperactive-aggressive
with the cognitive-behavioral self-control therapy, and
hyperactive-aggressive with the combined treatment. The results
indicated important improvements on several measures in all treated
groups. Furthermore the improvements of children with aggressiveness
were slightly better, according to the parents, with the combined
treatment than without it. The data provide support for including anger
management training in the cognitive-behavioral interventions for
hyperactive-aggressive students. (C) 2000 John Wiley & Sons, Inc.

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  • A Miranda

  • M J Presentacion

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