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Assessing medication effects in the MTA study using neuropsychological outcomes

Background:  While studies have increasingly investigated deficits in reaction time (RT) and RT variability in children with attention deficit/hyperactivity disorder (ADHD), few studies have examined the effects of stimulant medication on these important neuropsychological outcome measures. Methods:...

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Published in:Journal of child psychology and psychiatry 2006-05, Vol.47 (5), p.446-456
Main Authors: Epstein, Jeffery N., Keith Conners, C., Hervey, Aaron S., Tonev, Simon T., Eugene Arnold, L., Abikoff, Howard B., Elliott, Glen, Greenhill, Laurence L., Hechtman, Lily, Hoagwood, Kimberly, Hinshaw, Stephen P., Hoza, Betsy, Jensen, Peter S., March, John S., Newcorn, Jeffrey H., Pelham, William E., Severe, Joanne B., Swanson, James M., Wells, Karen, Vitiello, Benedetto, Wigal, Timothy
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cited_by cdi_FETCH-LOGICAL-c6129-e485af0c816544bde4bcea94d263f0f2bc96719a4ca9ba8ef7d1619911e654673
cites cdi_FETCH-LOGICAL-c6129-e485af0c816544bde4bcea94d263f0f2bc96719a4ca9ba8ef7d1619911e654673
container_end_page 456
container_issue 5
container_start_page 446
container_title Journal of child psychology and psychiatry
container_volume 47
creator Epstein, Jeffery N.
Keith Conners, C.
Hervey, Aaron S.
Tonev, Simon T.
Eugene Arnold, L.
Abikoff, Howard B.
Elliott, Glen
Greenhill, Laurence L.
Hechtman, Lily
Hoagwood, Kimberly
Hinshaw, Stephen P.
Hoza, Betsy
Jensen, Peter S.
March, John S.
Newcorn, Jeffrey H.
Pelham, William E.
Severe, Joanne B.
Swanson, James M.
Wells, Karen
Vitiello, Benedetto
Wigal, Timothy
description Background:  While studies have increasingly investigated deficits in reaction time (RT) and RT variability in children with attention deficit/hyperactivity disorder (ADHD), few studies have examined the effects of stimulant medication on these important neuropsychological outcome measures. Methods:  316 children who participated in the Multimodal Treatment Study of Children with ADHD (MTA) completed the Conners’ Continuous Performance Test (CPT) at the 24‐month assessment point. Outcome measures included standard CPT outcomes (e.g., errors of commission, mean hit reaction time (RT)) and RT indicators derived from an Ex‐Gaussian distributional model (i.e., mu, sigma, and tau). Results:  Analyses revealed significant effects of medication across all neuropsychological outcome measures. Results on the Ex‐Gaussian outcome measures revealed that stimulant medication slows RT and reduces RT variability. Conclusions:  This demonstrates the importance of including analytic strategies that can accurately model the actual distributional pattern, including the positive skew. Further, the results of the study relate to several theoretical models of ADHD.
doi_str_mv 10.1111/j.1469-7610.2005.01469.x
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Methods:  316 children who participated in the Multimodal Treatment Study of Children with ADHD (MTA) completed the Conners’ Continuous Performance Test (CPT) at the 24‐month assessment point. Outcome measures included standard CPT outcomes (e.g., errors of commission, mean hit reaction time (RT)) and RT indicators derived from an Ex‐Gaussian distributional model (i.e., mu, sigma, and tau). Results:  Analyses revealed significant effects of medication across all neuropsychological outcome measures. Results on the Ex‐Gaussian outcome measures revealed that stimulant medication slows RT and reduces RT variability. Conclusions:  This demonstrates the importance of including analytic strategies that can accurately model the actual distributional pattern, including the positive skew. Further, the results of the study relate to several theoretical models of ADHD.</description><identifier>ISSN: 0021-9630</identifier><identifier>EISSN: 1469-7610</identifier><identifier>DOI: 10.1111/j.1469-7610.2005.01469.x</identifier><identifier>PMID: 16671928</identifier><identifier>CODEN: JPPDAI</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>ADHD/ADD ; Amphetamine - pharmacology ; Analysis of Variance ; Attention Deficit Disorder with Hyperactivity - drug therapy ; Attention Deficit Disorder with Hyperactivity - psychology ; Attention Deficit Disorder with Hyperactivity - therapy ; Attention Deficit Hyperactivity Disorder ; Biological and medical sciences ; Central Nervous System Stimulants - pharmacology ; Child ; Child Behavior - drug effects ; Child Behavior - psychology ; Child psychology ; Children ; Clinical outcomes ; Combined Modality Therapy - methods ; Combined Modality Therapy - psychology ; Combined Modality Therapy - statistics &amp; numerical data ; Continuous Performance Test ; Data Interpretation, Statistical ; Dextroamphetamine - pharmacology ; distributions ; Drug Therapy ; Effectiveness ; Evaluation Methods ; Female ; Follow-Up Studies ; go/no-go test ; Humans ; Hyperactivity ; Medical sciences ; Methylphenidate - pharmacology ; Neurological Impairments ; Neurological Organization ; Neuropharmacology ; Neuropsychological functioning ; Neuropsychological Tests - statistics &amp; numerical data ; Neuropsychology ; Normal Distribution ; Outcomes of Treatment ; Pemoline - pharmacology ; Performance Tests ; pharmacology ; Pharmacology. Drug treatments ; Prescription drugs ; Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease) ; Psychology. Psychoanalysis. Psychiatry ; Psychopharmacology ; Reaction Time ; Reaction Time - drug effects ; Reaction times ; Response time ; Stimulants ; Task Performance and Analysis ; Time Factors ; Treatment Outcome</subject><ispartof>Journal of child psychology and psychiatry, 2006-05, Vol.47 (5), p.446-456</ispartof><rights>2007 INIST-CNRS</rights><rights>2005 Association for Child Psychology and Psychiatry</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c6129-e485af0c816544bde4bcea94d263f0f2bc96719a4ca9ba8ef7d1619911e654673</citedby><cites>FETCH-LOGICAL-c6129-e485af0c816544bde4bcea94d263f0f2bc96719a4ca9ba8ef7d1619911e654673</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1469-7610.2005.01469.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1469-7610.2005.01469.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>315,786,790,27957,27958,31034,31035,50923,51032</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ950486$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=18226186$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16671928$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Epstein, Jeffery N.</creatorcontrib><creatorcontrib>Keith Conners, C.</creatorcontrib><creatorcontrib>Hervey, Aaron S.</creatorcontrib><creatorcontrib>Tonev, Simon T.</creatorcontrib><creatorcontrib>Eugene Arnold, L.</creatorcontrib><creatorcontrib>Abikoff, Howard B.</creatorcontrib><creatorcontrib>Elliott, Glen</creatorcontrib><creatorcontrib>Greenhill, Laurence L.</creatorcontrib><creatorcontrib>Hechtman, Lily</creatorcontrib><creatorcontrib>Hoagwood, Kimberly</creatorcontrib><creatorcontrib>Hinshaw, Stephen P.</creatorcontrib><creatorcontrib>Hoza, Betsy</creatorcontrib><creatorcontrib>Jensen, Peter S.</creatorcontrib><creatorcontrib>March, John S.</creatorcontrib><creatorcontrib>Newcorn, Jeffrey H.</creatorcontrib><creatorcontrib>Pelham, William E.</creatorcontrib><creatorcontrib>Severe, Joanne B.</creatorcontrib><creatorcontrib>Swanson, James M.</creatorcontrib><creatorcontrib>Wells, Karen</creatorcontrib><creatorcontrib>Vitiello, Benedetto</creatorcontrib><creatorcontrib>Wigal, Timothy</creatorcontrib><creatorcontrib>MTA Cooperative Study Group</creatorcontrib><creatorcontrib>the MTA Cooperative Study Group</creatorcontrib><title>Assessing medication effects in the MTA study using neuropsychological outcomes</title><title>Journal of child psychology and psychiatry</title><addtitle>J Child Psychol Psychiatry</addtitle><description>Background:  While studies have increasingly investigated deficits in reaction time (RT) and RT variability in children with attention deficit/hyperactivity disorder (ADHD), few studies have examined the effects of stimulant medication on these important neuropsychological outcome measures. Methods:  316 children who participated in the Multimodal Treatment Study of Children with ADHD (MTA) completed the Conners’ Continuous Performance Test (CPT) at the 24‐month assessment point. Outcome measures included standard CPT outcomes (e.g., errors of commission, mean hit reaction time (RT)) and RT indicators derived from an Ex‐Gaussian distributional model (i.e., mu, sigma, and tau). Results:  Analyses revealed significant effects of medication across all neuropsychological outcome measures. Results on the Ex‐Gaussian outcome measures revealed that stimulant medication slows RT and reduces RT variability. Conclusions:  This demonstrates the importance of including analytic strategies that can accurately model the actual distributional pattern, including the positive skew. 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Keith Conners, C. ; Hervey, Aaron S. ; Tonev, Simon T. ; Eugene Arnold, L. ; Abikoff, Howard B. ; Elliott, Glen ; Greenhill, Laurence L. ; Hechtman, Lily ; Hoagwood, Kimberly ; Hinshaw, Stephen P. ; Hoza, Betsy ; Jensen, Peter S. ; March, John S. ; Newcorn, Jeffrey H. ; Pelham, William E. ; Severe, Joanne B. ; Swanson, James M. ; Wells, Karen ; Vitiello, Benedetto ; Wigal, Timothy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c6129-e485af0c816544bde4bcea94d263f0f2bc96719a4ca9ba8ef7d1619911e654673</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2006</creationdate><topic>ADHD/ADD</topic><topic>Amphetamine - pharmacology</topic><topic>Analysis of Variance</topic><topic>Attention Deficit Disorder with Hyperactivity - drug therapy</topic><topic>Attention Deficit Disorder with Hyperactivity - psychology</topic><topic>Attention Deficit Disorder with Hyperactivity - therapy</topic><topic>Attention Deficit Hyperactivity Disorder</topic><topic>Biological and medical sciences</topic><topic>Central Nervous System Stimulants - pharmacology</topic><topic>Child</topic><topic>Child Behavior - drug effects</topic><topic>Child Behavior - psychology</topic><topic>Child psychology</topic><topic>Children</topic><topic>Clinical outcomes</topic><topic>Combined Modality Therapy - methods</topic><topic>Combined Modality Therapy - psychology</topic><topic>Combined Modality Therapy - statistics &amp; 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Methods:  316 children who participated in the Multimodal Treatment Study of Children with ADHD (MTA) completed the Conners’ Continuous Performance Test (CPT) at the 24‐month assessment point. Outcome measures included standard CPT outcomes (e.g., errors of commission, mean hit reaction time (RT)) and RT indicators derived from an Ex‐Gaussian distributional model (i.e., mu, sigma, and tau). Results:  Analyses revealed significant effects of medication across all neuropsychological outcome measures. Results on the Ex‐Gaussian outcome measures revealed that stimulant medication slows RT and reduces RT variability. Conclusions:  This demonstrates the importance of including analytic strategies that can accurately model the actual distributional pattern, including the positive skew. Further, the results of the study relate to several theoretical models of ADHD.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>16671928</pmid><doi>10.1111/j.1469-7610.2005.01469.x</doi><tpages>11</tpages></addata></record>
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identifier ISSN: 0021-9630
ispartof Journal of child psychology and psychiatry, 2006-05, Vol.47 (5), p.446-456
issn 0021-9630
1469-7610
language eng
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source Applied Social Sciences Index & Abstracts (ASSIA); Wiley; ERIC
subjects ADHD/ADD
Amphetamine - pharmacology
Analysis of Variance
Attention Deficit Disorder with Hyperactivity - drug therapy
Attention Deficit Disorder with Hyperactivity - psychology
Attention Deficit Disorder with Hyperactivity - therapy
Attention Deficit Hyperactivity Disorder
Biological and medical sciences
Central Nervous System Stimulants - pharmacology
Child
Child Behavior - drug effects
Child Behavior - psychology
Child psychology
Children
Clinical outcomes
Combined Modality Therapy - methods
Combined Modality Therapy - psychology
Combined Modality Therapy - statistics & numerical data
Continuous Performance Test
Data Interpretation, Statistical
Dextroamphetamine - pharmacology
distributions
Drug Therapy
Effectiveness
Evaluation Methods
Female
Follow-Up Studies
go/no-go test
Humans
Hyperactivity
Medical sciences
Methylphenidate - pharmacology
Neurological Impairments
Neurological Organization
Neuropharmacology
Neuropsychological functioning
Neuropsychological Tests - statistics & numerical data
Neuropsychology
Normal Distribution
Outcomes of Treatment
Pemoline - pharmacology
Performance Tests
pharmacology
Pharmacology. Drug treatments
Prescription drugs
Psychoanaleptics: cns stimulant, antidepressant agent, nootropic agent, mood stabilizer..., (alzheimer disease)
Psychology. Psychoanalysis. Psychiatry
Psychopharmacology
Reaction Time
Reaction Time - drug effects
Reaction times
Response time
Stimulants
Task Performance and Analysis
Time Factors
Treatment Outcome
title Assessing medication effects in the MTA study using neuropsychological outcomes
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