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Essay on The Multimodel Treatment of Attention Deficit Hyperactivity (MTA)

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What did the Multimodal Treatment of Attention Deficit Hyperactivity (MTA) study find?

The Multimodal Treatment of Attention Deficit Hyperactivity Disorder study was designed to analyze the leading treatments of ADHD that included drug therapy, in-depth behavior therapy, or a consolidation of the two. There was an initial 14-month study and a 6 to 8 year follow-up (Molina et al., 2011). The ages of the children that were studied initially were 7 to about 10 years old. One of the findings that the initial 14 month study indicated was that the kind of treatment, (medication, behavior therapy, community care or, combinations of treatment), did not forecast how the children would be behaving 6 to 8 years later, but could be used as an assumption of what kind of behavior might be displayed going into adolescence (Molina et al., 2011). The combination of medication and behavioral therapy, rather than behavioral only or, community care only, indicated the best type of progress for the participants of the initial 14-month study (Molina et al., 2011).

The study revealed 3 sets of conclusions; there were no marked distinctions among the children of the random group at 7 to 9 years of age; the symptom path as a child gave a prediction of the outcome at the 6 and 8 year follow-up; even with the medication and the behavioral therapy the MTA group was at a lower capacity of functioning than the non-MTA sample at 2 years. What the study showed was that the disparity of the effects of treatment at the time of delivery lessened when the treatment was relaxed (Molina et al., 2011). The introductory clinical appearance of ADHD in childhood that included the worst of ADHD symptoms, any conduct problems, the intellect of the child, any social...


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...ave a longer term of study. The authors of the MTA study admittedly would have liked to have a longer study done.

If you could do something differently in this study, or in a new study similar to it, to study the efficacy for different treatments of ADHD, what would you do differently? (Hint: You might or might not want more subjects, different types of treatments, longer follow-up period, different measurement instruments, more "real life settings," better quality control of psychotherapists, etc.








Reference

Molina, B. S. G., Hinshaw, S. P., Swanson, J. M., Arnold, L. E., Vitiello, B., Jensen, P.
S., Epstein, J. N., & Hoza, B. (n.d.). Retrieved from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3063150/?report=classic

National Institute of Mental Health. (n.d.). Retrieved from
http://archpsyc.jamanetwork.com/article.aspx?articleid=205525



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