No Medication for My Child! A Naturalistic Study on the Treatment Preferences for and Effects of Cogmed Working Memory Training Versus Psychostimulant Medication in Clinically Referred Youth with ADHD

Child Psychiatry and Human Development
Peter MurisIda Holterman

Abstract

In this naturalistic clinical study, we explored the applicability and clinical effectiveness of Cogmed WMT, pharmacotherapy, and their combination for clinically referred children and adolescents with attention-deficit/hyperactivity disorder (ADHD). Ninety youth with ADHD (ages 6-16 years) and their parents were offered the possibility to choose one of the three interventions. The motives for choosing various interventions were quite different. Medication was chosen because this treatment was expected to be most effective, but also because the Cogmed WMT program was regarded as too taxing. The choice for Cogmed WMT was mainly negatively motivated: participants tended to be strongly against the use of medication, found it a too rigorous step, or feared side effects and addiction problems. The choice for the combination treatment was strongly positively motivated: parents and youth indicated that they wanted to receive the best possible intervention and part of them also had high expectations of Cogmed WMT. In terms of clinical effectiveness, pharmacotherapy with stimulant medication and the combination treatment produced larger reductions in ADHD symptomatology than Cogmed WMT. Further, results indicated that Cogmed WMT selecti...Continue Reading

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Citations

Feb 23, 2020·Applied Neuropsychology. Child·Winai ChatthongYodchanan Wongsawat
Sep 3, 2021·Journal of Child Neurology·Kristina K HardyMaria T Acosta
Oct 12, 2021·Frontiers in Psychiatry·Laura Joy BoulosIkram Chraibi Kaadoud

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

Cogmed
Statistical Package for Social Sciences ( SPSS

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