Posted by SLS on March 15, 2014, at 7:40:54
In reply to Re: Doctor: 'ADHD Doesn't Exist, Drugs Do More Harm... » SLS, posted by johnLA on March 14, 2014, at 15:58:29
Here is the synopsis of the original study that I provided a link to:
Multimodal Treatment Study of Children With Attention Deficit and Hyperactivity Disorder (MTA)
http://www.clinicaltrials.gov/ct2/show/NCT00000388?term=NCT00000388&rank=1
This study investigated how a 14 month intensive, controlled treatment would influence the course of a proband's life afterwards, regardless of future treatment decisions. This is not a true continuation study.
This is the same MTA study at the 3 year follow up. It verbalizes the concerns I had initially after reading the results at the 8 year follow up.
http://www.ncbi.nlm.nih.gov/pubmed/17667478
**** During the 14 months of active treatment, medication was superior to psychosocial treatments.
----------------------------------------------------------
CONCLUSIONS:
By 36 months, the earlier advantage of having had 14 months of the medication algorithm was no longer apparent, possibly due to age-related decline in ADHD symptoms, changes in medication management intensity, starting or stopping medications altogether, or other factors not yet evaluated.
-----------------------------------------------------------
In summary, MTA study cited by the review article does not prove very much other than that medication works better than psychosocial treatments.
It still seems to me that in properly-diagnosed ADHD, especially when symptoms are disabling, medication should be included in a first-line treatment algorithm.
- Scott
Some see things as they are and ask why.
I dream of things that never were and ask why not.- George Bernard Shaw
poster:SLS
thread:1062349
URL: http://www.dr-bob.org/babble/20140307/msgs/1062538.html