Journal of Korean Academy of Nursing (대한간호학회지)

Korean Society of Nursing Science (한국간호과학회)
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Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis

한국 학령기 ADHD 아동을 위한 인지행동중재의 효과 연구: 메타분석

  • Park, Wan-Ju (College of Nursing.Research Institute of Nursing Science, Kyungpook National University) ;
  • Park, Shin-Jeong (College of Nursing.Research Institute of Nursing Science, Kyungpook National University) ;
  • Hwang, Sung-Dong (College of Social Sciences, Kyungpook National University)
  • 박완주 (경북대학교 간호대학.간호과학연구소) ;
  • 박신정 (경북대학교 간호대학.간호과학연구소) ;
  • 황성동 (경북대학교 사회과학대학)
  • Received : 2014.10.07
  • Accepted : 2015.02.23
  • Published : 2015.04.30
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Abstract

Purpose: This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea. Methods: Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis. Results: Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected. Conclusion: Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.

Keywords

References

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