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Medication has shown great benefit for symptoms of attention-deficit/hyperactivity disorder (ADHD) among children having this diagnosis, with a high effect size (0.9). Nevertheless, longitudinal outcomes in marital, employment, and legal domains are impaired, even among individuals without histories of conduct disorder (JW Psychiatry Nov 5 2012). In addition, some families prefer nonpharmacological interventions. Studies and meta-analyses of these have had mixed results, partly due to the use of unblinded assessors. To examine the value of such approaches, investigators conducted an industry-supported meta-analysis of all randomized, controlled trials on children with ADHD diagnoses (age range, 3–18).
Studies that combined nonpharmacological…