Attributional Outcomes: The Subtle Messages of Treatments for Attention Deficit Disorder
Borden, Kathi Ann
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https://hdl.handle.net/2142/69673
Description
Title
Attributional Outcomes: The Subtle Messages of Treatments for Attention Deficit Disorder
Author(s)
Borden, Kathi Ann
Issue Date
1986
Department of Study
Psychology
Discipline
Psychology
Degree Granting Institution
University of Illinois at Urbana-Champaign
Degree Name
Ph.D.
Degree Level
Dissertation
Keyword(s)
Psychology, Clinical
Abstract
The present study examined the attributional effects of combining medication with cognitive behavior therapy in the treatment of children diagnosed as having Attention Deficit Disorder (ADD). Thirty ADD subjects received a 22-session cognitive training program focusing on self-control over behavior. Children were also randomly assigned to receive methylphenidate, placebo, or no pill. Children, parents, teachers, and project staff in direct contact with the children were blind to each child's medication group. Medication group was found to influence parent attributions for the causes and solutions to their children's presenting problems. While child measures did not reveal significant effects, group means were directionally similar to those of the parents. Parents in the no pill group believed most strongly that their children were capable of solving their own presenting problems. The placebo group most strongly believed that solutions would result form external and uncontrollable factors. No group differences were found at posttest on achievement attributions measures or on measures of behavioral or cognitive improvements. The motivational effects of combining medication with psychotherapy or other behavior change procedures were emphasized. Implications for combined treatment tactics in clinical and research settings were discussed, as were applications to behavioral medicine.
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