Title: |
Which Child Will Benefit From a Behavioral Intervention for ADHD? A Pilot Study to Predict Intervention Efficacy From Individual Reward Sensitivity |
Author(s): |
Myrthe J. M. van Langen, Branko M. van Hulst, Mariam Douma, Maarten Steffers, Nicole M.H. van de Wiel, Els van den Ban, Sarah Durston and Patrick de Zeeuw |
Journal: |
Journal of Attention Disorders |
Year: |
2021 |
Volume: |
25 |
Issue: |
12 |
Pages: |
1754-1764 |
DOI: |
https://doi.org/10.1177/1087054720928136 |
File URL: |
/vuams-pubs/1087054720928136.pdf |
Keywords: |
attention-deficit/hyperactivity disorder, reward sensitivity, reward processing, behavioral interventions |
Abstract: |
Objective: This article aims to assess whether individual differences in reward sensitivity can be used to predict which children with attention-deficit/hyperactivity disorder (ADHD) will benefit most from behavioral interventions that include reinforcement. Methods: A 12-week behavioral intervention was offered to 21 children with ADHD and their parents. Reward sensitivity was assessed prior to the intervention using a combination of psychological and physiological measures. ADHD symptoms were assessed pre- and posttreatment using the Strengths and Weaknesses of ADHD and Normal behavior (SWAN) rating scale. Results: Lower scores on one of the questionnaire scales were associated with greater pre/posttreatment differences in ADHD symptoms. Conclusion: We found that pre/posttreatment change was associated with one measure of parent-rated reward sensitivity. Children with low impulsive negative behavior toward gaining reward
improved most during treatment. This result suggests that aspects of reward-related behaviors in ADHD may be useful to predict the effectiveness of treatment. |