» Articles » PMID: 321410

The Relative Efficacy of Methylphenidate (ritalin) and Behavior-modification Techniques in the Treatment of a Hyperactive Child

Overview
Specialty Social Sciences
Date 1977 Jan 1
PMID 321410
Citations 4
Authors
Affiliations
Soon will be listed here.
Abstract

Drug versus placebo effects were contrasted with those of contingency management in the treatment of a hyperactive child. Several criterion behaviors were monitored in two different settings to gauge the breadth and generalizability of drug and behavior-management effects. Medication and contingency management effects were both found to be situation specific. No interaction effects were found. Accuracy of task performance, amount of eye contact with the experimenters, frequency of repetitive hand movements, and distractible behavior were apparently unaffected by medication (Ritalin versus placebo) within the clinic. A multiple-baseline design incorporating contingency reversals revealed the reinforcement contingencies to be the crucial variable controlling behavior within the clinic. Medication effects were shown to be significant within the home setting where reinforcement contingencies were not changed. While aggressive behavior decreased as a function of Ritalin, repetitive hand movements increased.

Citing Articles

Ritalin vs. response cost in the control of hyperactive children: a within-subject comparison.

Rapport M, Murphy H, Bailey J J Appl Behav Anal. 1982; 15(2):205-16.

PMID: 7118754 PMC: 1308265. DOI: 10.1901/jaba.1982.15-205.


Clinical behavioral pharmacology: methods for evaluating medications and contingency management.

Burgio L, Page T, Capriotti R J Appl Behav Anal. 1985; 18(1):45-59.

PMID: 3997697 PMC: 1307986. DOI: 10.1901/jaba.1985.18-45.


The effectiveness of behavior modification on hyperkinesis.

HERSHER L Child Psychiatry Hum Dev. 1985; 16(2):87-96.

PMID: 3908010 DOI: 10.1007/BF00705943.


Behavioural treatment of hyperactive children.

Bidder R, Gray O, Newcombe R Arch Dis Child. 1978; 53(7):574-9.

PMID: 686794 PMC: 1544996. DOI: 10.1136/adc.53.7.574.

References
1.
MILLICHAP J, Boldrey E . Studies in hyperkinetic behavior. II. Laboratory and clinical evaluations of drug treatments. Neurology. 1967; 17(5):467-71. DOI: 10.1212/wnl.17.5.467. View

2.
Wulbert M, Barach R, Perry M, Straughan J, Sulzbacher S, Turner K . The generalization of newly acquired behaviors by parents and child across three different settings. A study of an autistic child. J Abnorm Child Psychol. 1974; 2(2):87-98. DOI: 10.1007/BF00919092. View

3.
Berkowitz B, Graziano A . Training parents as behavior therapists: a review. Behav Res Ther. 1972; 10(4):297-317. DOI: 10.1016/0005-7967(72)90054-x. View

4.
Christensen D, Sprague R . Reduction of hyperactive behavior by conditioning procedures alone and combined with methylphenidate (Ritalin). Behav Res Ther. 1973; 11(3):331-4. DOI: 10.1016/0005-7967(73)90012-0. View

5.
Ellis M, WITT P, Reynolds R, Sprague R . Methylphenidate and the activity of hyperactives in the informal setting. Child Dev. 1974; 45(1):217-20. View