Abstract
The effects of cognitive-behavioral intervention and methylphenidate on anger control in hyperactive boys were investigated in two studies. The anger-inducing stimuli in both studies involved verbal provocation from peers. Study 1 assessed a brief intervention using self-control strategies, while Study 2 employed a longer training period and a control intervention that focused on enhancement of empathy. Both studies included methylphenidate versus placebo comparisons. Methylphenidate reduced the intensity of the hyperactive boys' behavior but did not significantly increase either global or specific measures of self-control. Cognitive-behavioral treatment, when compared to control training, was more successful in enhancing both general self-control and the use of specific coping strategies. There was no advantage for the combination of methylphenidate plus cognitive-behavioral intervention. Implications for intervention to ameliorate the social and interpersonal difficulties of hyperactive children are discussed.
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References
American Psychiatric Association. (1980).Diagnostic and statistical manual of mental disorders (3rd ed.). Washington, D. C.: Author.
Ayllon, T., Layman, D., & Kandel, H. J. (1975). A behavioral-educational alternative to drug control of hyperactive children.Journal of Applied Behavior Analysis, 8, 137–146.
Backman, J. E., & Firestone, P. (1979). A review of pharmacological and behavioral approaches to the treatment of hyperactive children.American Journal of Orthopsychiatry, 49, 500–504.
Barkley, R. A. (1977). A review of stimulant drug research with hyperactive children.Journal of Child Psychology and Psychiatry, 18, 137–165.
Barkley, R. A., Copeland, A. P., & Sivage, C. (1980). A self-control classroom for hyperactive children.Journal of Autism and Developmental Disorders, 10, 75–89.
Cameron, M. I., & Robinson, V. M. J. (1980). Effects of cognitive training on academic and on-task behavior of hyperactive children.Journal of Abnormal Child Psychology, 8, 405–419.
Campbell, S. B., & Paulauskas, S. (1979). Peer relations in hyperactive children.Journal of Child Psychology and Psychiatry, 26, 233–246.
Cantwell, D. P., & Carlson, G. A. (1978). Stimulants. In J. S. Werry (Ed.),Pediatric psychopharmacology: The use of behavior modifying drugs in children (pp. 171–207). New York: Brunner/Mazel.
Chandler, M. J. (1973). Egocentrism and antisocial behavior: The assessment and training of social perspective-taking skills.Developmental Psychology, 9, 326–332.
Conners, C. K. (1976). Rating scales for use with children. In W. Guy (Ed.),ECDEU assessment manual for psychopharmacology (rev. ed.) (DHEW Publication No. ADM 76-338). Washington, D. C.: U. S. Department of Health, Education and Welfare.
Conners, C. K., & Werry, J. S. (1979). Pharmacotherapy. In H. C. Quay & J. S. Werry (Eds.),Psychopathological disorders of childhood (2nd ed., pp. 336–386). New York: Wiley.
Craighead, W. E., Wilcoxon-Craighead, L., & Meyers, A. W. (1978). New directions in behavior modification with children. In M. Hersen, R. Eisler, & P. Miller (Eds.),Progress in behavior modification (Vol. 6, pp. 159–201). New York: Academic Press.
Douglas, V. I. (1980). Treatment and training approaches to hyperactivity: Establishing internal or external control. In C. K. Whalen & B. Henker (Eds.),Hyperactive children: The social ecology of identification and treatment (pp. 283–317). New York: Academic Press.
Douglas, V. I., Parry, P., Marton, P., & Garson, C. (1976). Assessment of a cognitive training program for hyperactive children.Journal of Abnormal Child Psychology, 4, 389–410.
Franks, C. M., Wilson, G. T., Kendall, P. C., & Brownell, K. D. (1982).Annual review of behavior therapy: Theory and practice (Vol. 8). New York: Guilford Press.
Gittelman, R., Abikoff, H., Pollack, E., Klein, D. F., Katz, S., & Mattes, J. (1980). A controlled trial of behavior modification and methylphenidate in hyperactive children. In C. K. Whalen & B. Henker (Eds.),Hyperactive children: The social ecology of of identification and treatment (pp. 221–243). New York: Academic Press.
Glow, R. A., & Glow, P. H. (1980). Peer and self rating: Children's perception of behavior relevant to hyperkinetic impulse disorder.Journal of Abnormal Child Psychology, 8, 471–490.
Goodwin, S. E., & Mahoney, M. J. (1975). Modification of aggression through modeling: An experimental probe.Journal of Behavior Therapy and Experimental Psychiatry, 6, 200–202.
Goyette, C. H., Conners, C. K., & Ulrich, R. F. (1978). Normative data on revised Conners Parent and Teacher Rating Scales.Journal of Abnormal Child Psychology, 6, 221–236.
Henker, B., Astor-Dubin, L., & Varni, J. (in press). Psychostimulant medication and perceived intensity in hyperactive children.Journal of Abnormal Child Psychoilogy.
Hinshaw, S. P., Alkus, S. R., Whalen, C. K., & Henker, B. (1979).Training manual for STAR [self-training and regulation] program. Unpublished manuscript. (Available from authors, UCLA.)
Hinshaw, S. P., Henker, B., & Whalen, C. K. (1981).Self-regulation for hyperactive boys: A training manual. Unpublished manuscript. (Available from authors, UCLA.)
Hobbs, S. A., Moguin, L. E., Tyroler, M., & Lahey, B. B. (1980). Cognitive behavior therapy with children: Has clinical utility been demonstrated?Psychological Bulletin, 87, 147–165.
Hollon, S. D., & Beck, A. T. (1978). Psychotherapy and drug therapy: Comparison and combinations. In S. L. Garfield & A. E. Bergin (Eds.),Handbook of psychotherapy and behavior change: An empirical analysis (2nd ed., pp. 437–490). New York: Wiley.
Hoy, E., Weiss, G., Minde, K., & Cohen, N. (1978). The hyperactive child at adolescence: Cognitive, emotional, and social functioning.Journal of Abnormal Child Psychology, 6, 311–324.
Kendall, P. C. (1977). On the efficacious use of verbal self-instructional procedures with children.Cognitive Therapy and Research, 1, 331–341.
Kendall, P. C., Pellegrini, D. S., & Urbain, E. S. (1981). Approaches to assessment for cognitive-behavioral interventions with children. In P. C. Kendall & S. D. Hollon (Eds.),Assessment strategies for cognitive-behavioral interventions (pp. 227–285). New York: Academic Press.
Lahey, B. B., Green, K. D., & Forehand, R. (1980). On the independence of ratings of hyperactivity, conduct problems, and attention deficits in children: A multiple regression analysis.Journal of Consulting and Clinical Psychology, 48, 566–574.
Loney, J., Langhorne, J. E., Jr., & Paternite, C. E. (1978). An empirical basis for subgrouping the hyperkinetic/minimal brain dysfunction syndrome.Journal of Abnormal Psychology, 87, 431–441.
Marsh, D. T., Serafica, F. C., & Barenboim, C. (1980). Effect of perspective-taking training on interpersonal problem solving.Child Development, 51, 140–145.
Mash, E. J., & Dalby, J. T. (1979). Behavioral interventions for hyperactivity. In R. L. Trites (Ed.),Hyperactivity in children: Etiology, measurement, and treatment implications. Baltimore: University Park Press.
McCullough, J. P., Huntsinger, G. M., & Nay, W. R. (1977). Self-control treatment of aggression in a 16-year old male.Journal of Consulting and Clinical Psychology, 45, 322–331.
Meichenbaum, D. (1975). A self-instructional approach to stress management: A proposal for stress inoculation training. In C. Speilberger & I. Sarason (Eds.),Stress and anxiety (Vol. 1, pp. 237–263). New York: Wiley.
Meichenbaum, D. H. (1977).Cognitive behavior modification: An integrative approach. New York: Plenum.
Meichenbaum, D. H., & Goodman, J. (1971). Training impulsive children to talk to themselves: A means of developing self-control.Journal of Abnormal Psychology, 77, 115–126.
Milich, R., & Landau, S. (1982). Socialization and peer relations in the hyperactive child. In K. Gadow & I. Bialer (Eds.),Advances in learning and behavioral disabilities (Vol. 1, pp. 283–339). Greenwhich, Connecticut: JAI Press.
Milich, R., Loney, J., & Landau, S. (1982). Independent dimensions of hyperactivity and aggression: A validation with playroom observation data.Journal of Abnormal Psychology, 91, 183–198.
Novaco, R. W. (1975).Anger control: The development and evaluation of an experimental treatment. Lexington, Massachusetts: Heath.
Novaco, R. W. (1979). The cognitive regulation of anger and stress. In P. C. Kendall & S. D. Hollon (Eds.),Cognitive-behavioral interventions: Theory, research, and procedures (pp. 241–285). New York: Academic Press.
O'Leary, K. D. (1980). Pills or skills for hyperactive children?Journal of Applied Behavior Analysis, 13, 191–204.
O'Leary, K. D., Pelham, W. E., Rosenbaum, A., & Price, G. H. (1976). Behavioral treatment of hyperkinetic children: An experimental evaluation of its usefulness.Clinical Pediatrics, 15, 510–515.
O'Leary, S. G., & Steen, P. E. (1982). Subcategorizing hyperactivity: The Stony Brook Scale.Journal of Consulting and Clinical Psychology, 50, 426–432.
Ollendick, T. H., & Cerny, J. A. (1981).Clinical behavior therapy with children. New York: Plenum.
Pelham, W. E., & Bender, M. E. (1982). Peer relationships in hyperactive children: Description and treatment. In K. Gadow & I. Bialer (Eds.),Advances in learning and behavioral disabilities (Vol. 1, pp. 365–436). Greenwhich, Connecticut: JAI Press.
Pelham, W. E., Schnedler, R. W., Bologna, N. C., & Contreras, J. A. (1980). Behavioral and stimulant treatment of hyperactive children: A therapy study with methylphenidate probes in a within-subject design.Journal of Applied Behavior Analysis, 13, 221–236.
Prinz, R. J., Connor, P. A., & Wilson, C. C. (1981). Hyperactive and aggressive behaviors in childhood: Intertwined dimensions.Journal of Abnormal Child Psychology, 9, 191–202.
Rapport, M. D., Murphy, H. A., & Bailey, J. S. (1982). Ritalin vs. response cost in the control of hyperactive children: A within-subject comparison.Journal of Applied Behavior Analysis, 15, 205–216.
Rosenbaum, A., O'Leary, K. D., & Jacob, R. G. (1975). Behavioral intervention with hyper-active children: Group consequences as a supplement to individual contingencies.Behavior Therapy, 6, 315–323.
Ross, D. M., & Ross, S. A. (1982).Hyperactivity: Current issues, research, and theory. New York: Wiley.
Sarason, I. G., & Ganzer, V. J. (1973). Modeling and group discussion in the rehabilitation of juvenile delinquents.Journal of Counseling Psychology, 20, 442–449.
Schlichter, K. J., & Horan, J. J. (1981). Effects of stress inoculation on the anger and aggression management skills of institutionalized juvenile delinquents.Cognitive Therapy and Research, 5, 359–365.
Spivack, G., & Shure, M. B. (1974).Social adjustment of young children: A cognitive approach to solving real-life problems. San Francisco: Jossey-Bass.
Swanson, J., Nolan, W., & Pelham, W. (1981, August).The SNAP rating scale for the diagnosis of the attention deficit disorder. Paper presented at the meeting of the American Psychological Association, Los Angeles.
Weiss, G., Hechtman, L., Perlman, T., Hopkins, J., & Wener, A. (1979). Hyperactives as young adults: A controlled prospective ten-year follow-up of 75 children.Archives of General Psychiatry, 36, 675–681.
Whalen, C. K. (1983). Hyperactivity, learning problems, and the attention deficit disorders. In T. H. Ollendick & M. Hersen (Eds.),Handbook of child psychopathology (pp. 151–199). New York: Plenum.
Whalen, C. K., Collins, B. E., Henker, B., Alkus, S. R., Adams, D., & Stapp, J. (1978). Behavior observations of hyperactive children and methylphenidate (Ritalin) effects in systematically structured classroom environments: Now you see them, now you don't.Journal of Pediatric Psychology, 3, 177–187.
Whalen, C. K., & Henker, B. (1980). The social ecology of psychostimulant treatment: A model for conceptual and empirical analysis. In C. K. Whalen & B. Henker (Eds.),Hyperactive children: The social ecology of identification and treatment (pp. 3–51). New York: Academic Press.
Whalen, C. K., Henker, B., Collins, B. E., Finck, D., & Dotemoto, S. (1979). A social ecology of hyperactive boys: Medication effects in structured classroom environments.Journal of Applied Behavior Analysis, 12, 65–81.
Whalen, C. K., Henker, B., Collins, B. E., McAuliffe, S., & Vaux, A. (1979). Peer interaction in a referential communication task: Comparisons of normal and hyperactive boys and of methylphenidate (Ritalin) and placebo effects.Child Development, 50, 388–401.
Whalen, C. K., Henker, B., Dotemoto, S., & Hinshaw, S. P. (1983). Child and adolescent perceptions of normal and atypical peers.Child Development, 54, 1588–1598.
Whalen, C. K., Henker, B., Dotemoto, S., Vaux, A., & McAuliffe, S. (1981). Hyperactivity and methylphenidate: Peer interaction styles. In K. Gadow & J. Loney (Eds.),Psychosocial aspects of drug treatment for hyperactivity (pp. 295–324). Boulder, Colorado: Westview Press.
Winer, B. J. (1971).Statistical principles in experimental design (2nd ed.). New York: McGraw-Hill.
Wolraich, M., Drummond, T., Salomon, M. K., O'Brien, M. L., & Sivage, C. (1978). Effects of methylphenidate alone and in combination with behavior modification procedures on the behavior and academic performance of hyperactive children.Journal of Abnormal Child Psychology, 6, 149–161.
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Major support for this study was provided by NIDA grant 01070. This research was also facilitated by a grant from the Spencer Foundation. The many training staff and raters, too numerous to mention individually here, are deserving of our special thanks. We also appreciate the cooperation of Marion Jacobs and the staff of the UCLA Psychology Clinic, where the first study was held, and of Howard Adelman and the staff of Fernald School, where the second study was housed; the clinical and administrative skills of Stephen Alkus, who organized the intervention program for the first study; the talents and diligence of David Neswald, who coordinated much of the videotape scoring; and the ever-present contributions of Doris Finck, who also edited and dubbed the video segments. Medication and placebos were supplied by CIBA-Geigy.
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Hinshaw, S.P., Henker, B. & Whalen, C.K. Self-control in hyperactive boys in anger-inducing situations: Effects of cognitive-behavioral training and of methylphenidate. J Abnorm Child Psychol 12, 55–77 (1984). https://doi.org/10.1007/BF00913461
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DOI: https://doi.org/10.1007/BF00913461