Use of single-subject methodology in clinical decision-making with a hyperactive child on the psychiatric inpatient unit

Karen C. Wells, C. Keith Conners, Lois Imber, Alan Delamater

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

The efficacy of various types of stimulant medications as well as behavioral interventions for treatment of hyperactive children has been well established. The present study illustrates the use of single-subject methodology in deciding which treatment or combination of treatments is most appropriate for any given individual. Using an A B A C CD A1D CD design, the relative clinical effectiveness of dextroamphetamine (Dexedrine) (B), methylphenidate (Ritalin) (C), behavioral self-control (D), and their combination was assessed in a hyperactive child. Assessment occurred across two response systems, behavioral and physiological. A combination of methylphenidate plus behavioral self-control procedures produced the most efficacious outcome. Results are discussed in terms of the usefulness of single-subject methodology in guiding the clinical decision-making process for an individual client.

Original languageEnglish (US)
Pages (from-to)359-369
Number of pages11
JournalBehavioral Assessment
Volume3
Issue number3-4
StatePublished - Jun 1 1981
Externally publishedYes

ASJC Scopus subject areas

  • Psychiatry and Mental health

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