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Review Article
Effects of Cognitive Behavioral Therapy on Attention Deficit Hyperactivity Disorder among School-aged Children in Korea: A Meta-Analysis
Wan-Ju Park, Shin-Jeong Park, Sung-Dong Hwang
J Korean Acad Nurs 2015;45(2):169-182.   Published online April 30, 2015
DOI: https://doi.org/10.4040/jkan.2015.45.2.169
AbstractAbstract PDF
Purpose

This study was a meta-analysis designed to identify effects of Cognitive Behavioral Therapy (CBT) interventions in alleviating main symptoms of Attention Deficit Hyperactivity Disorder (ADHD) among school-aged children in Korea.

Methods

Examination of several databases including Research Information Sharing Service, Korean Studies Information Service System, Data Base Periodical Information Academic and hand-searched article references, resulted in identification of 1,298 studies done between 2000 and 2013 of which 21 met the inclusion criteria. Comprehensive Meta-Analysis version 2.0 was used to analyze effect sizes, explore possible causes of heterogeneity, and check publication bias with a funnel plot and its trim-and-fill analysis.

Results

Overall effect size of CBT intervention was large (g=1.08) along with each outcome of self-control (g=1.26), lack of attention (g=1.02), social skills (g=0.92), and hyperactivity (g=0.92). For heterogeneity, moderator analysis was performed, but no significant differences were found between the RCT (Randomized Controlled Trials) group and the NRCT (Non RCT) group. Also, meta-regression was performed using sample size, number of sessions, and length of session as predictors, but no statistically significant moderators were found. Finally, a funnel plot along with trim-and-fill analysis was produced to check for publication bias, but no significant bias was detected.

Conclusion

Based on these findings, there is clear evidence that CBT intervention has significant positive effects on the main symptoms of school-aged children suffering ADHD. Further research is needed to target diverse age groups with ADHD along with more RCT studies to improve the effectiveness of the CBT intervention.

Citations

Citations to this article as recorded by  
  • Effectiveness of sensory integration therapy in children, focusing on Korean children: A systematic review and meta-analysis
    Seri Oh, Jong-Sik Jang, A-Ra Jeon, Geonwoo Kim, Mihwa Kwon, Bahoe Cho, Narae Lee
    World Journal of Clinical Cases.2024; 12(7): 1260.     CrossRef
  • Trends in South Korean Medical Device Development for Attention-Deficit/Hyperactivity Disorder and Autism Spectrum Disorder: Narrative Review
    Yunah Cho, Sharon L Talboys
    JMIR Biomedical Engineering.2024; 9: e60399.     CrossRef
  • Self-management training vs. neurofeedback interventions for attention deficit hyperactivity disorder: Results of a randomized controlled treatment study
    Ann-Kathrin Korfmacher, Oliver Hirsch, Mira-Lynn Chavanon, Björn Albrecht, Hanna Christiansen
    Frontiers in Psychiatry.2022;[Epub]     CrossRef
  • Effects of hippotherapy on children with cerebral palsy: systematic review and meta-analysis
    Kwon-Hoi Kim, Suk-Min Lee
    Physical Therapy Rehabilitation Science.2020; 9(1): 55.     CrossRef
  • Effect of aquatic exercise on gait in persons with chronic stroke: a meta-analysis study in Korea
    Dong-Jin Lee, Sung-Hyoun Cho
    Physical Therapy Rehabilitation Science.2019; 8(2): 112.     CrossRef
  • Risk and protective factors for the development of ADHD symptoms in children and adolescents: Results of the longitudinal BELLA study
    Anne Wüstner, Christiane Otto, Robert Schlack, Heike Hölling, Fionna Klasen, Ulrike Ravens-Sieberer, Kenji Hashimoto
    PLOS ONE.2019; 14(3): e0214412.     CrossRef
  • A Meta Analysis on Variables related to Death Anxiety of Elderly in Korea
    Sinhyang Kim, Kyung Sook Park
    Korean Journal of Adult Nursing.2016; 28(2): 156.     CrossRef
  • A Meta-analysis of Intervention Studies on the Effects of Self Management and Education in Adult Asthmatic Patients
    Chae-Bong Kim, Min-Kyung Han, Mi-Seon Jeong, Bo-Young Choi, Kil-Yong Choi, Moo-Young Kim
    The Korean Journal of Health Service Management.2015; 9(3): 175.     CrossRef
  • Effects of a Social Skills Training Program on Problem Behaviors, Social Skill, and Peer Relationship in Children using a Community Child Center at Vulnerable Area
    Myeong-Hui Choe, Yong-Mi Lee
    Journal of Korean Academy of Psychiatric and Mental Health Nursing.2015; 24(3): 156.     CrossRef
  • Clinical Application of the Korean Personality Rating Scale for Children in Attention-Deficit Hyperactivity Disorder
    Woon Yoon, Kee-Jeong Park, Kukju Kweon, Hyo-Won Kim
    Journal of the Korean Academy of Child and Adolescent Psychiatry.2015; 26(3): 217.     CrossRef
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Original Article
Effectiveness of the Military Mental Health Promotion Program
Chung Hee Woo, Sun Ah Kim
J Korean Acad Nurs 2014;44(6):717-725.   Published online December 31, 2014
DOI: https://doi.org/10.4040/jkan.2014.44.6.717
AbstractAbstract PDF
Purpose

This study was done to evaluate the Military Mental Health Promotion Program. The program was an email based cognitive behavioral intervention.

Methods

The research design was a quasi-experimental study with a non-equivalent control group pretest-posttest design. Participants were 32 soldiers who agreed to participate in the program. Data were collected at three different times from January 2012 to March 2012; pre-test, post-test, and a one-month follow-up test. The data were statistically analyzed using SPSS 18.0. The effectiveness of the program was tested by repeated measures ANOVA.

Results

The first hypothesis that the level of depression in the experimental group who participated in the program would decrease compared to the control group was not supported in that the difference in group-time interaction was not statistically significant (F=2.19, p=.121). The second and third hypothesis related to anxiety and self-esteem were supported in group-time interaction, respectively (F=7.41, p=.001, F=11.67, p<.001).

Conclusion

Results indicate that the program is effective in improving soldiers' mental health status in areas of anxiety and self-esteem.

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