2608 Erwin Road Lakeview Pavi, Durham, NC 27705
Box 3527MED Ctr, Durham, NC 27710
I am the PI on an NIDA funded grant studying the incremental effectiveness of family therapy when applied in the context of an outpatient substance abuse treatment program for adolescent substance abusers. Subject/families are randomly assigned to one of two treatment conditions: Standard Outpatient Treatment or Standard Outpatient Treatment plus Family therapy. The family therapy intervention is based on a system/structural model of family functioning with specific focus on the content issues and family dynamics involved in substance abuse. Subject/families are assessed at baseline, immediate post intervention, and at a 6 month follow-up period. the study is of experimental significance because it addresses the question of whether changing family processes empirically identified as associated with substance abuse, results in changes in risk factors for substance abuse and actual substance use. The study is of public health significance because it addresses the added benefit of family therapy in substance abuse tretment program for adolescents. Although most thereticians call for family therapy for this population, fewer than 25% of treatment programs across the country include family therapy as a component of treatment.
I am also Co-PI on a NIDA funded study of the secondary prevention effects of cognitive behavioral intervention and behavioral parent training intervention on high risk aggressive boys. This is a school/community based secondary prevention program in which 4th and 5th grade boys, identified as at risk for later substance abuse by relatively high levels of aggressive/disruptive behavior in the school and home, are randomly assigned to receive cognitive behavior therapy alone, or the combination of cognitive behavioral therapy puls behavioral parent training, or a control condition of routine school based service. A normal (i.e., non-aggressive) control group is also being followed for comparison purposes. Subjects and their families are assessed at baseline and then reassessed at several follow-up intervals. We intended to follow these boys into middle school and high school to assess the impact of an early risk based prevention program on later substance use and abuse. the interventions consist of well researched single tretments for aggression, but their combinatory effects have not been well evaluated prior to this study.
I am Co-PI on a large NIMH funded, multi-site trial investigating multi-modality tretment for attention Deficit Hyperactivity Disorder (ADHD). This is a clinic-based intervention program for 7-9 year old, ADHD boys and girls. Subjects are randomly assigned to receive, Psychosocial Treatment Alone (consisting of Parent Training, A summer Treatment Program and Classroom Behavioral Intervention); Medication alone; their combination; or a community comparison group. The intervention occurs over a 13 month period and subjects are followed for two years. Hypotheses relate to both the short and long term effects of single versus multi-modality treatments for ADHD. Secondary hypotheses have to do with child's co-morbidity status (i.e., presence of secondary diagnoses such as Oppositional Defiant Disorder or Anxiety disorder) and its relationship to outcome. I developed and is responsible for the fidelity and integrity of the Parent Training Intervention for this large-scale, nationally visible project.
I am Co-PI on a NIDA funded grant of a study to develop treatment manuals for depressed, substance abusing adolescents. Dr. Curry is developing a manual for group treatment of the adolescents, and I am developing a coordinated manual for family treatment. The manuals will be based on cognitive-behavioral models of interpersonal and family functioning, and will be tested on a small N in this project. Once the manuals are developed, a proposal to test the efficacy of the combined model will be submitted to NIDA as a RO1 grant application.
Testing Robustness of Child STEPs Effects with Children and Adolescents: A Randomized Controlled Effectiveness Trial.
How Substance Users With ADHD Perceive the Relationship Between Substance Use and Emotional Functioning.
Turning Points in the Lives of Youth of With/Without ADHD: Are They Linked to Changes in Substance Use?
Follow-Up of Young Adults With ADHD in the MTA: Design and Methods for Qualitative Interviews.
Late-Onset ADHD Reconsidered With Comprehensive Repeated Assessments Between Ages 10 and 25.
Childhood Predictors of Adult Functional Outcomes in the Multimodal Treatment Study of Attention-Deficit/Hyperactivity Disorder (MTA).
Defining ADHD symptom persistence in adulthood: optimizing sensitivity and specificity.
Young adult outcomes in the follow-up of the multimodal treatment study of attention-deficit/hyperactivity disorder: symptom persistence, source discrepancy, and height suppression.
Functional Adult Outcomes 16 Years After Childhood Diagnosis of Attention-Deficit/Hyperactivity Disorder: MTA Results.
Childhood Factors Affecting Persistence and Desistence of Attention-Deficit/Hyperactivity Disorder Symptoms in Adulthood: Results From the MTA.
Parental aggression as a predictor of boys' hostile attribution across the transition to middle school.
Counselor-Level Predictors of Sustained Use of an Indicated Preventive Intervention for Aggressive Children.
A school-based post-Katrina therapeutic intervention.
Evaluation of underlying mechanisms in the link between childhood ADHD symptoms and risk for early initiation of substance use.
Bidirectional effects of parenting and youth substance use during the transition to middle and high school.
Erratum: Developmental processes in peer problems of children with attention-deficit/hyperactivity disorder in The Multimodal Treatment Study of Children With ADHD: Developmental cascades and vicious cycles (Development and Psychopathology (2010) DOI: 10.1017/S0954579410000465)Read Full Text
Long-term outcomes for the Child STEPs randomized effectiveness trial: a comparison of modular and standard treatment designs with usual care.
Three year follow-up of coping power intervention effects: evidence of neighborhood moderation?
Adolescent substance use in the multimodal treatment study of attention-deficit/hyperactivity disorder (ADHD) (MTA) as a function of childhood ADHD, random assignment to childhood treatments, and subsequent medication.
Remediating organizational functioning in children with ADHD: immediate and long-term effects from a randomized controlled trial.
Family-Based Cognitive-Behavioral Treatments for Suicidal Adolescents and Their Integration With Individual TreatmentRead Full Text
The influence of neighborhood characteristics and parenting practices on academic problems and aggression outcomes among moderately to highly aggressive childrenRead Full Text
Onset of alcohol or substance use disorders following treatment for adolescent depression.
Blood pressure and heart rate over 10 years in the multimodal treatment study of children with ADHD.
Recovery and recurrence following treatment for adolescent major depression.
Developmental processes in peer problems of children with attention-deficit/hyperactivity disorder in the Multimodal Treatment Study of Children With ADHD: developmental cascades and vicious cycles.
Time-dependent changes in positively biased self-perceptions of children with attention-deficit/hyperactivity disorder: a developmental psychopathology perspective.
Ethnicity as a moderator of treatment effects on parent--child interaction for children with ADHD.
Parent-reported homework problems in the MTA study: evidence for sustained improvement with behavioral treatment.
An exploratory analysis of the impact of family functioning on treatment for depression in adolescents.
Implementation of a School-Based Prevention Program: Effects of Counselor and School CharacteristicsRead Full Text
Cognitive-behavioral therapy for suicide prevention (CBT-SP): treatment model, feasibility, and acceptability.
The Treatment for Adolescents With Depression Study (TADS): outcomes over 1 year of naturalistic follow-up.
Depressive symptoms and clinical status during the Treatment of Adolescent Suicide Attempters (TASA) Study.
The Treatment of Adolescent Suicide Attempters study (TASA): predictors of suicidal events in an open treatment trial.
The influence of neighborhood disadvantage and perceived disapproval on early substance use initiation.
Dissemination of the Coping Power program: importance of intensity of counselor training.
The effect of neighborhood disadvantage on proactive and reactive aggressionRead Full Text
Medication adherence in the MTA: saliva methylphenidate samples versus parent report and mediating effect of concomitant behavioral treatment.
The MTA at 8 years: prospective follow-up of children treated for combined-type ADHD in a multisite study.
Inconsistent discipline as a mediator between maternal distress and aggression in boysRead Full Text
A clinical review of outcomes of the multimodal treatment study of children with attention-deficit/hyperactivity disorder (MTA).
Evidence, interpretation, and qualification from multiple reports of long-term outcomes in the Multimodal Treatment study of Children With ADHD (MTA): part I: executive summary.
Evidence, interpretation, and qualification from multiple reports of long-term outcomes in the Multimodal Treatment Study of children with ADHD (MTA): Part II: supporting details.
Developmental trajectories of proactive and reactive aggression from fifth to ninth grade.
The relation between childhood proactive and reactive aggression and substance use initiation.
Treatment of Adhd in Children and AdolescentsRead Full Text
The Treatment for Adolescents With Depression Study (TADS): long-term effectiveness and safety outcomes.
Pathways from proactive and reactive aggression to substance use.
Effects of stimulant medication on growth rates across 3 years in the MTA follow-up.
Secondary evaluations of MTA 36-month outcomes: propensity score and growth mixture model analyses.
3-year follow-up of the NIMH MTA study.
Delinquent behavior and emerging substance use in the MTA at 36 months: prevalence, course, and treatment effects.
Child and parent predictors of perceptions of parent--child relationship quality.
Parent training in the treatment of ADHDRead Full Text
Functioning and quality of life in the Treatment for Adolescents with Depression Study (TADS).
Predictors and moderators of acute outcome in the Treatment for Adolescents with Depression Study (TADS).
Treatment-related changes in objectively measured parenting behaviors in the multimodal treatment study of children with attention-deficit/hyperactivity disorder.
Assessing medication effects in the MTA study using neuropsychological outcomes.
The mutual influence of parenting and boys' externalizing behavior problemsRead Full Text
Self-perceived social acceptance and peer social standing in children with aggressive-disruptive BehaviorsRead Full Text
Does multimodal treatment of ADHD decrease other diagnoses?Read Full Text
ADHD and manic symptoms: Diagnostic and treatment implicationsRead Full Text
Refining the diagnoses of inattention and overactivity syndromes: A reanalysis of the Multimodal Treatment study of attention deficit hyperactivity disorder (ADHD) based on ICD-10 criteria for hyperkinetic disorderRead Full Text
Gestational and postnatal tobacco smoke exposure as predictor of ADHD, comorbid ODD/CD, and treatment response in the MTARead Full Text
Cost-effectiveness of ADHD treatments: findings from the multimodal treatment study of children with ADHD.
Peer-assessed outcomes in the multimodal treatment study of children with attention deficit hyperactivity disorder.
The influence of maternal stress and distress on disruptive behavior problems in boys.
Striving for effectiveness in the treatment of adolescent depression: Cognitive behavior therapy for multisite community interventionRead Full Text
Parent involvement in CBT treatment of adolescent depression: Experiences in the Treatment for Adolescents with Depression Study (TADS)Read Full Text
The Treatment for Adolescents With Depression Study (TADS): demographic and clinical characteristics.
The services for children and adolescents-parent interview: development and performance characteristics.
Negative emotions and alcohol use initiation in high-risk boys: the moderating effect of good inhibitory control.
AACAP 2002 research forum: placebo and alternatives to placebo in randomized controlled trials in pediatric psychopharmacology.
The coping power program for preadolescent aggressive boys and their parents: outcome effects at the 1-year follow-up.
Classroom environment influences on aggression, peer relations, and academic focusRead Full Text
Nine months of multicomponent behavioral treatment for ADHD and effectiveness of MTA fading procedures.
Childhood behavioral and emotional disorders.
Effects of ethnicity on treatment attendance, stimulant response/dose, and 14-month outcome in ADHD.
Cognitive-behavioral intervention for depressed, substance-abusing adolescents: development and pilot testing.
Which treatment for whom for ADHD? Moderators of treatment response in the MTA.
Treatment for Adolescents With Depression Study (TADS): rationale, design, and methods.
Effectiveness of the Coping Power program and of classroom intervention with aggressive children: Outcomes at a 1-year follow-upRead Full Text
Response to commentary on the multimodal treatment study of ADHD (MTA): mining the meaning of the MTA.
Observed classroom behavior of children with ADHD: relationship to gender and comorbidity.
Emergency/Adjunct services and attrition prevention for randomized clinical trials in children: the MTA manual-based solution.
Socioeconomic status as a moderator of ADHD treatment outcomes.
The coping power program at the middle-school transition: Universal and indicated prevention effectsRead Full Text
Contextual social-cognitive mediators and child outcome: a test of the theoretical model in the Coping Power program.
Comprehensive versus matched psychosocial treatment in the MTA study: conceptual and empirical issues.
Multimodal treatment of ADHD in the MTA: an alternative outcome analysis.
ADHD comorbidity findings from the MTA study: comparing comorbid subgroups.
Clinical relevance of the primary findings of the MTA: success rates based on severity of ADHD and ODD symptoms at the end of treatment.
Impairment and deportment responses to different methylphenidate doses in children with ADHD: the MTA titration trial.
Findings from the NIMH Multimodal Treatment Study of ADHD (MTA): implications and applications for primary care providers.
Symptom profiles in children with ADHD: effects of comorbidity and gender.
Anxiety as a predictor and outcome variable in the multimodal treatment study of children with ADHD (MTA).
Psychosocial treatment strategies in the MTA study: rationale, methods, and critical issues in design and implementation.
Family processes and treatment outcome in the MTA: negative/ineffective parenting practices in relation to multimodal treatment.
Parenting and family stress treatment outcomes in attention deficit hyperactivity disorder (ADHD): an empirical analysis in the MTA study.
The Multidimensional Anxiety Scale for Children (MASC): Confirmatory factor analysis in a pediatric ADHD sampleRead Full Text
A new self-report scale for assessment of adolescent psychopathology: factor structure, reliability, validity, and diagnostic sensitivity.
National Institute of Mental Health Collaborative Multimodal Treatment Study of Children with ADHD (the MTA). Design challenges and choices.
The moderating effects of children's fear and activity level on relations between parenting practices and childhood symptomatology.
NIMH collaborative multimodal treatment study of children with ADHD (MTA): Design, methodology, and protocol evolutionRead Full Text
Comprehensive assessment of childhood attention-deficit hyperactivity disorder in the context of a multisite, multimodal clinical trialRead Full Text
The death of discipline: Is the requiem premature?Read Full Text
Attention-deficit/hyperactivity disorder: Part II. Treatment strategiesRead Full Text
Medication treatment strategies in the MTA Study: relevance to clinicians and researchers.
Social learning and systems family therapy for childhood oppositional disorder: comparative treatment outcome.
Use of the abikoff classroom observation coding system on a children's inpatient psychiatric unitRead Full Text
Childhood and adolescent obesity: progress in behavioral assessment and treatment.
A social learning approach, vol. 3: Coercive family processRead Full Text
A comparison of staff training procedures. Behavioral applications in the child psychiatric inpatient setting.
The effects of nocturnally administered stimulant medication on EEG sleep and behavior in hyperactive children.
Behavioral family therapy with conduct disorders in childrenRead Full Text
Maternal perception of maladjustment in clinic-referred children: An extension of earlier researchRead Full Text
Side effects of parent counseling on marital satisfactionRead Full Text
Teaching parents to modify child behavior problems: an examination of some follow-up data.
Use of single-subject methodology in clinical decision-making with a hyperactive child on the psychiatric inpatient unitRead Full Text
Factors in the referral of children for behavioral treatment: a comparison of mothers of clinic-referred deviant, clinic-referred non-deviant and non-clinic children.
Crisis treatment of a preadolescent who accidentally killed his twin.
An examination of differences between nonclinic and behavior-problem clinic-referred children and their mothers.
Effect of a reliability observer on the frequency of positive parent behavior recorded during naturalistic parent-child interactionsRead Full Text
The use of a self-control package to enhance temporal generality of a parent training programRead Full Text
An examination of the social validity of a parent training programRead Full Text
Social skills training in unipolar nonpsychotic depression.
Parent behavioral training: an analysis of the relationship among multiple outcome measures.
An examination of predictors of maternal perceptions of maladjustment in clinic-referred children.
Parent Behavioral Training to Modify Child Noncompliance: Treatment Generalization Across Time and from Home to SchoolRead Full Text
Behavioral treatment of obsessive-compulsive neurosis.
Situation generality of overcorrective functional movement training.
Predictors of child noncompliant behavior in the home.
Effects of cue-controlled relaxation on psychomotor seizures: an experimental analysis.
Effects of a verbal warning and overcorrection on stereotyped and appropriate behaviors.
Teachers and parents: Where have all the "good" contingency managers gone?Read Full Text
Dry-bed training and retention control training: A comparisonRead Full Text
Effects of a procedure derived from the overcorrection principle on manipulated and nonmanipulated behaviors.
Changes in functional bladder capacity and bed-wetting during and after retention control training: a case studyRead Full Text
The effects of social punishment on noncompliance: a comparison with timeout and positive practice.