A Conceptual Model of Child Psychopathology: Implications for Understanding Attention Deficit Hyperactivity Disorder and Treatment Efficacy

Mark D. Rapport, Kyong Mee Chung, Gail Shore, Patti Isaacs

Research output: Contribution to journalArticle

110 Citations (Scopus)


Highlights the desirability of using a theoretical framework for guiding the design and evaluation of therapeutic interventions for children with attention deficit hyperactivity disorder (ADHD). A general conceptual model is introduced and used to evaluate ADHD treatment outcome research. Treatments designed to target the substrate level (pharmacological interventions) result in broad, robust improvement in both core and peripheral areas of functioning. Those targeting hypothesized core features of the disorder (i.e., attention, impulsivity-hyperactivity) produce corresponding improvement in core and peripheral outcome measures with the exception of studies employing cognitive-behavior therapy. Those targeting peripheral features of the disorder effect change only in corresponding peripheral areas of functioning. Implications for clinical practice are discussed, and an alternative conceptual model of ADHD is introduced and compared with existing models.

Original languageEnglish
Pages (from-to)48-58
Number of pages11
JournalJournal of Clinical Child and Adolescent Psychology
Issue number1
Publication statusPublished - 2001 Jan 1


All Science Journal Classification (ASJC) codes

  • Developmental and Educational Psychology
  • Clinical Psychology

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