null Lily Hechtman, MD, FRCPC
Attention deficit/hyperactivity disorder (ADHD)
My research focuses on attention-deficit/hyperactivity disorder (ADHD). Today, effective medication treatments relieve many symptoms of ADHD. Yet medication alone does not resolve the social, academic and emotional challenges of children, adolescents, and adults with ADHD. I have been involved in a joint study with the Université de Montréal to help children with ADHD who fall between the cracks in the transition from elementary to high school. The program involves parental training, and organizational/study-skills training for the children. A cognitive-behaviour therapy program that focuses on these areas for adolescents and adults with ADHD has also been developed. In terms of functional outcomes, two large-scale studies in which I participated clearly showed the benefit of combining medication with psychosocial treatment for children with ADHD, as opposed to either treatment alone. However, these benefits do not last without ongoing treatment and follow-up. Another of my current studies aims to determine the optimal follow-up needed to maintain treatment gains.
Mitchell, J. T., Sibley, M. H., Hinshaw, S. P., Kennedy, T. M., Chronis-Tuscano, A., Arnold, L. E., Swanson, J. M., Hechtman, L., Molina, B. S. G., Caye, A., Tamm, L., Owens, E. B., Roy, A., Weisner, T. S., Murray, D. W., & Jensen, P. S. (2019). A qualitative analysis of contextual factors relevant to suspected late-onset ADHD. Journal of Attention Disorders. Journal of Attention Disorders. doi: 10.1177/1087054719837743.
Greenhill, L. L., Swanson, J., Waxmonsky, J., Hechtman, L., Arnold, L. E., Wigal, T., Stehli, A., Howard, A., Molina, B. S. G., Hinshaw, S. P., Vitiello, B., Jensen, P., Newcorn, J., Epstein, J., & Abikoff, H., for the MTA Group. (2019). Long-term effects of stimulant medication in the MTA: Longitudinal analyses of growth from childhood through adolescence. Journal of the American Academy of Child and Adolescent Psychiatry.
Kennedy, T. M., Howard, A. L., Mitchell, J. T., Hoza, B., Arnold, L. E., Hechtman, L. T., Swanson, J. M., Stehli, A., & Molina, B. (2019). Adult substance use as a function of growth in peer use across adolescence and young adulthood in the context of ADHD: Findings from the MTA. Addictive behaviors, 99, 106106. https://doi.org/10.1016/j.addbeh.2019.106106.
Roy, A., Garner, A. A., Epstein, J. N., Hoza, B., Nichols, J. Q., Molina, B., Swanson, J. M., Arnold, L. E., & Hechtman, L. (2020). Effects of Childhood and Adult Persistent Attention-Deficit/Hyperactivity Disorder on Risk of Motor Vehicle Crashes: Results From the Multimodal Treatment Study of Children With Attention-Deficit/Hyperactivity Disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 59(8), 952–963. https://doi.org/10.1016/j.jaac.2019.08.007.
Perez Algorta, G., MacPherson, H., Arnold, L.E., Hinshaw, S.P., Hechtman, L., & Sibley, M.H. (2019) Maternal Personality Traits Moderate Treatment Response in the Multimodal Treatment Study of Attention-Deficit/Hyperactivity Disorder. European Child and Adolescent Psychiatry. doi: 10.1007/s00787-019-01460.