Cognitive Behaviour Therapy in Medication-Treated Adults with ADHD and Persistent Symptoms: A randomized controlled trial.
Attention deficit hyperactivity disorder (ADHD) in adulthood is not fully treated by psychopharmacological treatment alone. The main aim of the current study was to evaluate a newly developed cognitive behaviour therapy (CBT) based group programme, the Reasoning and Rehabilitation for ADHD Youths and Adults (R&R2ADHD), using a randomized controlled trial.
Methods:
54 adults with ADHD already receiving psychopharmacological treatment were randomly allocated to an experimental (CBT/MED) treatment condition (n = 27) and a 'treatment as usual'(TAU/MED) control condition (n = 27) that did not receive the CBT intervention.
The outcome measures were obtained before treatment (baseline), after treatment and at three month follow-up and included ADHD symptoms and impairments rated by independent assessors, self-reported current ADHD symptoms, and comorbid problems.
Results:
The findings suggested medium to large treatment effects for ADHD symptoms, which increased further at three month follow-up. Additionally, comorbid problems also improved at follow-up with large effect sizes.
Conclusions:
The findings give support for the effectiveness of R&R2ADHD in reducing ADHD symptoms and comorbid problems, an improving functions associated with impairment.
The implications are that the benefits of R&R2ADHD are multifaceted and that combined psychopharmacological and CBT based treatments may add to and improve pharmacological interventions.Trial registrationACTRN12611000533998 (http://www.ANZCTR.org.au/ACTRN12611000533998.aspx)
Author: Brynjar EmilssonGisli GudjonssonJon SigurdssonGisli BaldurssonEmil EinarssonHalldora OlafsdottirSusan Young
Credits/Source: BMC Psychiatry 2011, 11:116
Published on: 2011-07-25
Copyright by the authors listed above - made available via BioMedCentral (Open Access). Please
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