Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial.
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Authors
Emilsson, BrynjarGudjonsson, Gisli
Sigurdsson, Jon F
Baldursson, Gisli
Einarsson, Emil
Olafsdottir, Halldora
Young, Susan
Útgáfudagur
2011-07-25
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BMC Psychiatry 2011,11:116Útdráttur
BACKGROUND: 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.Lu00FDsing
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Archived with thanks to BMC psychiatryae974a485f413a2113503eed53cd6c53
10.1186/1471-244X-11-116
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