Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial.
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field. 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...
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ftlandspitaliuni:oai:www.hirsla.lsh.is:2336/223573 2023-05-15T16:51:49+02:00 Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. Emilsson, Brynjar Gudjonsson, Gisli Sigurdsson, Jon F Baldursson, Gisli Einarsson, Emil Olafsdottir, Halldora Young, Susan King's College London, Institute of Psychiatry, De Crespigny Park, London, UK. 2012-05-14 http://hdl.handle.net/2336/223573 https://doi.org/10.1186/1471-244X-11-116 en eng BioMed Central http://dx.doi.org/10.1186/1471-244X-11-116 BMC Psychiatry 2011,11:116 1471-244X 21787431 doi:10.1186/1471-244X-11-116 http://hdl.handle.net/2336/223573 BMC psychiatry Archived with thanks to BMC psychiatry Adult Attention Deficit Disorder with Hyperactivity Central Nervous System Stimulants Cognitive Therapy Combined Modality Therapy Female Humans Male Psychiatric Status Rating Scales Psychotherapy Group Self Report Article 2012 ftlandspitaliuni https://doi.org/10.1186/1471-244X-11-116 2022-05-29T08:21:46Z To access publisher full text version of this article. Please click on the hyperlink in Additional Links field. 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. RANNIS the Icelandic Centre for Research 080443022 Landspitali Science Fund Janssen-Cilag, Iceland Janssen-Cilag Shire Novatis Eli-Lilly Flynn-Pharma Article in Journal/Newspaper Iceland Hirsla - Landspítali University Hospital research archive BMC Psychiatry 11 1 |
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Open Polar |
collection |
Hirsla - Landspítali University Hospital research archive |
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ftlandspitaliuni |
language |
English |
topic |
Adult Attention Deficit Disorder with Hyperactivity Central Nervous System Stimulants Cognitive Therapy Combined Modality Therapy Female Humans Male Psychiatric Status Rating Scales Psychotherapy Group Self Report |
spellingShingle |
Adult Attention Deficit Disorder with Hyperactivity Central Nervous System Stimulants Cognitive Therapy Combined Modality Therapy Female Humans Male Psychiatric Status Rating Scales Psychotherapy Group Self Report Emilsson, Brynjar Gudjonsson, Gisli Sigurdsson, Jon F Baldursson, Gisli Einarsson, Emil Olafsdottir, Halldora Young, Susan Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. |
topic_facet |
Adult Attention Deficit Disorder with Hyperactivity Central Nervous System Stimulants Cognitive Therapy Combined Modality Therapy Female Humans Male Psychiatric Status Rating Scales Psychotherapy Group Self Report |
description |
To access publisher full text version of this article. Please click on the hyperlink in Additional Links field. 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. RANNIS the Icelandic Centre for Research 080443022 Landspitali Science Fund Janssen-Cilag, Iceland Janssen-Cilag Shire Novatis Eli-Lilly Flynn-Pharma |
author2 |
King's College London, Institute of Psychiatry, De Crespigny Park, London, UK. |
format |
Article in Journal/Newspaper |
author |
Emilsson, Brynjar Gudjonsson, Gisli Sigurdsson, Jon F Baldursson, Gisli Einarsson, Emil Olafsdottir, Halldora Young, Susan |
author_facet |
Emilsson, Brynjar Gudjonsson, Gisli Sigurdsson, Jon F Baldursson, Gisli Einarsson, Emil Olafsdottir, Halldora Young, Susan |
author_sort |
Emilsson, Brynjar |
title |
Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. |
title_short |
Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. |
title_full |
Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. |
title_fullStr |
Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. |
title_full_unstemmed |
Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. |
title_sort |
cognitive behaviour therapy in medication-treated adults with adhd and persistent symptoms: a randomized controlled trial. |
publisher |
BioMed Central |
publishDate |
2012 |
url |
http://hdl.handle.net/2336/223573 https://doi.org/10.1186/1471-244X-11-116 |
genre |
Iceland |
genre_facet |
Iceland |
op_relation |
http://dx.doi.org/10.1186/1471-244X-11-116 BMC Psychiatry 2011,11:116 1471-244X 21787431 doi:10.1186/1471-244X-11-116 http://hdl.handle.net/2336/223573 BMC psychiatry |
op_rights |
Archived with thanks to BMC psychiatry |
op_doi |
https://doi.org/10.1186/1471-244X-11-116 |
container_title |
BMC Psychiatry |
container_volume |
11 |
container_issue |
1 |
_version_ |
1766041923033759744 |