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BMC Psychiatry. 2011 Jul 25;11:116. doi: 10.1186/1471-244X-11-116.

Cognitive behaviour therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial.

Author information

  • 1King's College London, Institute of Psychiatry, De Crespigny Park, London, UK.

Abstract

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.

TRIAL REGISTRATION:

ACTRN12611000533998 (http://www.ANZCTR.org.au/ACTRN12611000533998.aspx).

PMID:
21787431
[PubMed - indexed for MEDLINE]
PMCID:
PMC3155481
Free PMC Article

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