Cognitive-behavioral group therapy for ADHD predominantly inattentive presentation: A feasibility study of a new treatment protocol

IF 0.6 4区 心理学 Q4 PSYCHOLOGY, MULTIDISCIPLINARY
Elinor Eskilsson Strålin, L. Thorell, Katharina Szybek, T. Lundgren, S. Bölte, B. Bohman
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引用次数: 1

Abstract

Abstract Attention-deficit/hyperactivity disorder (ADHD) is a highly impairing condition with varying clinical presentations. Psychological treatments for ADHD are often similar, irrespective of predominant symptomatology. However, because inattention and hyperactivity/impulsivity are associated with different challenges in daily life more presentation-specific treatments are warranted. The purpose of the present study was to evaluate the feasibility and explore the preliminary effects of a novel group-based cognitive-behavioral therapy (CBT) protocol for ADHD predominantly inattentive presentation (ADHD-I), with the aim to reduce symptoms of inattention and associated problems. Materials and Methods. Using an open trial design, 39 adult patients with ADHD-I were included. Participants underwent 14 sessions of the new CBT for ADHD-I (CADDI) protocol, which includes skills training in organizing and initiating activity and coping with procrastination and passivity. In addition, mindfulness meditation is practiced throughout treatment. Results. The CADDI protocol proved feasible in terms of session completion and treatment acceptability. However, home assignment completion was moderate and attrition was high. Inattentive symptoms, assessed by clinicians and self-report, were reduced of a medium effect size, (Cohen’s d = 0.65 and d = 0.55, respectively) and symptoms of depression of a small effect size (d = 0.48). An increase of a large effect size was observed for mindfulness meditation (d = 0.91). No effects were seen in functional impairment, nor in quality of life. Conclusions. The CADDI protocol is a potentially valuable new psychological treatment for adults with ADHD-I, although treatment effects need to be further evaluated and participant retention secured in randomized controlled trials.
认知行为团体治疗ADHD主要表现为注意力不集中:一种新治疗方案的可行性研究
摘要注意力缺陷/多动障碍(ADHD)是一种具有不同临床表现的高度损害性疾病。多动症的心理治疗通常是相似的,无论主要症状如何。然而,由于注意力不集中和多动/冲动与日常生活中的不同挑战有关,因此有必要进行更多针对表现的治疗。本研究的目的是评估一种新的基于群体的认知行为疗法(CBT)方案对ADHD主要注意力不集中表现(ADHD-I)的可行性并探索其初步效果,目的是减少注意力不集中症状和相关问题。材料和方法。采用开放试验设计,纳入39名成人ADHD-I患者。参与者接受了14次新的ADHD-I CBT(CADDI)方案,其中包括组织和启动活动以及应对拖延和被动的技能培训。此外,在整个治疗过程中都会练习正念冥想。后果CADDI方案在疗程完成和治疗可接受性方面被证明是可行的。然而,家庭任务的完成程度适中,人员流失率很高。临床医生评估和自我报告的疏忽症状减少了中等程度的影响(Cohen’s d = 0.65和d = 分别为0.55)和小效应大小的抑郁症症状(d = 0.48)。观察到正念冥想的大效应大小增加(d = 0.91)。在功能损伤和生活质量方面均未发现任何影响。结论。CADDI方案是一种对成人ADHD-I有潜在价值的新心理治疗方法,尽管治疗效果需要进一步评估,并在随机对照试验中确保参与者的保留。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Nordic Psychology
Nordic Psychology PSYCHOLOGY, MULTIDISCIPLINARY-
CiteScore
2.50
自引率
0.00%
发文量
31
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