Christina Mohr Jensen, Birgitte Lind Amdisen, Karsten Juhl Jørgensen, Sidse M H Arnfred
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引用次数: 0
摘要
系统回顾和分析CBT与常规治疗对ADHD成人的疗效。系统检索截至2014年3月28日的文献。计算标准化平均差（SMD）和95%置信区间。经患者评估，CBT在减轻ADHD症状方面有效（SDM -1.0, 95% CI -1.5至-0.5），但经临床医生评估无效。当自我报告（SMD -1.0, 95% CI分别为-1.6至-0.5和-1.0,95% CI分别为-1.3至-0.3）并由临床医生评估（SMD -0.9, 95% CI为-1.7至-0.2和-0.9,95% CI为-1.6至-0.1）时，抑郁和焦虑症状显著减轻。随机分配到CBT组的临床总体印象评分改善更多(-1.0；95% CI -1.6 ~ -0.4)。CBT似乎在影响ADHD成人患者的某些领域有效，但需要进一步评估。
Cognitive behavioural therapy for ADHD in adults: systematic review and meta-analyses.
Systematically review and analyse the efficacy of CBT versus treatment as usual in adults with ADHD. The literature was systematically searched ending the 28 March 2014. Standardised mean differences (SMD) and 95% confidence intervals were calculated. CBT was efficacious in reducing symptoms of ADHD (SDM -1.0, 95% CI -1.5 to -0.5) when evaluated by the patients, but not when evaluated by a clinician. Symptoms of depression and anxiety were significantly reduced when self-reported (SMD -1.0, 95% CI -1.6 to -0.5 and -1.0, 95% CI -1.3 to -0.3, respectively) and evaluated by a clinician (SMD -0.9, 95% CI -1.7 to -0.2 and -0.9, 95% CI -1.6 to -0.1). The clinical global impression scores improved more in the group randomised to CBT (-1.0; 95% CI -1.6 to -0.4). CBT seems efficacious in some domains affecting adult patients with ADHD, but needs further evaluation.
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