nach oben

Current Psychiatry Reports

Erschienen in:

01.10.2012 | Attention-Deficit Disorder (R Bussing, Section Editor)

Cognitive Behavior Therapy for Adults with Attention-Deficit/Hyperactivity Disorder: A Review of Recent Randomized Controlled Trials

verfasst von: Monica Mongia, Lily Hechtman

Erschienen in: Current Psychiatry Reports | Ausgabe 5/2012

Einloggen, um Zugang zu erhalten

Abstract

To review the efficacy of cognitive behavioral therapy for adults with attention deficit hyperactivity disorder. Recent, controlled studies of the efficacy of Cognitive Behavior Therapy (CBT) treatment in adults with ADHD are reviewed. CBT is a feasible and acceptable treatment strategy in medicated adults with ADHD that leads to improvement in ADHD symptoms and co-morbid problems. CBT includes delivery of cognitive and/or emotional strategies to individuals or groups of 4 to 10 participants. The number of CBT sessions may vary from 6 to 14. Blinding may help reduce response bias. Coaching and homework may enhance motivation as well as help in generalizing strategies to patient’s daily lives. Outcomes studied include participants’ self-reports of symptoms and evaluator reports based on standardized measures of ADHD and its comorbidities. CBT is an effective treatment for adults with ADHD particularly when combined with medication.

Kessler R, Lane M, Stang P, et al. The prevalence and workplace costs of adult attention deficit hyperactivity in a large manufacturing firm. Psychol Med. 2009;39:137–47.PubMedCrossRef

Kessler R, Adler L, Ames M, et al. The prevalence and the effects of adult attention deficit hyperactivity disorder on work performance in a nationally representative sample of workers. J Occup Environ Med. 2005;47:565–72.PubMedCrossRef

Safren SA. Cognitive behavioral approaches to ADHD treatment in adulthood. J Clin Psychol. 2006;67:46–50.

•• Safren SA, Sprich S, Mimiaga MJ, et al. Cognitive behavioral therapy vs relaxation with educational support for medication treated adults with ADHD and persistent symptoms: a randomized controlled trial. JAMA. 2010;304:875–80. The study detailed in this paper demonstrated that CBT, in contrast with relaxation exercises, led to significantly greater improvements in ADHD Rating Scale scores, and Clinical Global Impression Scale scores. These positive effects of CBT treatment were maintained at longer term (12 months)..PubMedCrossRef

Knouse LE, Safren SA. Current status of cognitive behavioral therapy for adult attention deficit hyperactivity disorder. Psychiatr Clin North Am. 2010;33:497–509.PubMedCrossRef

Kessler RC, Adler L, Barkley R, et al. The prevalence and correlates of adult ADHD in the United States: results from the National Comorbidity Survey Replication. Am J Psychiatry. 2006;163:716–23.PubMedCrossRef

Hirvikoski T, Waaler E, Alfredsson J, et al. Reduced ADHD symptoms in adults with ADHD after structured skills training group: results from a randomized controlled trial. Behav Res Ther. 2011;49:175–85.PubMedCrossRef

•• Weiss M, Murray C, Wasdell M, et al. A randomized controlled trial of CBT for adults with and without medication. BMC Psychiatry. 2012;12:30. This is the most recent article on the subject that attempts to demonstrate the pertinent issue of how medication augments the outcome of CBT. This study proposes that CBT may be effective in individuals not on medication and that medication is not essential for increasing subject’s receptivity to CBT..PubMedCrossRef

Newark PE, Stieglitz RD. Therapy relevant factors in adult ADHD from a cognitive behavioral perspective. Atten Defic Hyperact Disord. 2010;2:59–72.PubMedCrossRef

10.

Safren S, Otto M, Sprich S, et al. Cognitive behavior therapy for ADHD in medication-treated adults with continued symptoms. Behav Res Ther. 2005;43:831–42.PubMedCrossRef

11.

•• Emilsson B, Gudjonsson G, Sigurdsson JF, et al. Cognitive behavior therapy in medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. BMC Psychiatry. 2011;11:116. This recent study evaluated a newly developed CBT program and demonstrated that CBT is effective in improving ADHD symptoms in adults. Further, it showed that these gains from treatment could be maintained at follow-up at 3 months..PubMedCrossRef

12.

Bramham J, Young S, Bickerdike A, et al. Evaluation of group cognitive behavioral therapy for adults with ADHD. J Attention Disord. 2009;12:434–41.CrossRef

13.

Virta M, Salakari A, Antila M, et al. Short cognitive behavioral therapy and cognitive training for adults with ADHD—a randomized controlled pilot study. Neuropsychiatr Dis Treat. 2010;6:443–53.PubMedCrossRef

14.

• Solanto MV, Marks DJ, Wasserstein J, et al. Efficacy of metacognitive therapy for adult ADHD. Am J Psychiatry. 2010;167:958–68. This paper demonstrates the efficacy of manualized CBT vs supportive therapy on 86 adults with ADHD. Improvements in the severity of ADHD were seen for meta-cognitive over supportive psychotherapy group..PubMedCrossRef

15.

Knouse LE, Cooper-Vince C, Sprich S, et al. Recent developments in the psychosocial treatment of adult ADHD. Expert Rev Neurother. 2009;8:1537–48.CrossRef

16.

Hesslinger B, Philipsen A, Richter H. Psychotherapie der ADHS im Erwachsenenalter: Ein Arbeitsbuch Hogrefe Verlag. Göttingen, Germany: GmbH & Co. KG; 2004.

Titel: Cognitive Behavior Therapy for Adults with Attention-Deficit/Hyperactivity Disorder: A Review of Recent Randomized Controlled Trials
verfasst von: Monica Mongia
Lily Hechtman
Publikationsdatum: 01.10.2012
Verlag: Current Science Inc.
Erschienen in: Current Psychiatry Reports / Ausgabe 5/2012
Print ISSN: 1523-3812
Elektronische ISSN: 1535-1645
DOI: https://doi.org/10.1007/s11920-012-0303-x

Neu im Fachgebiet Psychiatrie

23.04.2024 | Demenz | Nachrichten

Update Psychiatrie

Bestellen Sie unseren Fach-Newsletter und bleiben Sie gut informiert.

Newsletter bestellen

Springer Medizin

Cognitive Behavior Therapy for Adults with Attention-Deficit/Hyperactivity Disorder: A Review of Recent Randomized Controlled Trials

Abstract

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie

Springer Medizin

Abstract

Bitte loggen Sie sich ein, um Zugang zu diesem Inhalt zu erhalten

Weitere Artikel der Ausgabe 5/2012

Management of Post-Traumatic Nightmares: A Review of Pharmacologic and Nonpharmacologic Treatments Since 2010

Treatment of Co-occurring Posttraumatic Stress Disorder and Substance Use Disorders

Attention-Deficit/Hyperactivity Disorder in Older Adults: Prevalence and Possible Connections to Mild Cognitive Impairment

Treatment of Tobacco Dependence in People With Mental Health and Addictive Disorders

Integrating Substance Use Treatment Into Adolescent Health Care

Emerging Support for a Role of Exercise in Attention-Deficit/Hyperactivity Disorder Intervention Planning

Neu im Fachgebiet Psychiatrie

Demenzkranke durch Antipsychotika vielfach gefährdet

Weniger postpartale Depressionen nach Esketamin-Einmalgabe

„Psychotherapie ist auch bei sehr alten Menschen hochwirksam!“

Auf diese Krankheiten bei Geflüchteten sollten Sie vorbereitet sein

Update Psychiatrie