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A randomized controlled trial reporting functional outcomes of cognitive-behavioural therapy in medication-treated adults with ADHD and comorbid psychopathology.

A randomized controlled trial reporting functional outcomes of cognitive-behavioural therapy in medication-treated adults with ADHD and comorbid psychopathology.


Title: A randomized controlled trial reporting functional outcomes of cognitive-behavioural therapy in medication-treated adults with ADHD and comorbid psychopathology.
Author: Young, Susan   orcid.org/0000-0002-8494-6949
Emilsson, Brynjar
Sigurdsson, Jon Fridrik   orcid.org/0000-0001-6873-8157
Khondoker, Mizanur
Philipp-Wiegmann, Florence
Baldursson, Gísli
Olafsdottir, Halldora
Gudjonsson, Gisli
Date: 2017-04
Language: English
Scope:
University/Institute: Landspitali - The National University Hospital of Iceland
Department: Women's and Childrens's Services
Series: European Archives of Psychiatry and Clinical Neuroscience; ()
ISSN: 1433-8491
DOI: https://doi.org/10.1007/s00406-016-0735-0
Subject: Sálfræði; Barna- og unglingageðlæknisfræði; Geðsjúkdómafræði; ADHD; Atferlismeðferð; PSY12; PSC12; Adolescent; Adult; Aged; Antisocial Personality Disorder; Attention Deficit Disorder with Hyperactivity; Cognitive Therapy; Female; Follow-Up Studies; Humans; Linear Models; Male; Middle Aged; Psychiatric Status Rating Scales; Treatment Outcome; Young Adult; ADHD; Atferlismeðferð; PSY12; PSC12; Adolescent; Adult; Aged; Antisocial Personality Disorder; Attention Deficit Disorder with Hyperactivity; Cognitive Therapy; Female; Follow-Up Studies; Humans; Linear Models; Male; Middle Aged; Psychiatric Status Rating Scales; Treatment Outcome; Young Adult
URI: https://hdl.handle.net/20.500.11815/3619

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Citation:

Young , S , Emilsson , B , Sigurdsson , J F , Khondoker , M , Philipp-Wiegmann , F , Baldursson , G , Olafsdottir , H & Gudjonsson , G 2017 , ' A randomized controlled trial reporting functional outcomes of cognitive-behavioural therapy in medication-treated adults with ADHD and comorbid psychopathology. ' , European Archives of Psychiatry and Clinical Neuroscience . https://doi.org/10.1007/s00406-016-0735-0

Abstract:

Studies assessing psychological treatment of attention deficit hyperactivity disorder (ADHD) in adults are increasingly reported. However, functional outcomes are often neglected in favour of symptom outcomes. We investigated functional outcomes in 95 adults with ADHD who were already treated with medication and randomized to receive treatment as usual (TAU/MED) or psychological treatment (CBT/MED) using a cognitive-behavioural programme, R&R2ADHD, which employs both group and individual modalities. RATE-S functional outcomes associated with ADHD symptoms, social functioning, emotional control and antisocial behaviour were given at baseline, end of treatment and three-month follow-up. The Total composite score of these scales is associated with life satisfaction. In addition, independent evaluator ratings of clinicians who were blind to treatment arm were obtained on the Clinical Global Impression scale at each time point. CBT/MED showed overall (combined outcome at end of treatment and 3-month follow-up) significantly greater functional improvement on all scales. Post-group treatment effects were maintained at follow-up with the exception of emotional control and the Total composite scales, which continued to improve. The largest treatment effect was for the RATE-S Total composite scale, associated with life satisfaction. CGI significantly correlated with all outcomes except for social functioning scale at follow-up. The study provides further evidence for the effectiveness of R&R2ADHD and demonstrates the importance of measuring functional outcomes. The key mechanism associated with improved functional outcomes is likely to be behavioural control.

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