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

Exploring the Relationship between Adherence to Therapy, Treatment Acceptability, and Clinical Outcomes in Adults with Attention-Deficit/Hyperactivity Disorder: Results from the COMPAS Multicenter Randomized Controlled Trial

“…These findings further support the acceptability of skills-based CBT/DBT interventions for adults diagnosed with ADHD. Consistent with previous literature [15,21,32], mindfulness skills were among the most highly rated components of GPT, although sport strategies were rated even higher. Both skills were also reported to be used more than the others.…”

“…However, studies that also included CBT-based skills, planning, and organization strategies were rated higher than mindfulness skills [20]. In the same vein, adults with ADHD rated the addition of these planning skills to a DBT-based treatment as helpful [32], which together with evidence showing that these strategies help treat inattention symptoms [24] may support their greater inclusion in DBT interventions. Similarly, with some minimal differences, the lowest scores, in ascending order, were for stress management, impulse control, and relationship/self-esteem skills, consistent with findings from previous studies [21].…”

“…In addition to the clinical outcomes of psychotherapy for adults with ADHD, several trials have examined treatment acceptability, defined as the client's evaluation of whether the therapy is effective, helpful, and appropriate for their specific problems and needs [28]. Participants found a variety of psychological interventions effective for their ADHD symptoms, particularly CBT [29][30][31], DBT [15][16][17][18][19]21], a combination of CBT and DBT [20,32], goal management training [33], and meditation-based therapies [34]. In addition, Fleming et al [15] found that participants who received DBT rated the intervention as significantly more helpful than the control group who received only a skills handout.…”

“…Moreover, this definition can be expanded to include the extent to which clients are able to follow recommendations for prescribed treatments agreed upon with the therapist, such as the use of therapy skills in daily life. Previous studies have reported session attendance rates ranging from 71.4% to 94.79% [15, 19, 30–32, 34, 41, 42], but only a few research groups have measured and reported adherence to specific treatment tasks, with rates ranging from 46.9% to 94.79% [30, 32, 41]. Previous research has also found that improved clinical outcomes were associated with the higher use of certain treatment components.…”

“It was very nice to be in a room where everyone had ADD—that’s kind of VIP”: Exploring clients’ perceptions of group CBT for ADHD inattentive presentation

“…Based on these observations, the cognitive-behavioral therapy for ADHD-I (CADDI) protocol was developed. Further, clinical and previous observations gave reason to believe that adults with ADHD-I would benefit from practicing and rehearsing organizational skills over time in treatment and that individual support in addition to group treatment might increase the benefits of the intervention [ 18 , 27 ]. The feasibility of CADDI has been evaluated in outpatient psychiatric care, including groups at four locations.…”