Cognitive‐Behavioural Therapy for ADHD in Adolescents and Adults

Bramham, Jessica

doi:10.1002/9781119943440

Cited by 67 publications

(96 citation statements)

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“…R&R2ADHD is a CBT intervention programme developed for youth and adults with ADHD [20]. It is a revised version of the 35-session Reasoning & Rehabilitation prosocial competence training programme which has a strong evidence base [21].…”

Section: Methodsmentioning

confidence: 99%

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

Young

Emilsson

Sigurðsson

et al. 2016

Eur Arch Psychiatry Clin Neurosci

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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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Section: Methodsmentioning

confidence: 99%

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

Young

Emilsson

Sigurðsson

et al. 2016

Eur Arch Psychiatry Clin Neurosci

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“…In this case, the patient needs to learn strategies that involve problem-solving, planning, and impulse control techniques that may be appropriately applied in these circumstances. Young and Bramham [71] have developed a CBT treatment program for adolescents and adults with ADHD that contains a module specific to substance abuse, drawing on both motivational and CBT approaches. A randomized controlled trial of CBT is currently underway among treatment-seeking individuals with SUD and additional ADHD, which will help practitioners understand the efficacy and feasibility of such interventions [72].…”

Section: Treatment Considerationsmentioning

confidence: 99%

Attention deficit hyperactivity disorder and substance misuse: an evaluation of causal hypotheses and treatment considerations

Young

Sedgwick

2015

Expert Review of Neurotherapeutics

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Attention deficit hyperactivity disorder (ADHD) is known to co-occur with substance misuse at a high rate. This has important health and legal implications for those with ADHD. Mechanisms that may influence drug use among those with ADHD are discussed and evaluated in this review, including self-medication, behavioral disinhibition, comorbidity, and sensitization. While no one hypothesis is able to explain the complex phenomenon of drug taking behaviors, it is likely that self-medication, disinhibition and comorbidity play a part, with little evidence for sensitization. The development of efficacious treatment is necessary to help those with this debilitating comorbidity, as there are currently few evidence-based interventions.

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“…Bramham and colleagues [22] provided an intensive 3-day intervention (one day per month for 3 months) to medicated patients and compared outcome with waiting list controls. The intervention included psychoeducation and CBT drawing on modules from the Young-Bramham programme [23] on topics of ADHD symptoms, emotional control, relationship skills, time-management, problem solving, and preparing for the future. A significant effect was found for those receiving CBT on measures of psychoeducation (an ADHD knowledge quiz), self-efficacy and self-esteem.…”

Section: Introductionmentioning

confidence: 99%

Cognitive behaviour therapy in medication-treated adults with ADHD and persistent Symptoms: A randomized controlled trial

et al. 2011

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BackgroundAttention deficit hyperactivity disorder (ADHD) in adulthood is not fully treated by psychopharmacological treatment alone. The main aim of the current study was to evaluate a newly developed cognitive behaviour therapy (CBT) based group programme, the Reasoning and Rehabilitation for ADHD Youths and Adults (R&R2ADHD), using a randomized controlled trial.Methods54 adults with ADHD already receiving psychopharmacological treatment were randomly allocated to an experimental (CBT/MED) treatment condition (n = 27) and a 'treatment as usual' (TAU/MED) control condition (n = 27) that did not receive the CBT intervention. The outcome measures were obtained before treatment (baseline), after treatment and at three month follow-up and included ADHD symptoms and impairments rated by independent assessors, self-reported current ADHD symptoms, and comorbid problems.ResultsThe findings suggested medium to large treatment effects for ADHD symptoms, which increased further at three month follow-up. Additionally, comorbid problems also improved at follow-up with large effect sizes.ConclusionsThe findings give support for the effectiveness of R&R2ADHD in reducing ADHD symptoms and comorbid problems, an improving functions associated with impairment. The implications are that the benefits of R&R2ADHD are multifaceted and that combined psychopharmacological and CBT based treatments may add to and improve pharmacological interventions.Trial registrationACTRN12611000533998 (http://www.ANZCTR.org.au/ACTRN12611000533998.aspx)

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Cognitive‐Behavioural Therapy for ADHD in Adolescents and Adults

Cited by 67 publications

References 0 publications

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

Attention deficit hyperactivity disorder and substance misuse: an evaluation of causal hypotheses and treatment considerations

Cognitive behaviour therapy in medication-treated adults with ADHD and persistent Symptoms: A randomized controlled trial

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