Adults With ADHD Benefit From Cognitive Behavioural Group Therapy: Presented at ECNP
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Adults With ADHD Benefit From Cognitive Behavioural Group Therapy: Presented at ECNP

By Paula Moyer

VIENNA, AUSTRIA -- October 19, 2007 -- Adults with attention deficit hyperactivity disorder (ADHD) experience reduced symptoms if they participate in group therapy with a cognitive behavioural therapy (CBT) approach, according to a team of Dutch investigators who presented their findings at the 20th European College of Neuropsychopharmacology (ECNP) Congress.

"The study demonstrates a significant reduction of the core symptoms of ADHD and a significant decline of psychological distress after group therapy, and a sustained effect during follow-up of 18 months," said principal investigator Marees Derksen, MD, Consulting Psychiatrist at Albert Schweitzer Hospital in Dordrecht, The Netherlands.

However, that the lack of a control group precluded attributing the effects solely to the group-therapy intervention, stressed Dr. Derksen, who was a consulting psychiatrist at Amphia Hospital in Breda, The Netherlands, when the research was conducted.

The investigators assessed the impact of a 10-week CBT group-therapy program in 43 adults with ADHD. The intervention consisted of education about structuring daily life and improving coping abilities, social skills, and self-esteem. All subjects were receiving the pharmacotherapy that their respective psychiatrists considered appropriate.

The investigators evaluated the effectiveness of the intervention with baseline, 9-month, and 18-month evaluations using the Adult Self-Report Scale (ASRS) and the Symptom Checklist (SCL-90-R), which respectively measured the core symptoms of ADHD and psychological distress. The core symptoms of ADHD consist of attention deficit and hyperactivity/impulsivity.

At 18 months, the subjects reported a significant reduction in both the ASRS and the SCL-90-R (P <.001). Women's scores were significantly higher than men's, with higher scores representing more severe symptoms (P <.001 for the ASRS, P =.01).

On the basis of these findings, the investigators were encouraged that adults with ADHD benefit from CBT-oriented group therapy as an adjunct to medical therapy.

[Presentation title: The Effect of Behavioural-Cognitive Group Therapy for Adults With ADHD. Abstract 305]

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