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

Mongia, Monica; Hechtman, Lily

doi:10.1007/s11920-012-0303-x

Cited by 84 publications

(58 citation statements)

References 14 publications

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“…While cognitive and behavioral psychotherapies have limited impact on core symptoms of ADHD, there is preliminary evidence that interventions which specifically target emotion dysregulation are efficacious, which we consider as a future direction for research (120,121).…”

Section: Section 3: Treatmentmentioning

confidence: 98%

“…Adjunctive behavioral modification in children is reasonable as this combination is effective in those with mixed internalizing and externalizing symptoms, many of whom will be emotionally dysregulated (51,122). Group based psychotherapy in adults with ADHD which bolster emotion regulation skills show promise but require replication (121). Lacking an evidence base for second-line pharmacological approaches to emotion dysregulation in ADHD, treatment will largely be guided by the presence of comorbid illnesses.…”

Section: Section 3: Treatmentmentioning

confidence: 99%

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Emotion Dysregulation in Attention Deficit Hyperactivity Disorder

Shaw

Stringaris

Nigg

et al. 2016

FOC

123

174

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It has long been recognized that many individuals with ADHD also have difficulties with emotion regulation but lack of consensus on how to conceptualize this clinically challenging domain renders a review timely. The authors examine the current literature using both quantitative and qualitative methods. Three key findings emerge. First, emotion dysregulation is prevalent in ADHD throughout the lifespan and is a major contributor to impairment. Second, emotion dysregulation in ADHD may arise from deficits in orienting towards, recognizing and/or allocating attention to emotional stimuli; these deficits that implicate dysfunction within a striatoamygdalo-medial prefrontal cortical network. Third, while current treatments for ADHD often also ameliorate emotion dysregulation, a focus on this combination of symptoms reframes clinical questions and could stimulate novel therapeutic approaches. Three models to explain the overlap between emotion dysregulation and ADHD are considered: emotion dysregulation and ADHD are correlated but distinct dimensions; emotion dysregulation is a core, diagnostic feature of ADHD; and the combination constitutes a nosological entity, distinct from both ADHD and emotion dysreguation alone. The differing predictions from each model can guide future research into this much-neglected population.

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Section: Section 3: Treatmentmentioning

confidence: 98%

Section: Section 3: Treatmentmentioning

confidence: 99%

Emotion Dysregulation in Attention Deficit Hyperactivity Disorder

Shaw

Stringaris

Nigg

et al. 2016

FOC

123

174

View full text Add to dashboard Cite

show abstract

“…1 County Hospital, Västerås, Sweden 2 Uppsala University, Västerås, Sweden reviews of CBT for adult ADHD show that the results are generally promising, but there have been few randomized controlled trials Mongia & Hechtman, 2012).…”

Section: Research-article2014mentioning

confidence: 99%

Internet-Based Cognitive Behavioral Therapy for Adults With ADHD in Outpatient Psychiatric Care

et al. 2016

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Objective: The purpose of the study was to evaluate an Internet-based cognitive behavioral therapy (iCBT) program targeting difficulties and impairments associated with adult ADHD. Method: Forty-five adults diagnosed with ADHD were randomized to either self-help (iCBT self-help format [iCBT-S]), self-help with weekly group sessions (iCBT group-therapy format [iCBT-G]), or a waiting-list control group. Treatment efficacy was measured at pre-and posttreatment and at 6-month follow-up. Results: Intention-to-treat (ITT) analysis showed a significant reduction in ADHD symptoms for the iCBT-S group in comparison with the waiting-list controls at posttreatment, with a between-group effect size of d = 1.07. The result was maintained at 6-month follow-up. No significant difference was found at posttreatment or 6-month followup between the iCBT-S and iCBT-G groups. Conclusion: The findings show that a CBT treatment program administered through the Internet can be a promising treatment for adult ADHD. Limitations of the study design and directions for future research are discussed. (J. of Att. Dis. 2017; 21(6) [508][509][510][511][512][513][514][515][516][517][518][519][520][521]

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“…A further review (Mongia & Hechtman, 2012) also looked at RCTs from 2004 onwards. However, this review was not systematic, rendering it not replicable and potentially biased.…”

mentioning

confidence: 99%