Cognitive‐motivational, interpersonal, and behavioral functioning in relationship to treatment and research engagement in forensic patients with ADHD

Houtepen, J.A.B.M.; Sijtsema, Jelle J.; Lem, R. van der; Scheres, Anouk; Bogaerts, Stefan

doi:10.1002/jclp.23016

Cited by 2 publications

(2 citation statements)

References 96 publications

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“…The elevated need of reinforcement in these patients may result in motivational problems during executive tasks and cognitive training when the subject has to repeat the same response over and over again for many trials, making most cognitive training tedious and boring [ 128 ]. Cognitive-motivational deficits associated with ADHD are a factor of treatment adherence especially regarding the degree of interest and stimulation of tasks [ 129 ]. For these motivational reasons, WMT in adaptative condition could trigger subject’s engagement and might be considered more rewarding than in baseline condition, especially for the ADHD group without medication.…”

Section: Discussionmentioning

confidence: 99%

Attention Networks in ADHD Adults after Working Memory Training with a Dual n-Back Task

et al. 2020

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Patients affected by Attention-Deficit/Hyperactivity Disorder (ADHD) are characterized by impaired executive functioning and/or attention deficits. Our study aim is to determine whether the outcomes measured by the Attention Network Task (ANT), i.e., the reaction times (RTs) to specific target and cue conditions and alerting, orienting, and conflict (or executive control) effects are affected by cognitive training with a Dual n-back task. We considered three groups of young adult participants: ADHD patients without medication (ADHD), ADHD with medication (MADHD), and age/education-matched controls. Working memory training consisted of a daily practice of 20 blocks of Dual n-back task (approximately 30 min per day) for 20 days within one month. Participants of each group were randomly assigned into two subgroups, the first one with an adaptive mode of difficulty (adaptive training), while the second was blocked at the level 1 during the whole training phase (1-back task, baseline training). Alerting and orienting effects were not modified by working memory training. The dimensional analysis showed that after baseline training, the lesser the severity of the hyperactive-impulsive symptoms, the larger the improvement of reaction times on trials with high executive control/conflict demand (i.e., what is called Conflict Effect), irrespective of the participants’ group. In the categorical analysis, we observed the improvement in such Conflict Effect after the adaptive training in adult ADHD patients irrespective of their medication, but not in controls. The ex-Gaussian analysis of RT and RT variability showed that the improvement in the Conflict Effect correlated with a decrease in the proportion of extreme slow responses. The Dual n-back task in the adaptive mode offers as a promising candidate for a cognitive remediation of adult ADHD patients without pharmaceutical medication.

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Section: Discussionmentioning

confidence: 99%

Attention Networks in ADHD Adults after Working Memory Training with a Dual n-Back Task

et al. 2020

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“…Utilization of mental health services above a certain number of times (Catherine et al, 2013) Participation in psychotherapy more than a certain number of times (Mott et al, 2014) Continuing medication (Solomon et al, 2020) Continuing to quit smoking (Carpenter et al, 2020) Multiple insulin replacement (Goldman et al, 2018) Acevedo et al 2012;Albertsa et al 2018;Binswanger et al 2019;Buckingham et al 2016;Busch et al 2017;Carpenter et al 2020;Catherine et al 2013;Cheung et al 2018;Claborn et al 2017;Clarke et al 2014;Delaney et al 2013;Dillon et al 2020;Drew et al 2016;Garnick et al 2013;Goldberg et al 2020;Goldman et al 2018;Gouse et al 2016;Guerreo et al 2013;Harris et al 2010;Heffne et al 2016;Ho et al 2019;Houtepen et al 2020;Interian et al 2013;Jin et al 2019 (Aggarwal et al, 2015).…”

Section: Continuation Of Treatmentmentioning

confidence: 99%

Treatment engagement: A concept analysis

Kudo

Deguchi

Omiya

et al. 2023

JINR

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The concept of "treatment engagement" has been used in many research articles to describe the behavior and process by which patients engage in treatment and medication. However, the term "treatment engagement" is often undefined and used ambiguously, with each researcher using the term, with a different, vague, or broad meaning. Given that many studies have shown that treatment engagement is directly related to clinical outcomes, the concept, should be defined more concretely. This study, therefore, aims to conduct a concept analysis of treatment engagement using Rodgers' evolutionary method of concept analysis. The antecedents of the concept of "treatment engagement" consisted of three elements: individual (i.e., knowledge regarding the disease and treatment, attitudes toward disease and treatment, and acceptance of the disease), situational (i.e., negative experiences in the past and conditions and circumstances that allow patients to focus on treatment), and environmental (i.e., connection with providers, social support, and adaptive treatment system). The attributes of treatment engagement had two elements: behavioral (i.e., initiation of treatment, continuation of treatment, and adherence to recommendations in treatment) and psychosocial (i.e., attitudes that indicate value and expectations toward treatment, cooperation with peers, and collaboration between patient and providers). Consequences of treatment engagement were treatment retention, better clinical outcomes, and coping with disease and treatment. Through this study, we developed the theoretical definition of treatment engagement as the process of initiating and continuing treatment, and adhering to treatment recommendations, in cooperation with peers and in collaboration with supporters, accompanied by a positive attitude toward treatment.

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Cognitive‐motivational, interpersonal, and behavioral functioning in relationship to treatment and research engagement in forensic patients with ADHD

Cited by 2 publications

References 96 publications

Attention Networks in ADHD Adults after Working Memory Training with a Dual n-Back Task

Attention Networks in ADHD Adults after Working Memory Training with a Dual n-Back Task

Treatment engagement: A concept analysis

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