Preliminary Evaluation of a Combined Group and Individual Treatment for College Students With Attention-Deficit/Hyperactivity Disorder

LaCount, Patrick A.; Hartung, Cynthia M.; Shelton, Christopher R.; Clapp, Joshua D.; Clapp, Tara K.W.

doi:10.1016/j.cbpra.2014.07.004

Cited by 36 publications

(23 citation statements)

References 38 publications

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“…While recent controlled trials of cognitive behavioral therapy (CBT; Safren et al 2005; Safren et al 2010) and metacognitive therapy (Solanto et al 2010) demonstrate a reduction of ADHD symptoms, data examining the effect of these therapies on impairment are limited to open trials conducted with college students (e.g., Anastopoulos and King 2015; Eddy et al 2015; LaCount et al 2015). These initial studies provide encouraging preliminary support for the utility of CBT-based approaches in improving functional outcomes for YA including academic and work performance, life skills, and self-concept.…”

Section: Discussionmentioning

confidence: 99%

Financial Dependence of Young Adults with Childhood ADHD

Altszuler

Page

Gnagy

et al. 2015

J Abnorm Child Psychol

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This study used data from the Pittsburgh ADHD Longitudinal Study (PALS) to evaluate financial outcomes of young adults (YA) with ADHD relative to comparisons. Participants for this study included 309 individuals who had been diagnosed with ADHD (DSM-III-R or DSM-IV) in childhood and 208 comparison YA without childhood ADHD diagnoses (total N=517) who were followed through age 25. Participants were predominately male (88 %) and Caucasian (84 %). Diagnostic interviews were conducted in childhood. Young adults and their parents reported on financial outcomes and a number of predictor variables. Young adults with ADHD experienced greater financial dependence on family members (p<0.05) and the welfare system (p<0.01) and had lower earnings (p<0.05) than comparisons. ADHD diagnostic status, education attainment, and delinquency were significant predictors of financial outcomes. A projection of lifetime earnings indicated that ADHD group participants could expect to earn $543,000–$616,000 less over their lifetimes than comparisons. Due to the propensity of individuals with ADHD to underreport problems, the data are likely to be underestimates. These findings support the need for interventions to improve labor market outcomes as well as the development of interventions that target the management of personal finances for individuals with ADHD in young adulthood.

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Section: Discussionmentioning

confidence: 99%

Financial Dependence of Young Adults with Childhood ADHD

Altszuler

Page

Gnagy

et al. 2015

J Abnorm Child Psychol

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“… 36 An open-label study of CBT for college students showed improvement in both attention symptoms and the Work and School domains. 37 …”

Section: Functional Outcomes In Treatment Studiesmentioning

confidence: 99%

Conceptual review of measuring functional impairment: findings from the Weiss Functional Impairment Rating Scale

Weiss¹,

McBride²,

Craig

et al. 2018

Evid Based Mental Health

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ObjectiveThis is a narrative review of validation and outcome studies using the Weiss Functional Impairment Rating Scale (WFIRS). The objective of the review is to establish a framework for understanding functional impairment and create a definition for functional response and remission.MethodsWe conducted a literature search via MEDLINE, EBSCO and Google Scholar with no date restrictions and reviewed bibliographies of selected publications. Publications found in languages other than English were translated and clarification obtained from the author(s) if needed. Inclusion criteria were any manuscript that was either a WFIRS psychometric validation study or a clinical trial using the WFIRS as an outcome. There were no exclusion criteria.ResultsThe WFIRS has been validated in multiple cultures, and in clinical, research and control populations. The WFIRS has robust psychometric properties across ages, psychiatric status and informants. Outcome studies show variable improvement, with different response patterns between domains and among different interventions.ConclusionSymptom improvement and remission needs to be complemented with evaluation of functional improvement and remission to obtain a full picture of clinical status over the course of treatment.

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“…When college students with comorbid ADHD and anxiety are identified, clinicians should guide these students to evidence-based treatments. While no expert or consensus guidelines exist for the treatment of ADHD in college students, the results of several recent trials of cognitive-behavioral group-based treatments for college students with ADHD have been promising (Anastopoulos & King, 2015; Fleming, McMahon, Moran, Peterson, & Dreessen, 2015; LaCount, Hartung, Shelton, Clapp, & Clapp, 2015). It is possible that some elements of cognitive-behavioral therapy for ADHD, such as cognitive restructuring and behavioral management of avoidance, may target anxiety and self-efficacy concerns as well.…”

Section: Discussionmentioning

confidence: 99%