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BMC Psychiatry

, 11:116

First Online: 25 July 2011Received: 14 March 2011Accepted: 25 July 2011


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 RandR2ADHD, 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 RandR2ADHD in reducing ADHD symptoms and comorbid problems, an improving functions associated with impairment. The implications are that the benefits of RandR2ADHD are multifaceted and that combined psychopharmacological and CBT based treatments may add to and improve pharmacological interventions.

Trial registrationACTRN12611000533998

AbbreviationsADHDAttention Deficit Hyperactivity Disorder

RandR2ADHDReasoning and Rehabilitation for ADHD Youths and Adults

CBTCognitive Behavioural Treatment

RCTRandomized Controlled Trial

CBT-MEDgroup condition receiving CBT and medication

TAU-MEDcontrol condition receiving -treatment as usual- and medication

KSADS ADHDKiddie-Schedule for Affective Disorders and Schizophrenia ADHD Scale

CGIClinical Global Impression

BCSBarkley ADHD Current Symptoms Scale

BAIBeck Anxiety Inventory

BDIBeck Depression Inventory

IEIndependent Evaluator

Electronic supplementary materialThe online version of this article doi:10.1186-1471-244X-11-116 contains supplementary material, which is available to authorized users.

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Autor: Brynjar Emilsson - Gisli Gudjonsson - Jon F Sigurdsson - Gisli Baldursson - Emil Einarsson - Halldora Olafsdottir - Susan 


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