Evaluation of a structured skills training group for adolescents with attention-deficit/hyperactivity disorder: a randomised controlled trial
Open accessAbstract
Attention-deficit/hyperactivity disorder (ADHD) in adolescence is associated with behavioural, emotional and interpersonal problems, and non-pharmacological treatments targeting these difficulties have been requested. The objective of this study was to evaluate the effectiveness and acceptance of an age-adapted structured skills training group (SSTG) for adolescents with ADHD. Adolescents (n = 184, ages 15-18 years) with a diagnosis of ADHD were randomly assigned to either the SSTG, which is based on dialectical behavioural therapy, or an active control group based on psychoeducation. Symptoms of ADHD, behavioural and emotional problems, functional impairment, and health-related outcomes were assessed with self-ratings and parental ratings two weeks before, two weeks after, and six months after treatment. All participants who completed the pre-treatment measurements (n = 164) were included in the main analyses, which were conducted using a linear mixed model. Our results demonstrated no significant group differences in favour of the SSTG for any of the study outcomes. A majority of the participants in both groups reported that they had increased their knowledge about ADHD, improved their ability to manage problems related to the diagnosis, and would recommend the treatment to others. We conclude that the SSTG seems to be acceptable for adolescents with ADHD in a clinical context. However, the treatment was not proved to be more effective or more acceptable than the psychoeducational control intervention.Trial registration: http://www.isrctn.com/ISRCTN17366720,11/05/2016 , retrospectively registered.
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Five studies examined psychosocial interventions provided to students with ADHD in a school setting and eight studies tested psychosocial interventions in a clinical setting.
“Five studies examined psychosocial interventions provided to students with ADHD in a school setting [62,63,64,65,66] and eight studies tested psychosocial interventions in a clinical setting [67,68,69,70,71,72,73,74].”
From Treatment of Adolescents with Concurrent Substance Use Disorder and Attention-Deficit/Hyperactivity Disorder: A Systematic Review (2021) · cites this paper as [69]
Seven of the nine studies that included an active control condition did not find any differences in ADHD symptom ratings between the intervention and the control treatment.
“In contrast, seven of the nine studies that included an active control condition (e.g., treatment as usual) did not find any differences in ADHD symptom ratings between the intervention and the control treatment [65,67,68,69,70,71,72].”
From Treatment of Adolescents with Concurrent Substance Use Disorder and Attention-Deficit/Hyperactivity Disorder: A Systematic Review (2021) · cites this paper as [69]
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- Authors
- Meyer, J., Ramklint, M., Hallerbäck, M. U., Lööf, M., & Isaksson, J.
- Affiliations
- Uppsala University (SE)
- Örebro University (SE)
- Corresponding author
- Isaksson, Johan
- Venue
- European Child & Adolescent Psychiatry
- Published
- 2021-03-15
- Volume
- 31
- Issue
- 7
- Pages
- 1-13
- ISSN
- 1018-8827 (ISSN-L)
- 1435-165X
- PMC
- PMC9343260
- OpenAlex
- W3137731706
- Cited by
- 28
- References
- 57
- Citations by year
- 2026: 5 · 2025: 9 · 2024: 5 · 2023: 3 · 2022: 5 · 2021: 1
- FWCI
- 2.51
- Type
- journal article
- Language
- en
- Open access
- hybrid
- doi.org
- Locations
- European Child & Adolescent Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- Uppsala University Publications (Uppsala University) (submittedVersion, other-oa)
- Funders
- Uppsala University Hospital Research Fund
- Uppsala County Council’s Funds for Clinical Research
- Uppsala-Örebro Regional Research Council
- The Sven Jerring foundation
- The foundation in memory of professor Bror Gadelius
- Queen Silvia's Jubilee Fund
- Stiftelsen Sunnerdahls Handikappfond (F20/20)
- Uppsala University
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- attention deficit hyperactivity disorder, adolescents, dialectical behavior therapy, psychoeducation, non-pharmacological treatment, treatment effectiveness, treatment acceptability, behavioral problems, emotional problems, functional disability, health outcomes
- MeSH terms
- Adolescent, Attention Deficit Disorder with Hyperactivity, Humans, Parents
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