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Reduced ADHD symptoms in adults with ADHD after structured skills training group: Results from a randomized controlled trial
Abstract
Objective Feasibility, acceptability, and efficacy of a Dialectical Behavioral Therapy (DBT) -based method developed in Germany were evaluated in a Swedish outpatient psychiatric context.Method Fifty-one adults with ADHD on stable medical treatment or on no medication were randomized to the DBT-based skills training (n=26) or a parallel loosely structured discussion group (n=25). Self-rating scales were administered before randomization and after the treatment.Results Feasibility and participant satisfaction were good in both groups while skills training was perceived as more logical and effective for ADHD-related problems. The analyses of the individuals who completed the treatment and remained stable with regard to medication (n=19 in skills training; n=18 in control group) showed a significant reduction in ADHD symptoms in the skills training group, but not in the control group. No reduction of comorbidity was observed in any of the groups.Conclusions The treatment was feasible in an outpatient psychiatric context, well tolerated, and significantly reduced ADHD symptoms in on-treatment individuals who remained stable regarding medication status.
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“In addition, the efficacy of DBT has also been studied in adults with attention-deficit/hyperactivity disorder (ADHD) (Hirvikoski et al., 2011; Philipsen et al., 2014; Fleming et al., 2015), suggesting its clinical pertinence in neurodevelopmental disorders.”
From Feasibility, Acceptability and Preliminary Efficacy of Dialectical Behavior Therapy for Autistic Adults without Intellectual Disability: A Mixed Methods Study (2022) · cites this paper as Hirvikoski et al., 2011
In the citing paper
“Although some controlled studies included mindfulness practice, it was a component of a treatment that also introduced other modalities (e.g., Hesslinger et al., 2002; Hirvikoski et al., 2011; Philipsen et al., 2007) and the contribution of mindfulness training itself is not clear.”
From Mindfulness Meditation Training for Attention-Deficit/Hyperactivity Disorder in Adulthood: Current Empirical Support, Treatment Overview, and Future Directions (2015) · cites this paper as Hirvikoski et al., 2011
In the citing paper
“Among the treatment studies, self-reported ADHD symptoms improved when assessed in a within-groups (Philipsen et al., 2007) or between-groups design (Hesslinger et al., 2002; Hirvikoski et al., 2011).”
From Mindfulness Meditation Training for Attention-Deficit/Hyperactivity Disorder in Adulthood: Current Empirical Support, Treatment Overview, and Future Directions (2015) · cites this paper as Hirvikoski et al., 2011
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BackgroundMethod
Metadata
- Authors
- Hirvikoski, T., Waaler, E., Alfredsson, J., Pihlgren, C., Holmström, A., Johnson, A., Rück, J., Wiwe, C., Bothén, P., & Nordström, A.-L.
- Affiliations
- Karolinska University Hospital (SE)
- Karolinska Institutet (SE)
- Corresponding author
- Hirvikoski, Tatja
- Venue
- Behaviour Research and Therapy
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 49
- Issue
- 3
- Pages
- 175-185
- ISSN
- 0005-7967 (ISSN-L)
- OpenAlex
- W2009134112
- Cited by
- 182
- References
- 58
- Citations by year
- 2026: 2 · 2025: 17 · 2024: 8 · 2023: 6 · 2022: 16 · 2021: 9 · 2020: 12 · 2019: 15 · 2018: 9 · 2017: 13 · 2016: 15 · 2015: 14 · 2014: 19 · 2013: 16 · 2012: 8
- FWCI
- 10.07
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Behaviour Research and Therapy (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Clinical Psychology › Personality Disorders and Psychopathology
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Keywords
- adult ADHD, dialectical behavior therapy, skills training, group therapy, treatment feasibility, acceptability, symptom relief, medication status, comorbidities, outpatient psychiatric care
- MeSH terms
- Adult, Analysis of Variance, Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Female, Humans, Male, Outpatients, Psychotherapy, Group, Treatment Outcome, Patient Satisfaction
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