Cited by 69Attention Deficit Hyperactivity DisorderBehavioral and Psychological StudiesChild and Adolescent Psychosocial and Emotional Development

Group Therapy for Adolescents With Attention-Deficit/Hyperactivity Disorder: A Randomized Controlled Trial

Vidal, Raquel, Castells, Jordi, Richarte, Vanesa, Palomar, Gloria, García, Marta, Nicolau, Rosa, Lazaro, Luisa, Casas, Miguel +1 more·2015·Journal of the American Academy of Child & Adolescent Psychiatry

Abstract

Objective To determine the efficacy of group cognitive-behavioral therapy (CBT) on adolescents with attention-deficit/hyperactivity disorder (ADHD) who were in pharmacological treatment but still had persistent symptoms. Method We conducted a multicenter, randomized, rater-blinded, controlled trial between April 2012 and May 2014 in a cohort of 119 adolescents (15-21 years of age). Participants were randomly assigned to 12 manualized group CBT sessions (n = 45) or a waiting list control group (n = 44). Primary outcomes were assessed by a blinded evaluator (ADHD Rating Scale [ADHD-RS], Clinical Global Impression Scale for Severity [CGI-S], Global Assessment of Functioning [GAF]) before and after treatment, as well as by self-report and parent informant ratings. Results Of the initial 119 participants enrolled, 89 completed treatment. A mixed-effects model analysis revealed that participants who were assigned to the group CBT sessions experienced significantly reduced ADHD symptoms compared to the control group (ADHD-RS Adolescent: -7.46, 95% CI = -9.56 to -5.36, p < .001, d = 7.5; ADHD-RS Parents: -9.11, 95% CI = -11.48 to -6.75, p < .001, d = 8.38; CGI-S Self-Report: -0.68, 95% CI = -0.98 to -0.39, p < .001, d = 3.75; CGI-S Clinician: -0.79, 95% CI = -0.95 to -0.62, p < .001; d = 7.71). Functional impairment decreased significantly in the CBT group according to parents (Weiss Functional Impairment Scale -4.02, 95% CI = -7.76 to -0.29, p < .05, d = 2.29) and according to the blinded evaluator (GAF: -7.58, 95% CI = -9.1 to -6.05, p < .001, d = 7.51). Conclusion Group CBT associated with pharmacological treatment is an efficacious intervention for reducing ADHD symptoms and functional impairment in adolescents. Clinical trial registration information-CBT Group for Adolescents With ADHD: a Randomized Controlled Trial; http://clinicaltrials.gov/; NCT02172183.

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Crossref · 10.1016/j.jaac.2014.12.016

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  • In five of the six trials with a non-active control condition (waiting-list control group), participants in the intervention group showed stronger post-treatment improvements in ADHD symptoms compared with participants in the control group.

    “In five of the six trials with a non-active control condition (waiting-list control group), participants in the intervention group showed stronger post-treatment improvements in ADHD-symptoms compared with participants in the control group [62,63,64,65,73,74].”

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Authors
Vidal, R., Castells, J., Richarte, V., Palomar, G., García, M., Nicolau, R., Lazaro, L., Casas, M., & Ramos-Quiroga, J. A.
Affiliations
  • Universitat Autònoma de Barcelona (ES)
  • Hospital Clínic de Barcelona (ES)
Venue
Journal of the American Academy of Child & Adolescent Psychiatry
Publisher
Elsevier BV
Published
2015-04
Volume
54
Issue
4
Pages
275-282
ISSN
0890-8567 (ISSN-L)
OpenAlex
W2072724634
Cited by
69
References
47
Citations by year
2026: 3 · 2025: 5 · 2024: 3 · 2023: 11 · 2022: 8 · 2021: 8 · 2020: 5 · 2019: 5 · 2018: 7 · 2017: 3 · 2016: 9 · 2015: 1 · 2013: 1
FWCI
5.41
Type
journal article
Language
en
Update notices
erratum (2017-11-01)
Open access
closed
Locations
  • Journal of the American Academy of Child & Adolescent Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
  • Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
  • Social Sciences › Psychology › Clinical Psychology › Child and Adolescent Psychosocial and Emotional Development
Keywords
attention deficit hyperactivity disorder, adolescents, group cognitive behavioral therapy, pharmacotherapy, functional disability, treatment efficacy, ADHD Rating Scale, Clinical Global Impression Scale, Global Assessment of Functioning, waiting list control group, comorbid depression and anxiety, comorbid substance use disorders
MeSH terms
Adolescent, Adult, Attention Deficit Disorder with Hyperactivity, Female, Humans, Male, Psychiatric Status Rating Scales, Psychotherapy, Group, Severity of Illness Index, Spain, Cognitive Behavioral Therapy, Single-Blind Method, Treatment Outcome, Young Adult, Self Report

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