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A Cognitive Remediation Programme for Adults with Attention Deficit Hyperactivity Disorder
Abstract
OBJECTIVE: This is the first systematic examination of the efficacy of a cognitive remediation programme (CRP) for management of adult Attention Deficit Hyperactivity Disorder (ADHD). The CRP was designed to target problems commonly associated with adult ADHD, namely, attention problems, poor motivation, poor organizational skills, impulsivity, reduced anger control and low self-esteem. METHOD: In a randomized, controlled trial, a representative sample of adults with ADHD (some medicated, some not) were assigned to either a CRP (n = 22) or a waiting list control (n = 21). The CRP was delivered in an intensive format with eight two-hour, weekly sessions with support people who acted as coaches, and participant workbooks with homework exercises. RESULTS: Participants who completed the CRP reported reduced ADHD symptomatology (effect size (d) = 1.4), improved organizational skills (d = 1.2) and reduced levels of anger (d = 0.5). Clinically significant improvements in ADHD symptomatology (d = 1.4) and organizational skills (d = 1.3) were maintained one year after the intervention. CONCLUSIONS: These findings suggest that the CRP provides a practical way of enhancing daily functioning for adults with ADHD.
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“By targeting maladaptive cognitions and behaviors, CBT enhances self-management, goal-setting, and time organization [160].”
From ADHD in Adulthood: Clinical Presentation, Comorbidities, and Treatment Perspectives (2025) · cites this paper as [160]
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Lauder, K., McDowall, A., & Tenenbaum, H. R. (2024) · Neurodiversity · doi:10.1177/27546330241292984 · Cited by 2
Edushare, a Step beyond Learning Platforms
Sauvain, R., & Szilas, N. (2009) · Lecture notes in computer science · doi:10.1007/978-3-642-04636-0_27 · Cited by 2
“Cognitive remediation has been used successfully with people with disabilities including ADHD [1][2], schizophrenia [3] and age related cognitive impairments [4].”
MethodPsychosocial treatment of ADHD in adults
Solanto, M. V. (2014) · Cambridge University Press eBooks · doi:10.1017/cbo9781139035491.024 · Cited by 2
Combined Treatment With CBT and Psychopharmacology
Lee, J., Hearon, B. A., & Otto, M. W. (2017) · Elsevier eBooks · doi:10.1016/b978-0-12-803457-6.00006-4 · Cited by 2
New Developments in the Treatment of Attention-Deficit/Hyperactivity Disorder in Primary Care
(2006) · The Primary Care Companion For CNS Disorders · doi:10.4088/pcc.v08n0406 · Cited by 2
Mindfulness-Based Attention as a Moderator of the Relationship Between ADHD and Comordid Disorders
Jacobs, A. (2011) · CommonKnowledge Research Repository (Pacific University Oregon) · Cited by 2
Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung ADHS) im Erwachsenenalter
Alm, B., & Sobanski, E. (2008) · Springer eBooks · doi:10.1007/978-3-540-33129-2_64 · Cited by 2
Acute exercise and executive function in young adults with ADHD
Jones, G. J., Ehly, S. W., Liu, W. M., Westefeld, J. S., Wood, S. M., & Vispoel, W. P. (2015) · doi:10.17077/etd.fh103jlr · Cited by 2
Cognitive Behavior Therapy for Adults with ADHD
Eddy, L. D., & Martin, K. R. (2023) · Autism and child psychopathology series · doi:10.1007/978-3-031-41709-2_24 · Cited by 1
Kaiser, A. J. E., Shippen, N. A., Tufty, L. M., Lejeune, J., Zolli, N., & Meinzer, M. C. (2023) · Autism and child psychopathology series · doi:10.1007/978-3-031-41709-2_14 · Cited by 2
Fiorillo, A., Barlati, S., Vincenzo, M. D., Albert, U., Carrà, G., Dell’Osso, B. M., Martinotti, G., Mario, L., & Vita, A. (2026) · Schizophrenia Research Cognition · doi:10.1016/j.scog.2026.100418 · Cited by 1
“…eating disorders, autism spectrum disorders and attention deficit-hyperactivity disorder (ADHD) (Vita et al., 2018; Meneguzzo et al., 2021; Tchanturia et al., 2014; Thorsrud et al., 2024; Dinu and Dark, 2023; Pascual et al., 2015; Reeder et al., 2014; Hanssen et al., 2023; Stevenson et al., 2002).”
Psychotherapy in Adult Attention-Deficit Hyperactivity Disorder
Philipsen, A., Richter, H., Matthies, S., & Heßlinger, B. (2009) · Key issues in mental health (Online)/Key issues in mental health (Print) · doi:10.1159/000258455 · Cited by 1
Die Aufmerksamkeitsdefizit-/Hyperaktivitätsstörung (ADHS) des Erwachsenenalters
Ebert, D., Philipsen, A., & Heßlinger, B. (2012) · Elsevier eBooks · doi:10.1016/b978-3-437-22483-6.10025-7 · Cited by 1
ADHS im Erwachsenenalter (ICD-10 F90)
Rösler, M., Heßlinger, B., & Philipsen, A. (2008) · Elsevier eBooks · doi:10.1016/b978-343724780-4.50022-1 · Cited by 1
The ADHD Conundrum- A Review of Non-pharmacological Approach to Management
Palakodeti, S., Sarangi, A., & Mehta, T. (2025) · Current Developmental Disorders Reports · doi:10.1007/s40474-025-00317-2 · Cited by 6
“Participants showed significant improvement in symptoms of ADHD, self esteem and organizational skills [29].”
Psychometric properties of the self-rating organization scale with adult samples
Takeda, T., Tsuji, Y., & Ando, M. (2016) · Neuropsychiatric Disease and Treatment · doi:10.2147/ndt.s118129 · Cited by 1
“Although psychopharmacology ameliorates many of the core symptoms of ADHD and some ADHD-related impairments, there is minimal evidence to suggest that stimulant medications promote improvement in organizational skills.(5) For example, in a cognitive remediation program for adults with ADHD, no significant differences…”
BackgroundPsychoedukation und Coaching bei ADHS im Erwachsenenalter
D’Amelio, R., Bender, M., & Rösler, M. (2015) · NeuroTransmitter · doi:10.1007/s150160150696y · Cited by 1
Metadata
- Authors
- Stevenson, C. S., Whitmont, S., Bornholt, L., Livesey, D., & Stevenson, R. J.
- Affiliations
- New South Wales Institute of Psychiatry (AU)
- The University of Sydney (AU)
- Macquarie University (AU)
- ORCID
- Stevenson, Richard J
- Venue
- Australian & New Zealand Journal of Psychiatry
- Publisher
- SAGE Publications
- Published
- 2002-10
- Volume
- 36
- Issue
- 5
- Pages
- 610-616
- ISSN
- 0004-8674 (ISSN-L)
- 1440-1614
- OpenAlex
- W2171546569
- Cited by
- 261
- References
- 45
- Citations by year
- 2026: 3 · 2025: 4 · 2024: 6 · 2023: 9 · 2022: 3 · 2021: 11 · 2020: 5 · 2019: 8 · 2018: 9 · 2017: 12 · 2016: 13 · 2015: 12 · 2014: 21 · 2013: 16 · 2012: 22
- FWCI
- 3.20
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Australian & New Zealand Journal of Psychiatry (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Sydney
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Schizophrenia research and treatment
- Keywords
- adult ADHD, attention deficits, organizational skills, anger management, impulsivity, motivation, self-esteem, coaching, homework exercises, treatment efficacy, symptom maintenance
- MeSH terms
- Adult, Attention Deficit Disorder with Hyperactivity, Female, Humans, Male, Motivation, Self Concept, Socialization, Program Evaluation, Cognitive Behavioral Therapy
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