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Cited by 371Attention Deficit Hyperactivity DisorderBehavioral and Psychological StudiesObsessive-Compulsive Spectrum Disorders

The DOI matches its Crossref record; 33 of the 33 references it cites were found in a registry or an index.

Efficacy of Meta-Cognitive Therapy for Adult ADHD

Open access
Solanto, Mary V., Marks, David J., Wasserstein, Jeanette, Mitchell, Katherine, Abikoff, Howard, Alvir, Jose Ma. J., Kofman, Michele D.·2010·American Journal of Psychiatry
DOI 10.1176/appi.ajp.2009.09081123PMC PMC3633586
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Abstract

OBJECTIVE: The authors investigated the efficacy of a 12-week manualized meta-cognitive therapy group intervention designed to enhance time management, organization, and planning in adults with attention deficit hyperactivity disorder (ADHD). METHOD: Eighty-eight clinically referred adults who met DSM-IV criteria for ADHD according to clinical and structured diagnostic interviews and standardized questionnaires were stratified by ADHD medication use and otherwise randomly assigned to receive meta-cognitive therapy or supportive psychotherapy in a group modality. Meta-cognitive therapy uses cognitive-behavioral principles and methods to impart skills and strategies in time management, organization, and planning and to target depressogenic and anxiogenic cognitions that undermine effective self-management. The supportive therapy condition controlled for nonspecific aspects of treatment by providing support while avoiding discussion of cognitive-behavioral strategies. Therapeutic response was assessed by an independent (blind) evaluator via structured interview before and after treatment as well as by self-report and collateral informant behavioral ratings. RESULTS: General linear models comparing change from baseline between treatments revealed statistically significant effects for self-report, collateral report, and independent evaluator ratings of DSM-IV inattention symptoms. In dichotomous indices of therapeutic response, a significantly greater proportion of members of the meta-cognitive therapy group demonstrated improvement compared with members of the supportive therapy group. Logistic regression examining group differences in operationally defined response (controlling for baseline ADHD severity) revealed a robust effect of treatment group (odds ratio=5.41; 95% CI=1.77-16.55). CONCLUSIONS: Meta-cognitive therapy yielded significantly greater improvements in dimensional and categorical estimates of severity of ADHD symptoms compared with supportive therapy. These findings support the efficacy of meta-cognitive therapy as a viable psychosocial intervention.

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Research works printed but not linked: 5

  1. McDermott SP , Wilens TE : Cognitive therapy for adults with ADHD, in Attention Deficit Disorders and Comorbidities in Children, Adolescents, and Adults. Edited by , Brown T . Washington, DC, American Psychiatric Press, 2000, pp 569–606
  2. Knouse LE, 2009, Journal of ADHD and Related Disorders, 1, 34
  3. First MB , Spitzer RL , Gibbon M , Williams JBW : Structured Clinical Interview for DSM-IV-TR Axis I Disorders, Research Version, Patient Edition (SCID-I/P). New York, New York State Psychiatric Institute, Biometrics Research, November 2002
  4. First MB , Gibbon M , Spitzer RL , Williams JBW , Benjamin LS : Structured Clinical Interview for DSM-IV Axis II Personality Disorders (SCID-II). Washington, DC, American Psychiatric Press, 1997
  5. Beck AT, 1996, Beck Depression Inventory, 2nd ed, Manual

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Metadata

Authors
Solanto, M. V., Marks, D. J., Wasserstein, J., Mitchell, K., Abikoff, H., Alvir, J. M. J., & Kofman, M. D.
Affiliations
Icahn School of Medicine at Mount Sinai (US)
ORCID
Venue
American Journal of Psychiatry
Publisher
American Psychiatric Association Publishing
Published
2010-08-01
Volume
167
Issue
8
Pages
958-968
ISSN
  • 0002-953X (ISSN-L)
  • 1535-7228
DOI
10.1176/appi.ajp.2009.09081123
PMC
PMC3633586
OpenAlex
W2106508714
Cited by
370
References
33
Citations by year
2026: 14 · 2025: 14 · 2024: 11 · 2023: 13 · 2022: 9 · 2021: 22 · 2020: 15 · 2019: 19 · 2018: 18 · 2017: 28 · 2016: 32 · 2015: 34 · 2014: 47 · 2013: 27 · 2012: 34
FWCI
20.77
Type
journal article
Language
en
Open access
Locations
  • American Journal of Psychiatry (publishedVersion)
  • PubMed (publishedVersion)
  • Europe PMC (PubMed Central) (acceptedVersion)
  • PubMed Central (acceptedVersion)
Funders
  • National Institutes of Health (5r34mh071721-03)
  • National Institute of Mental Health (R34 MH071721, 1R34MH071721)
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 › Obsessive-Compulsive Spectrum Disorders
Keywords
adult ADHD, attention deficit hyperactivity disorder, group therapy, time management, inattentive symptoms, supportive therapy, psychosocial interventions, cognitive behavioral therapy, ADHD medication use, treatment efficacy
MeSH terms
Adult, Attention Deficit Disorder with Hyperactivity, Double-Blind Method, Female, Humans, Male, Psychiatric Status Rating Scales, Psychotherapy, Psychotherapy, Group, Surveys and Questionnaires, Self Care, Severity of Illness Index, Cognitive Behavioral Therapy, Treatment Outcome, Diagnostic and Statistical Manual of Mental Disorders

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