Pilot Randomized Controlled Trial of Dialectical Behavior Therapy Group Skills Training for ADHD Among College Students
Abstract
Objective: ADHD affects between 2% and 8% of college students and is associated with broad functional impairment. No prior randomized controlled trials with this population have been published. The present study is a pilot randomized controlled trial evaluating dialectical behavior therapy (DBT) group skills training adapted for college students with ADHD. Method: Thirty-three undergraduates with ADHD between ages 18 and 24 were randomized to receive either DBT group skills training or skills handouts during an 8-week intervention phase. ADHD symptoms, executive functioning (EF), and related outcomes were assessed at baseline, post-treatment, and 3-month follow-up. Results: Participants receiving DBT group skills training showed greater treatment response rates (59-65% vs. 19-25%) and clinical recovery rates (53-59% vs. 6-13%) on ADHD symptoms and EF, and greater improvements in quality of life. Conclusion: DBT group skills training may be efficacious, acceptable, and feasible for treating ADHD among college students. A larger randomized trial is needed for further evaluation.
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The efficacy of DBT has also been studied in adults with attention-deficit/hyperactivity disorder (ADHD), suggesting its clinical pertinence in neurodevelopmental disorders.
“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 Fleming et al., 2015
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- Authors
- Fleming, A. P., McMahon, R. J., Moran, L. R., Peterson, A. P., & Dreessen, A.
- Affiliations
- University of Washington (US)
- Simon Fraser University (CA)
- Venue
- Journal of Attention Disorders
- Publisher
- SAGE Publications
- Published
- 2014-05-29
- Volume
- 19
- Issue
- 3
- Pages
- 260-271
- ISSN
- 1087-0547 (ISSN-L)
- 1557-1246
- OpenAlex
- W2083911626
- Cited by
- 140
- References
- 45
- Citations by year
- 2026: 8 · 2025: 11 · 2024: 12 · 2023: 15 · 2022: 10 · 2021: 12 · 2020: 16 · 2019: 14 · 2018: 9 · 2017: 11 · 2016: 14 · 2015: 6 · 2014: 2
- FWCI
- 8.39
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Attention Disorders (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 › Developmental and Educational Psychology › Behavioral and Psychological Studies
- Keywords
- attention deficit hyperactivity disorder, dialectical behavior therapy, group skills training, university students, executive function, quality of life, treatment efficacy, treatment acceptability, feasibility
- MeSH terms
- Attention Deficit Disorder with Hyperactivity, Behavior Therapy, Feasibility Studies, Female, Humans, Male, Neuropsychological Tests, Outcome and Process Assessment, Health Care, Patient Acceptance of Health Care, Pilot Projects, Quality of Life, Social Adjustment, Students, Young Adult, Executive Function, Mindfulness
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