Cognitive Therapy in the Treatment of Adults With ADHD: A Systematic Chart Review of 26 Cases
Abstract
Despite the increasing awareness of attention deficit hyperactivity disorder (ADHD) in adults, psychotherapeutic interventions for this group remain unstudied. In this study we evaluated the potential benefit of an adapted form of Beck±s Cognitive Therapy (CT) for adults with ADHD. Consecutive outpatients with DSM-III-R ADHD treated naturalistically with CT were evaluated for response to treatment using multiple variables assessed both prospectively, and by retrospective review of the medical charts. As a result 26 adults with ADHD were identified of whom all had received prior psychotherapy, 96% had lifetime psychiatric comorbidity with ADHD, and 85% were receiving medications in combination with CT. Patients were treated for a mean (±SD) of 11.7 ± 8 months and 36 ± 24 sessions. Treatment was associated with significant improvements in ADHD, anxiety, and depressive symptoms as well as overall global functioning (p’s < .01). Overall, 69% of ADHD adults were considered to be much to very much improved in their ADHD at the end of treatment. The results of this chart review suggest that CT used generally in conjunction with medications appears useful for adults with ADHD. These pilot data further suggest the need for additional controlled investigations.
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Uncontrolled studies have used individualised case formulations to tailor the CBT for ADHD.
“Uncontrolled studies have used individualised case formulations to tailor the CBT for ADHD (7, 8).”
From Cognitive–behavioural therapy for adult attention-deficit hyperactivity disorder: a proof of concept randomised controlled trial (2018) · cites this paper as [8]
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“Although the efficacy of various psychotherapeutic interventions for ADHD or SUD remains to be established, pilot data suggest efficacy of behavioral and cognitive therapies for adults with ADHD [95,96].”
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“…et al., 1989; Paterson et al., 1999; Taylor and Russo, 2000, 2001 Ib), Adderall mixed amfetamine salts (Spencer et al., 2001; Biederman et al., 2005 Ib), the psychostimulant pemoline (Wilens et al., 1999b Ib), and the dopaminergic agent bupropion (Wender and Reimherr, 1990; Wilens et al., 2001 Ib).”
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“The positive results found in this investigation are in line with the effects reported by Wilens et al. (1999), who performed a chart review of patients who received CBT and medication, and by Safren, Otto et al. (2005), who conducted a randomized control study of CBT and medication versus ongoing…”
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- Authors
- Wilens, T. E., McDermott, S. P., Biederman, J., Abrantes, A., Hahesy, A., & Spencer, T. J.
- Affiliations
- Harvard University (US)
- Venue
- Journal of Cognitive Psychotherapy
- Publisher
- Springer Publishing Company
- Published
- 1999-01
- Volume
- 13
- Issue
- 3
- Pages
- 215-226
- ISSN
- 0889-8391 (ISSN-L)
- 1938-887X
- OpenAlex
- W253535869
- Cited by
- 94
- References
- 0
- Citations by year
- 2024: 2 · 2021: 1 · 2020: 2 · 2018: 2 · 2017: 4 · 2016: 7 · 2015: 4 · 2014: 3 · 2013: 4 · 2012: 4
- FWCI
- 0.71
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Cognitive Psychotherapy (publishedVersion)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Attention Deficit Hyperactivity Disorder
- Social Sciences › Psychology › Experimental and Cognitive Psychology › Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes
- Social Sciences › Psychology › Clinical Psychology › Obsessive-Compulsive Spectrum Disorders
- Keywords
- adult ADHD, cognitive therapy, Beck's cognitive therapy, psychotherapy, psychiatric comorbidity, anxiety symptoms, depressive symptoms, treatment response, global functioning
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