A cognitive remediation programme for adults with Attention Deficit Hyperactivity Disorder
A cognitive remediation programme for adults with Attention Deficit Hyperactivity Disorder
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DOI：
10.1046/j.1440-1614.2002.01052.x
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发表时间：
2002-10-01
影响因子：
4.6
通讯作者：
Stevenson, RJ
中科院分区：
文献类型：
--
作者：
Stevenson, CS;Whitmont, S;Stevenson, RJ
目的：这是第一次系统地检查认知补救计划（CRP）对成人注意缺陷多动障碍（ADHD）管理的有效性。CRP的目的是针对常见的问题与成人ADHD，即注意力问题，动机差，组织能力差，冲动，减少愤怒控制和低self-esteem.Method：在一个随机对照试验，一个有代表性的样本的成人ADHD（一些药物，一些没有）被分配到CRP（n = 22）或等待列表控制（n = 21）。CRP是在一个密集的格式提供了8个两小时，每周一次的会议与支持的人谁担任教练，和参与者的工作簿与家庭作业exercises.Results：参与者完成CRP报告减少ADHD的症状（效果大小（D）= 1.4），提高组织能力（D = 1.2）和减少愤怒的水平（D = 0.5）。临床上显着改善ADHD运动学（D = 1.4）和组织技能（D = 1.3）保持一年后intervention.Conclusions：这些研究结果表明，CRP提供了一个切实可行的方式，提高日常功能的成人ADHD。
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.