A combined treatment approach for adults with ADHD--results of an open study of 43 patients.
A combined treatment approach for adults with ADHD--results of an open study of 43 patients.
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DOI：
10.1177/1087054706288110
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发表时间：
2006-11-01
影响因子：
3
通讯作者：
Ramsay, J Russell
中科院分区：
文献类型：
--
作者：
Rostain, Anthony L;Ramsay, J Russell
目的：越来越多的成年人正在寻求ADHD的治疗。药物治疗被公认为成人ADHD的一线治疗方法，尽管对于这些患者所经历的无数问题，单靠药物治疗可能是不够的。很少有研究研究药物治疗和心理治疗相结合对这一临床人群的临床结果。本研究的目的是检验药物疗法和认知行为疗法的联合治疗对成人ADHD患者的潜在疗效。方法：43名接受ADHD结构化诊断评估的成年人完成6个月的联合治疗。通过比较治疗前后ADHD症状、并存症状和总体功能评分来评估治疗结果。结果/结论：结果表明，综合治疗与所有临床指标的显著改善相关。最后讨论了研究设计的局限性和未来研究的方向。
OBJECTIVE: Increasing numbers of adults are seeking treatment for ADHD. Pharmacotherapy is well established as the first line treatment for adult ADHD, although medications alone may be insufficient treatment for the myriad problems experienced by these patients. Few studies have examined the clinical outcomes of a combination of pharmacotherapy and psychotherapy for this clinical population. The purpose of the present study is to examine the potential effectiveness of the combination of pharmacotherapy and cognitive-behavior therapy modified to treat adult patients diagnosed with ADHD.METHOD: Forty-three adults who underwent a structured diagnostic assessment for ADHD complete 6 months of combined treatment. Treatment outcome is assessed by comparing pre- and posttreatment measures of ADHD symptoms, comorbid symptoms, and ratings of overall functioning.RESULTS/CONCLUSION: Results indicate that combined treatment is associated with significant improvements on all clinical measures. Limitations of the study design and directions for future research are discussed.