Development of a New Psychosocial Treatment for Adult ADHD

Development of a New Psychosocial Treatment for Adult ADHD
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DOI:
10.1177/1087054707305100
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发表时间:
2008-05-01
影响因子:
3
通讯作者:
Kofman, Michele D.
Kofman, Michele D.
中科院分区:
医学2区
文献类型:
--
作者:
Solanto, Mary V.;Marks, David J.;Kofman, Michele D.

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目的:本研究的目的是评估一种新的手动组元认知治疗(MCT)的有效性,为成人多动症扩展的原则和实践的认知行为治疗的发展执行自我管理技能。方法:30名被诊断患有ADHD的成年人完成了一项为期8周或12周的计划,该计划旨在针对时间管理,组织和计划技能方面的障碍。使用治疗前和治疗后自我报告标准化测量(CAARS-S:L & Brown ADD量表)测量治疗疗效。结果如下:一般线性模型显示治疗后CAARS DSM-IV注意力不集中症状量表显著下降(p <.001),布朗ADD量表也有改善(p <.001)。结论:研究结果表明,MCT计划的参与者在注意力不集中的核心ADHD症状以及执行功能技能方面表现出显着改善,这表明该计划有望作为ADHD成年人元认知缺陷的治疗方法。(J.的AT。2008; 11(6)728 - 736)
Objective: The purpose of this study was to assess the effectiveness of a new manualized group Meta-Cognitive Therapy (MCT) for adults with ADHD that extends the principles and practices of cognitive-behavioral therapy to the development of executive self-management skills. Method: Thirty adults diagnosed with ADHD completed an 8- or 12-week program designed to target impairments in time management, organization, and planning skills. Treatment efficacy was measured using pre- and posttreatment self-report standardized measures (CAARS-S:L & Brown ADD Scales). Results: General linear modeling revealed a robust significant posttreatment decline on the CAARS DSM-IV Inattentive symptom scale (p < .001) as well as improvement on the Brown ADD Scales (p < .001). Conclusion: The findings indicate that participants in the MCT program showed marked improvement with respect to core ADHD symptoms of inattention, as well as executive functioning skills, suggesting that this program has promise as a treatment for meta-cognitive deficits in adults with ADHD. (J. of Att. Dis. 2008; 11(6) 728-736)