Cognitive behavioral treatment outcomes in adolescent ADHD.
Cognitive behavioral treatment outcomes in adolescent ADHD.
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DOI：
10.1177/1087054712443155
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发表时间：
2014-08-01
影响因子：
3
通讯作者：
Gordon, Michael
中科院分区：
文献类型：
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作者：
Antshel, Kevin M;Faraone, Stephen V;Gordon, Michael
目的：为了评估认知行为疗法（CBT）管理青少年ADHD.METHOD的疗效：共68名患有ADHD和相关精神病合并症的青少年完成了手动CBT治疗方案。该研究中使用的干预措施是Safren等人的向下扩展。对于那些症状未通过药物治疗的ADHD成年人，该计划。结果变量包括窄带（ADHD）和宽带（例如，情绪，焦虑，行为）症状测量（儿童行为评估系统-第2版和ADHD-评定量表）以及功能测量（父母/教师评级和几个生态现实世界测量）。自尊），家长和教师对注意力不集中症状的评分，上学出勤率，上学迟到，家长对同伴，家庭和学术功能的报告，以及教师对青少年与教师关系，学术进步和青少年自尊的报告。父母和老师认为患有对立违抗性障碍的ADHD青少年从CBT干预中获益较少。ADHD和共病焦虑/抑郁的青少年被评为家长和教师的CBT intervention.CONCLUSION：经验验证的成人ADHD CBT协议的向下延伸，可以受益于一些青少年ADHD。
OBJECTIVE: To assess the efficacy of cognitive behavioral therapy (CBT) for managing adolescent ADHD.METHOD: A total of 68 adolescents with ADHD and associated psychiatric comorbidities completed a manualized CBT treatment protocol. The intervention used in the study was a downward extension of the Safren et al. program for adults with ADHD who have symptoms unresolved by medication. Outcome variables consisted of narrow band (ADHD) and broadband (e.g., mood, anxiety, conduct) symptom measures (Behavior Assessment System for Children-2nd edition and ADHD-Rating Scales) as well as functioning measures (parent/teacher ratings and several ecologically real-world measures).RESULTS: Treatment effects emerged on the medication dosage, parent rating of pharmacotherapy adherence, adolescent self-report of personal adjustment (e.g., self-esteem), parent and teacher ratings of inattentive symptoms, school attendance, school tardiness, parent report of peer, family and academic functioning and teacher report of adolescent relationship with teacher, academic progress, and adolescent self-esteem. Adolescents with ADHD with oppositional defiant disorder were rated by parents and teachers as benefiting less from the CBT intervention. Adolescents with ADHD and comorbid anxiety/depression were rated by parents and teachers as benefiting more from the CBT intervention.CONCLUSION: A downward extension of an empirically validated adult ADHD CBT protocol can benefit some adolescents with ADHD.