Psychotherapy of attention deficit hyperactivity disorder in adults - A pilot study using a structured skills training program
Psychotherapy of attention deficit hyperactivity disorder in adults - A pilot study using a structured skills training program
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DOI：
10.1007/s00406-002-0379-0
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发表时间：
2002-08-01
影响因子：
4.7
通讯作者：
Ebert, D
中科院分区：
文献类型：
--
作者：
Hesslinger, B;van Elst, LT;Ebert, D
在临床实践中，许多注意缺陷多动障碍（ADHD）的成年患者要求在药物治疗之外额外进行心理治疗干预。在本文中，我们提出了一个结构化的技能培训计划，特别是为成人ADHD患者量身定制。该计划是基于边缘性人格障碍的认知行为治疗的原则，由M。莱恩汉它被修改，以适应成人ADHD患者的特殊需要。在这项探索性的试点研究中，我们在一组设置中测试了这个程序。提出了以下内容：ADHD的神经生物学、正念、混乱和控制、行为分析、情绪调节、抑郁、ADHD药物、冲动控制、压力管理、依赖、ADHD的关系和自尊。在一项开放性研究设计中，使用心理测量量表对患者进行临床评估治疗前后分别采用DSM-IV版注意缺陷多动障碍自评量表、SCL-90-R 16项、Beck-Depression Inventory、视觉模拟量表进行评定。这种治疗产生了积极的结果，患者在所有心理测量量表上都有所改善。
In clinical practice many adult patients with attention deficit hyperactivity disorder (ADHD) ask for an additional psychotherapeutic intervention besides the medical therapy. In this paper we present a structured skill training program particularly tailored for adult patients with ADHD. The program is based on the principles of cognitive-behavioral treatment for borderline personality disorder developed by M. Linehan. It was modified to suit the special needs of adult patients with ADHD. In this exploratory pilot study we tested this program in a group setting. The following elements were presented: neurobiology of ADHD, mindfulness, chaos and control, behavior analysis, emotion regulation, depression, medication in ADHD, impulse control, stress management, dependency, ADHD in relationship and self respect.In an open study design patients were assessed clinically using psychometric scales (Attention Deficit Hyperactivity Disorder Checklist according to DSM-IV, 16 items of the SCL-90-R, Beck-Depression Inventory, visual analogue scale) prior to and following group therapy. This treatment resulted in positive outcomes in that patients improved on all psychometric scales.