Structured group psychotherapy in adults with attention deficit hyperactivity disorder

被引：116

作者：

Philipsen, Alexandra ^{[1
]}

Richter, Harald ^{[1
]}

Peters, Julia ^{[1
]}

Alm, Barbara ^{[2
]}

Sobanski, Esther ^{[2
]}

Colla, Michael ^{[3
]}

Muenzebrock, Mirka ^{[3
]}

Scheel, Corinna ^{[1
]}

Jacob, Christian ^{[4
]}

Perlov, Evgeniy ^{[1
]}

van Elst, Ludger Tebartz ^{[1
]}

Hesslinger, Bernd ^{[1
]}

机构：

[1] Univ Freiburg, Sch Med, Dept Psychiat & Psychotherapy, D-79104 Freiburg, Germany

[2] Cent Inst Mental Hlth, D-6800 Mannheim, Germany

[3] Charite Univ Med Berlin, Dept Psychiat, Berlin, Germany

[4] Univ Wurzburg, Dept Psychiat & Psychotherapy, D-97070 Wurzburg, Germany

来源：

JOURNAL OF NERVOUS AND MENTAL DISEASE | 2007年 / 195卷 / 12期

关键词：

attention deficit hyperactivity disorder; skills; mindfulness; emotion regulation; dialectical behavioral therapy;

D O I：

10.1097/NMD.0b013e31815c088b

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Attention deficit hyperactivity disorder (ADHD) is a serious mental disorder that often persists in adulthood. In a pilot study, a structured skills training group program for adult ADHD led to significant symptomatic improvements. The present study evaluated the program's effectiveness, feasibility, and patient acceptability in a multicenter setting. Seventy-two adult ADHD patients were assigned to 13 two-hour weekly sessions at 4 different therapy sites. The therapy was well tolerated and led to significant improvements of ADHD, depressive symptoms, and personal health status (p < 0.001). The factors treatment site and medication did not contribute to the overall improvement. Patients regarded the program topics "behavioral analyses," "mindfulness," and "emotion regulation" as the most helpful. In this multicenter study, the therapy program showed therapist-independent effects and seemed to be disorderspecific. This warrants the effort of organizing further controlled studies.

引用

页码：1013 / 1019

页数：7

共 38 条

[31] Cognitive-behavioral therapy for ADHD in medication-treated adults with continued symptoms [J].

Safren, SA ;

Otto, MW ;

Sprich, S ;

Winett, CL ;

Wilens, TE ;

Biederman, J .

BEHAVIOUR RESEARCH AND THERAPY, 2005, 43 (07) :831-842

[32] Comorbidities and costs of adult patients diagnosed with attention-deficit hyperactivity disorder [J].

Secnik, K ;

Swensen, A ;

Lage, MJ .

PHARMACOECONOMICS, 2005, 23 (01) :93-102

[33]

SOTSKY SM, 1991, AM J PSYCHIAT, V148, P997

[34] A cognitive remediation programme for adults with Attention Deficit Hyperactivity Disorder [J].

Stevenson, CS ;

Whitmont, S ;

Bornholt, L ;

Livesey, D ;

Stevenson, RJ .

AUSTRALIAN AND NEW ZEALAND JOURNAL OF PSYCHIATRY, 2002, 36 (05) :610-616

[35]

WARD MF, 1993, AM J PSYCHIAT, V150, P885

[36] PSYCHIATRIC STATUS OF HYPERACTIVES AS ADULTS - A CONTROLLED PROSPECTIVE 15-YEAR FOLLOW-UP OF 63 HYPERACTIVE-CHILDREN [J].

WEISS, G ;

HECHTMAN, L ;

MILROY, T ;

PERLMAN, T .

JOURNAL OF THE AMERICAN ACADEMY OF CHILD AND ADOLESCENT PSYCHIATRY, 1985, 24 (02) :211-220

[37]

Wender PH, 2001, ANN NY ACAD SCI, V931, P1

[38] Attention-deficit/hyperactivity disorder in adults [J].

Wilens, E ;

Faraone, SV ;

Biederman, J .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2004, 292 (05) :619-623

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