Reduced ADHD symptoms in adults with ADHD after structured skills training group: results from a randomized controlled trial |
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Authors: | Hirvikoski Tatja Waaler Else Alfredsson Julia Pihlgren Cecilia Holmström Annelie Johnson Anna Rück Johanna Wiwe Camilla Bothén Pernilla Nordström Anna-Lena |
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Affiliation: | aDepartment of Molecular Medicine and Surgery, Centre for Molecular Medicine L8:02, Karolinska Institute/Karolinska University Hospital, SE-17176 Stockholm, Sweden;bNeuropsychiatric Unit Karolinska, Psychiatry Northwest, Karolinska University Hospital, SE-17176 Stockholm, Sweden;cDepartment of Clinical Neuroscience, Psychiatry, Karolinska Institute and Hospital, SE-171 76 Stockholm, Sweden |
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Abstract: | ObjectiveFeasibility, acceptability, and efficacy of a Dialectical Behavioral Therapy (DBT) -based method developed in Germany were evaluated in a Swedish outpatient psychiatric context.MethodFifty-one adults with ADHD on stable medical treatment or on no medication were randomized to the DBT-based skills training (n = 26) or a parallel loosely structured discussion group (n = 25). Self-rating scales were administered before randomization and after the treatment.ResultsFeasibility and participant satisfaction were good in both groups while skills training was perceived as more logical and effective for ADHD-related problems. The analyses of the individuals who completed the treatment and remained stable with regard to medication (n = 19 in skills training; n = 18 in control group) showed a significant reduction in ADHD symptoms in the skills training group, but not in the control group. No reduction of comorbidity was observed in any of the groups.ConclusionsThe treatment was feasible in an outpatient psychiatric context, well tolerated, and significantly reduced ADHD symptoms in on-treatment individuals who remained stable regarding medication status. |
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Keywords: | ADHD Adults Psychotherapy Dialectical behavior therapy Cognitive behavior therapy Group therapy Treatment |
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