A Cognitive Remediation Programme for Adults with Attention Deficit Hyperactivity Disorder

Objective: This is the first systematic examination of the efficacy of a cognitive remediation programme (CRP) for management of adult Attention Deficit Hyperactivity Disorder (ADHD). The CRP was designed to target problems commonly associated with adult ADHD, namely, attention problems, poor motiva...

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Bibliographic Details
Published in:Australian and New Zealand journal of psychiatry 2002-10, Vol.36 (5), p.610-616
Main Authors: Stevenson, Caroline S, Whitmont, Stephanie, Bornholt, Laurel, Livesey, David, Stevenson, Richard J
Format: Article
Language:English
Subjects:
Adult
adult ADHD
Adults
Attention Deficit Disorder with Hyperactivity - therapy
Attention deficit hyperactivity disorder
Behavior therapy. Cognitive therapy
Biological and medical sciences
cognitive remediation
Cognitive therapy
Cognitive Therapy - methods
Female
Group psychotherapy
Humans
life skills
Male
Medical sciences
Motivation
Program Evaluation
Psychology. Psychoanalysis. Psychiatry
Psychopathology. Psychiatry
Psychotherapies. Psychological and clinical counseling
Self Concept
Socialization
Treatments
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Summary:Objective: This is the first systematic examination of the efficacy of a cognitive remediation programme (CRP) for management of adult Attention Deficit Hyperactivity Disorder (ADHD). The CRP was designed to target problems commonly associated with adult ADHD, namely, attention problems, poor motivation, poor organizational skills, impulsivity, reduced anger control and low self-esteem. Method: In a randomized, controlled trial, a representative sample of adults with ADHD (some medicated, some not) were assigned to either a CRP (n = 22) or a waiting list control (n = 21). The CRP was delivered in an intensive format with eight two-hour, weekly sessions with support people who acted as coaches, and participant workbooks with homework exercises. Results: Participants who completed the CRP reported reduced ADHD symptomatology (effect size (d) = 1.4), improved organizational skills (d = 1.2) and reduced levels of anger (d = 0.5). Clinically significant improvements in ADHD symptomatology (d = 1.4) and organizational skills (d = 1.3) were maintained one year after the intervention. Conclusions: These findings suggest that the CRP provides a practical way of enhancing daily functioning for adults with ADHD.
ISSN:0004-8674
1440-1614
DOI:10.1046/j.1440-1614.2002.01052.x