Long-Term Efficacy of Psychosocial Treatments for Adults With Attention-Deficit/Hyperactivity Disorder: A Meta-Analytic Review

Frontiers in Psychology
Carlos López-PinarJulio Sánchez-Meca

Abstract

Background: Recent evidence suggests that psychosocial treatments, particularly cognitive-behavioral therapy (CBT), are effective interventions for adult attention deficit hyperactivity disorder (ADHD). The objective of this review was to determine the long-term efficacy of psychosocial interventions in improving clinically relevant variables, including ADHD core symptoms, clinical global impression (CGI), and global functioning. Methods: In total, nine randomized controlled trials and three uncontrolled single-group pretest-posttest studies were included. The data from these studies were combined using the inverse variance method. Heterogeneity and risk of bias were assessed. Subgroup analyses and meta-regressions were performed, to determine the influence of different potential moderator variables (risk of bias, medication status, follow-up length, therapy type and setting, and control group type) on effect size (ES) estimates. Results: Up to 680 of a total of 1,073 participants assessed pre-treatment were retained at follow-up. Treatment groups showed greater improvement than control groups in self-reported total ADHD symptoms, inattention, and hyperactivity/impulsivity, in addition to CGI and global functioning. Blind asses...Continue Reading

References

Jun 1, 1996·International Clinical Psychopharmacology·D V SheehanB A Raj
Oct 6, 1997·BMJ : British Medical Journal·M EggerC Minder
Jul 15, 2000·The British Journal of Mathematical and Statistical Psychology·S B Morris
Mar 13, 2002·Lancet·Kenneth F Schulz, David A Grimes
Apr 23, 2002·Journal of Attention Disorders·Timothy E WilensJoseph Biederman
Sep 21, 2002·European Archives of Psychiatry and Clinical Neuroscience·Bernd HesslingerDieter Ebert
Sep 6, 2003·BMJ : British Medical Journal·Julian P T HigginsDouglas G Altman
Apr 6, 2004·The Psychiatric Clinics of North America·Steven A SafrenMichael W Otto
May 18, 2005·Behaviour Research and Therapy·Steven A SafrenJoseph Biederman
Nov 21, 2007·Journal of Attention Disorders·Lidia ZylowskaSusan L Smalley
Mar 3, 2009·The British Journal of Psychiatry : the Journal of Mental Science·Viktória SimonIstván Bitter
Apr 7, 2009·Journal of Attention Disorders·Anita SalakariMatti Iivanainen
Jul 6, 2010·The Psychiatric Clinics of North America·Laura E Knouse, Steven A Safren
Oct 20, 2011·BMJ : British Medical Journal·Julian P T HigginsUNKNOWN Cochrane Statistical Methods Group
Nov 4, 2011·Neuropsychopharmacology : Official Publication of the American College of Neuropsychopharmacology·Sophia VinogradovEtienne de Villers-Sidani
Nov 19, 2011·Journal of Attention Disorders·Laura E KnouseJohn Dunlosky
Nov 22, 2011·Journal of Attention Disorders·Frederick W ReimherrReid J Robison
Jul 4, 2012·Journal of Abnormal Child Psychology·Aparajita B KuriyanKristine M Kent
Jan 10, 2013·Clinical Psychology Review·Joel T Nigg
Jun 28, 2014·Journal of Attention Disorders·Richard PetterssonKent W Nilsson
Sep 19, 2014·The Cochrane Database of Systematic Reviews·Tamir EpsteinMark Weiser
Feb 26, 2015·Frontiers in Human Neuroscience·Simona SalomoneIan H Robertson
Sep 26, 2015·Basic & Clinical Pharmacology & Toxicology·Mats Fredriksen, Dawn E Peleikis
Sep 28, 2015·Attention Deficit and Hyperactivity Disorders·E MorgensternsT Hirvikoski
Nov 5, 2015·JAMA Psychiatry·Alexandra PhilipsenUNKNOWN Comparison of Methylphenidate and Psychotherapy in Adult ADHD Study (COMPAS) Consortium
Jan 24, 2016·Attention Deficit and Hyperactivity Disorders·Christina Mohr JensenSidse M H Arnfred
Feb 4, 2016·Journal of Attention Disorders·Molly Cairncross, Carlin J Miller
Jan 1, 2014·Borderline Personality Disorder and Emotion Dysregulation·Swantje D Matthies, Alexandra Philipsen
Apr 15, 2016·European Psychiatry : the Journal of the Association of European Psychiatrists·T CadmanP Asherson
Nov 4, 2016·Journal of the American Academy of Child and Adolescent Psychiatry·Lily HechtmanUNKNOWN MTA Cooperative Group
Nov 21, 2016·Attention Deficit and Hyperactivity Disorders·John FayyadUNKNOWN WHO World Mental Health Survey Collaborators

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Citations

May 18, 2019·British Journal of Sports Medicine·Doug Hyun HanBrian Hainline
Jun 1, 2019·JAMA Network Open·Alexandra P LamUNKNOWN Comparison of Methylphenidate and Psychotherapy in Adult ADHD Study (COMPAS) Consortium
Jul 22, 2021·Scandinavian Journal of Occupational Therapy·Maria WingrenMarie Holmefur

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Methods Mentioned

BETA
pharmacotherapy

Software Mentioned

Scopus
Review Manager
Comprehensive Meta Analysis

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