Meta-analysis of cognitive-behavioral treatments for adult ADHD

Journal of Consulting and Clinical Psychology
Laura E KnouseMilan A Brooks

Abstract

We conducted a meta-analysis of cognitive-behavioral treatment (CBT) studies for adult attention-deficit/hyperactivity disorder (ADHD), examining effects versus control and effects pre-to-post treatment to maximize the clinical and research utility of findings from this growing literature. Eligible studies tested adults meeting criteria for Diagnostic and Statistical Manual of Mental Disorders ADHD as determined by interview or using a standardized rating scale and measured ADHD symptoms or related impairment at baseline and posttreatment. We analyzed data from 32 studies from published and unpublished sources available through December 2015. Effect size calculations included up to 896 participants. Using a random effects model, we found that CBTs had medium-to-large effects from pre- to posttreatment (self-reported ADHD symptoms: g = 1.00; 95% confidence interval [CI: 0.84, 1.16]; self-reported functioning g = .73; 95% CI [0.46, 1.00]) and small-to-medium effects versus control (g = .65; 95% CI [0.44, 0.86] for symptoms, .51; 95% CI [0.23, 0.79] for functioning). Effect sizes were heterogeneous for most outcome measures. Studies with active control groups showed smaller effect sizes. Neither participant medication status nor t...Continue Reading

Citations

Mar 23, 2018·The Cochrane Database of Systematic Reviews·Pablo Luis LopezFacundo F Manes
Apr 2, 2019·Journal of Attention Disorders·John T MitchellPeter S Jensen
May 15, 2018·Assessment·Peter J CastagnaMatthew Calamia
Jun 30, 2018·Molecular Psychiatry·Arthur CayeLuis Augusto Rohde
Dec 17, 2020·Journal of Attention Disorders·Christina M SteeleR Elizabeth Capps
Jan 10, 2021·Journal of Marital and Family Therapy·Brian T WymbsLoren M Ranson
Feb 8, 2021·Neuroscience and Biobehavioral Reviews·Stephen V FaraoneYufeng Wang
Feb 23, 2021·Journal of Clinical Child and Adolescent Psychology : the Official Journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53·Laura D EddyJoshua M Langberg
Apr 4, 2021·Journal of Personalized Medicine·Luis Núñez-JaramilloWendy Verónica Herrera-Morales

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