Two novel CBTs for adolescents with ADHD: the value of planning skills

Verfasser / Beitragende:
[Bianca Boyer, Hilde Geurts, Pier Prins, Saskia Van der Oord]
Ort, Verlag, Jahr:
2015
Enthalten in:
European Child & Adolescent Psychiatry, 24/9(2015-09-01), 1075-1090
Format:
Artikel (online)
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024 7 0 |a 10.1007/s00787-014-0661-5  |2 doi 
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245 0 0 |a Two novel CBTs for adolescents with ADHD: the value of planning skills  |h [Elektronische Daten]  |c [Bianca Boyer, Hilde Geurts, Pier Prins, Saskia Van der Oord] 
520 3 |a Adolescents with ADHD have planning problems, often affecting school- and social functioning. Evidence-based treatments for adolescents with ADHD are scarce and treatment drop-out rates are substantial. The effectiveness of two new, individual, short-term cognitive behavioral therapies (CBT) was investigated: One with an aim on improving planning skills and one solution-focused treatment (SFT) without such an aim. Motivational Interviewing elements were added to both treatments to enhance treatment compliance. In a multi-center randomized clinical trial, 159 adolescents (12-17years) with ADHD were randomly assigned to one of both treatments. Pre-, post- and 3-month follow-up data were gathered on five domains: Parent-rated ADHD, planning problems and executive functioning (primary outcomes), neuropsychological measures of planning, comorbid symptoms, general functioning, andteacher measures. Attrition was low in both treatments (5%). Adolescents improved significantly between pre- and post-test with large effect sizes on all domains. Improvements remained stable or continued to improve from post-test to follow-up, also when controlling for medication use. Marginally significant differences were found in favor of the planning-focused treatment: parents and therapists evaluated this treatment more positively than SFT and the planning-focused treatment showed more reduction of parent-rated planning problems. Two new CBTs with integrated motivational components were feasible and attrition was low. ADHD symptoms and co-existing problems of the adolescents improved from pre-test to 3months after treatment. As the planning-focused treatment was evaluated more positive and had marginal additional beneficial effects to SFT, especially planning-focused CBT seems promising to fill the gap in available treatments for adolescents with ADHD. 
540 |a Springer-Verlag Berlin Heidelberg, 2014 
690 7 |a ADHD  |2 nationallicence 
690 7 |a Adolescence  |2 nationallicence 
690 7 |a CBT  |2 nationallicence 
690 7 |a Treatment  |2 nationallicence 
690 7 |a Executive functioning  |2 nationallicence 
690 7 |a Planning  |2 nationallicence 
700 1 |a Boyer  |D Bianca  |u Department of Developmental Psychology, University of Amsterdam, Amsterdam, The Netherlands  |4 aut 
700 1 |a Geurts  |D Hilde  |u Dutch Autism and ADHD Research Center, University of Amsterdam, Amsterdam, The Netherlands  |4 aut 
700 1 |a Prins  |D Pier  |u Department of Developmental Psychology, University of Amsterdam, Amsterdam, The Netherlands  |4 aut 
700 1 |a Van der Oord  |D Saskia  |u Clinical Psychology, KU Leuven, Tiensestraat 102, Bus 3720, 3000, Leuven, Belgium  |4 aut 
773 0 |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/9(2015-09-01), 1075-1090  |x 1018-8827  |q 24:9<1075  |1 2015  |2 24  |o 787 
856 4 0 |u https://doi.org/10.1007/s00787-014-0661-5  |q text/html  |z Onlinezugriff via DOI 
898 |a BK010053  |b XK010053  |c XK010000 
900 7 |a Metadata rights reserved  |b Springer special CC-BY-NC licence  |2 nationallicence 
908 |D 1  |a research-article  |2 jats 
949 |B NATIONALLICENCE  |F NATIONALLICENCE  |b NL-springer 
950 |B NATIONALLICENCE  |P 856  |E 40  |u https://doi.org/10.1007/s00787-014-0661-5  |q text/html  |z Onlinezugriff via DOI 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Boyer  |D Bianca  |u Department of Developmental Psychology, University of Amsterdam, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Geurts  |D Hilde  |u Dutch Autism and ADHD Research Center, University of Amsterdam, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Prins  |D Pier  |u Department of Developmental Psychology, University of Amsterdam, Amsterdam, The Netherlands  |4 aut 
950 |B NATIONALLICENCE  |P 700  |E 1-  |a Van der Oord  |D Saskia  |u Clinical Psychology, KU Leuven, Tiensestraat 102, Bus 3720, 3000, Leuven, Belgium  |4 aut 
950 |B NATIONALLICENCE  |P 773  |E 0-  |t European Child & Adolescent Psychiatry  |d Springer Berlin Heidelberg  |g 24/9(2015-09-01), 1075-1090  |x 1018-8827  |q 24:9<1075  |1 2015  |2 24  |o 787