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 motivation, poor organizational skills, impulsivity, reduced anger control and low self-esteem.


METHODS
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.
Stevenson
Caroline S
CS
New South Wales Institute of Psychiatry, LB 7118, Paramatta BC, NSW 2150, Australia. cstevenson@nswiop.nsw.edu.au
Whitmont
Stephanie
S
Bornholt
Laurel
L
Livesey
David
D
Stevenson
Richard J
RJ
D000328:Adult; D001289:Attention Deficit Disorder with Hyperactivity / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D009042:Motivation; D015397:Program Evaluation; D012649:Self Concept; D012951:Socialization