title: Internet-Based Cognitive Behavioral Therapy for Adults With ADHD in Outpatient Psychiatric Care.
abstract: OBJECTIVE
  The purpose of the study was to evaluate an Internet-based cognitive behavioral therapy (iCBT) program targeting difficulties and impairments associated with adult ADHD.
  
  
  METHODS
  Forty-five adults diagnosed with ADHD were randomized to either self-help (iCBT self-help format [iCBT-S]), self-help with weekly group sessions (iCBT group-therapy format [iCBT-G]), or a waiting-list control group. Treatment efficacy was measured at pre- and posttreatment and at 6-month follow-up.
  
  
  RESULTS
  Intention-to-treat (ITT) analysis showed a significant reduction in ADHD symptoms for the iCBT-S group in comparison with the waiting-list controls at posttreatment, with a between-group effect size of d = 1.07. The result was maintained at 6-month follow-up. No significant difference was found at posttreatment or 6-month follow-up between the iCBT-S and iCBT-G groups.
  
  
  CONCLUSIONS
  The findings show that a CBT treatment program administered through the Internet can be a promising treatment for adult ADHD. Limitations of the study design and directions for future research are discussed.
authors: 1 County Hospital, Västerås, Sweden.
authors: Richard
authors: R
authors: Pettersson
authors: 1 County Hospital, Västerås, Sweden.
authors: Staffan
authors: S
authors: Söderström
authors: 1 County Hospital, Västerås, Sweden.
authors: Kerstin
authors: K
authors: Edlund-Söderström
authors: 1 County Hospital, Västerås, Sweden.|2 Uppsala University, Västerås, Sweden.
authors: Kent W
authors: KW
authors: Nilsson
mesh_terms: D000328:Adult; D000553:Ambulatory Care / Q000379:methods; D000704:Analysis of Variance; D000786:Anger; D001288:Attention; D001289:Attention Deficit Disorder with Hyperactivity / Q000523:psychology / Q000628:therapy*; D015928:Cognitive Behavioral Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D020407:Internet; D008297:Male; D064866:Mindfulness / Q000379:methods; D011340:Problem Solving; D011615:Psychotherapy, Group / Q000379:methods; D016896:Treatment Outcome; D014850:Waiting Lists
keywords: ADHD; adult; cognitive behavioral therapy; randomized controlled trial