| Přispěvatelé: |
Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Child and Adolescent Psychiatry, LUNDD (LUnd Neurodevelopmental Disorders), Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Barn- och ungdomspsykiatri, Klinisk barn och ungdomspsykiatri, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Child and Adolescent Psychiatry, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Barn- och ungdomspsykiatri, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Child and Adolescent Psychiatry, Evidence based clinical methods, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Barn- och ungdomspsykiatri, Evidensbaserade kliniska metoder, Originator, Lund University, Faculty of Social Sciences, Departments of Administrative, Economic and Social Sciences, Department of Psychology, Lunds universitet, Samhällsvetenskapliga fakulteten, Samhällsvetenskapliga institutioner och centrumbildningar, Institutionen för psykologi, Originator, Lund University, Faculty of Medicine, Department of Clinical Sciences, Lund, Section IV, Child and Adolescent Psychiatry, Child and Adolescent Psychiatric Conditions and Associated Risk Factors: CARE, Lunds universitet, Medicinska fakulteten, Institutionen för kliniska vetenskaper, Lund, Sektion IV, Barn- och ungdomspsykiatri, Barn- och ungdomspsykiatriska tillstånd och associerade riskfaktorer, Originator, Lund University, Faculty of Engineering, LTH, Departments at LTH, Department of Design Sciences, Lunds universitet, Lunds Tekniska Högskola, Institutioner vid LTH, Institutionen för designvetenskaper, Originator |
| Popis: |
BACKGROUND: Attention Deficit Hyperactivity Disorder (ADHD) is a commonly occurring neurodevelopmental disorder associated with impairments in numerous aspects of functioning and quality of life. There is a growing recognition that brief and effective psychosocial interventions are needed for youth with ADHD. OBJECTIVE: The aim of this study was to assess the feasibility and preliminary effectiveness of a dialectical behavioral therapy-based skills training group for adolescents with ADHD in a routine clinical care setting. METHODS: Ten adolescents with ADHD/ADD (Attention Deficite Disorder) commenced a 10-week training group including psychoeduction, mindfulness and other self-regulatory skills training. Primary outcomes were pre- to post-treatment changes in guardian-rated ADHD-symptoms and participant-rated quality of life. Secondary outcomes were pre- to post-treatment changes in participant-rated executive functioning, depression, anxiety, and treatment satisfaction, as well as parent/guardian-rated executive functioning. All symptom/functioning scales were administered at pre-treatment, post-treatment, and a 12-week follow-up. RESULTS: Eight of the ten participants completed treatment, with > 80% attendance for treatment completers and high ratings for treatment satisfaction. Based on the intention-to-treat analyses, there were improvements from pre-treatment to follow-up in primary and secondary outcomes except quality of life. Based on the completer's analyses, there were improvements from pre-treatment to follow-up for guardian rated ADHD symptoms and executive functioning, depression, anxiety, and quality of life. Uncontrolled effect sizes for pre-treatment to 12-week follow-up for treatment completers were medium for inattention, executive functioning, and quality of life, and large for depression and anxiety. CONCLUSIONS: The present study suggests that the DBT-based skills group training was feasible and, for treatment completers, yielded significant improvements across a range of symptom domainsand quality of life assessed at the 12-week follow-up. However, this is only an exploratory finding and could be attributed to natural improvement or regression toward the mean. Therefore, further studies are warranted. |
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