View Full Version : Journal Reports on Psychosocial Treatments for ADHD


20thcenturyfox
11-11-16, 07:11 PM
May I double post here a post made elsewhere containing links to journal articles reporting on the effectiveness of various psychosocial treatments for ADHD, including CBT MBCT, DBT, etc.?

Curious About Different Slants on Research...
Quote:
Originally Posted by kilted_scotsman View Post
Research indicates that the success of therapy is dependant on

1) The quality of the relationship with the counsellor (high effect)
2) The willingness of the client to take risks, show up and "do the work" (high effect)
3) the modality of the counsellor (ie the type of counselling they were trianied in or say they offer) (Low effect)
4) The therapeutic environment.... room, cost etc (Low Effect).
This focus on the quality of the therapist and the relationship is not something I found at all when I went looking on the current state of research into effective treatments for ADHD. And because it's still early days for ADHD, I had the impression that the volume of work in this area is decidedly thin. I also had the impression, that because everyone worldwide seems to publish in English, that I was getting more or less a global search universe. But now you have me wondering....what are we missing when we Google away?

The research Google.com serves up in North America appears to be worldwide but maybe isn't. For example we get the NICE report from the UK, and the European Consensus on Adult ADHD, both citing Safren SA: Cognitive-behavioral approaches to ADHD treatment in adulthood, as the sole randomized control trial (J Clin Psychiatry. 2006, 67 (Suppl 8): 46-50), and the latter citing Young & Amarasinghe: Non-phamacological Treatments for ADHD: a Lifespan Approach. J Child Psych&Psych, 2010, 1- 2:116-133. available free here: http://www.airipa.it/wp-content/uplo...ratADHD010.pdf Purporting to cover the entire slender research literature on pp125-126, there is mention of CBT for ADHD as being evidence based, skills training based on DBT as being promising. CBT is described as being "highly structured" but there is no mention here of leader or relationship quality. Even in the next section on ADHD coaching, which being one-on-one must depend heavily on the therapist and the relationship, all the author's say is "Coaching is a derivative of cognitive behavioural paradigms (e.g., Brief Solution Focused Therapy) involving the development of a collaborative mentoring partnership which draws on an individualís personal strengths and aims to provide structure, support and feedback. However, there is no standard methodology and the process of delivery varies considerably, including face-to-face contact, brief regular telephone conversations and/or email contact."

Although there are a growing number of published studies, particularly in Europe based on DBT, I've found only a few for which the full text was available at no charge, though they seem consistent with the key items cited in the UK and European consensus statements.

1. Knouse, et al, 2008, Recent developments in psychosocial treatments for adult ADHD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2628311/

2. Safren's 2010 report Current Status of CBT of Adult ADHD https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2909688/

3. Hirvikovski Reduced ADHD symptoms in adults with ADHD after structured skills training group: Results from a randomized controlled trial, 2011 Behavior Research and Therapy, https://www.researchgate.net/profile...eeff000000.pdf

4. Young & Khondoker's CBT in medication-treated adults with ADHD and comorbidities, 2015 https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4595859/

Unless I missed it, these all treat the behavioral methodologies as being virtually "out of the box" with no comment at all on leader differences and group interactions treated as invariably positive. I admit I took this as reflecting the more mechanical measurable behavioral paradigm (in contrast to traditional psychoanalysis where leader and relationship quality was always central). So it comes as a surprise that someone in the UK would be finding research pointing toward a completely different measure of success, though it sounds like it resonates with the very spotty experiences people here are reporting. If you do have links to research along completely different lines, I'm sure we'd appreciate your sending it along.

Greyhound1
11-11-16, 08:16 PM
Thank you 20th for posting all the helpful information! To answer your initial question, I am sorry but double posting is not allowed