A cognitive remediation programme for adults with Attention Deficit Hyperactivity Disorder

Caroline Stevenson, Stephanie Whitmont, Laurel Bornholt, David Livesey, Richard Stevenson

Research output: Contribution to journalArticle

178 Citations (Scopus)

Abstract

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. Method: 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.

Original languageEnglish
Pages (from-to)610-616
Number of pages7
JournalAustralian and New Zealand Journal of Psychiatry
Volume36
Issue number5
DOIs
Publication statusPublished - 2002

Keywords

  • Adult ADHD
  • Cognitive remediation
  • Life skills

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