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Effectiveness of psychotherapy in adult ADHD: What do patients think?$dResults of the COMPAS study

Objective: In the multicenter study Comparison of Methylphenidate and Psychotherapy in Adult ADHD (COMPAS), the efficacy of treatments has been primarily evaluated by observer-rated symptom change. Here, we additionally analyzed the patients’ subjective evaluation of therapy effects. Method: COMPAS...

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Bibliographic Details
Main Authors: Groß, Vivien (Author) , Sobanski, Esther (Author)
Format: Article (Journal)
Language:English
Published: 2019
In: Journal of attention disorders
Year: 2017, Volume: 23, Issue: 9, Pages: 1047-1058
ISSN:1557-1246
DOI:10.1177/1087054717720718
Online Access:Verlag, Volltext: https://doi.org/10.1177/1087054717720718
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Author Notes:Vivien Groß, Caroline Lücke, Erika Graf, Alexandra P. Lam, Swantje Matthies, Patricia Borel, Esther Sobanski, Michael Rösler, Wolfgang Retz, Christian Jacob, Michael Colla, Michael Huss, Thomas Jans, Bernhard Kis, Mona Abdel-Hamid, Ludger Tebartz van Elst, Alexandra Philipsen
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Summary:Objective: In the multicenter study Comparison of Methylphenidate and Psychotherapy in Adult ADHD (COMPAS), the efficacy of treatments has been primarily evaluated by observer-rated symptom change. Here, we additionally analyzed the patients’ subjective evaluation of therapy effects. Method: COMPAS compared ADHD-specific group therapy with unspecific clinical management with/without concomitant pharmacotherapy in a four-armed design. Evaluation through the patients’ retrospective perspective was performed after 1 year (post-treatment) and after another 1.5 years (follow-up). Results: In respect to patients’ subjective ratings, ADHD-specific group psychotherapy outperformed unspecific management post-treatment (z = 4.88, p < .0001) and at follow-up (z = 2.90, p = .004). Rank correlations with rater-based symptom change were small to moderate (post-treatment: rs = 0.28, follow-up: rs = 0.16). Conclusion: Therapy evaluation based on the patients’ perspective supports the concept of ADHD-specific group psychotherapy as a potentially useful therapy option in ADHD.
Item Description:Gesehen am 28.11.2019
First Published July 26, 2017
Physical Description:Online Resource
ISSN:1557-1246
DOI:10.1177/1087054717720718

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