Effectiveness of Psychotherapy in Adult ADHD: What Do Patients Think? Results 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
Published in:	Journal of attention disorders Vol. 23; no. 9; pp. 1047 - 1058
Main Authors:	Groß, Vivien, Lücke, Caroline, Graf, Erika, Lam, Alexandra P., Matthies, Swantje, Borel, Patricia, Sobanski, Esther, Rösler, Michael, Retz, Wolfgang, Jacob, Christian, Colla, Michael, Huss, Michael, Jans, Thomas, Kis, Bernhard, Abdel-Hamid, Mona, Tebartz van Elst, Ludger, Philipsen, Alexandra
Format:	Journal Article
Language:	English
Published:	Los Angeles, CA SAGE Publications 01-07-2019
Subjects:	adult ADHD follow-up psychotherapy mindfulness
Online Access:	Get full text
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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.
Bibliography:	ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 23
ISSN:	1087-0547 1557-1246
DOI:	10.1177/1087054717720718