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Effectiveness of Cognitive Behavioral Therapy for Medicated Adults with Residual Attention Deficit Hyperactivity Disorder (ADHD) Symptoms: A Randomized Controlled Study

A randomized controlled trial on Cognitive Behaviour Therapy in Medication-Treated Adults with ADHD and Persistent Symptoms: The impact on ADHD symptoms, anxiety, depression, quality of life, coping style, emotional control, social functioning, antisocial behaviour and specific personality traits

Status
Completed
Phases
Unknown
Study type
Interventional
Source
ANZCTR
Registry ID
ACTRN12611000533998
Enrollment
100
Registered
2011-05-24
Start date
2009-04-10
Completion date
Unknown
Last updated
2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

Previous studies on psychological treatments for adults with ADHD show promise, especially regarding ADHD symptoms. Information on treatment effectiveness for comorbid problems are mixed. This study aims to investigate the effectiveness of the R&R2 ADHD cognitive behavioural group treatment which has been developed to treat ADHD symptoms and common comorbid problems. It is hypothesised that this treatment will show significant improvements in reducing ADHD symptoms and comorbid problems above medication treatment alone. It is also hypothesised that this effect will be maintained at follow-up.

Interventions

Participants in the CBT condition receive 15 sessions of the Reasoning and Rehabilitation Programme for youth and adults with ADHD (R&R2ADHD) twice weekly, each lasting 90 minutes. R&R2ADHD is a structured, manualised programme that aims to decrease impairment of core ADHD symptoms and improve social, problem solving, and organizational skills. It consists of five treatment modules (1) neurocognitive, e.g. learning strategies to improve attentional control, memory, impulse control and planning,

Participants in the CBT condition receive 15 sessions of the Reasoning and Rehabilitation Programme for youth and adults with ADHD (R&R2ADHD) twice weekly, each lasting 90 minutes. R&R2ADHD is a structured, manualised programme that aims to decrease impairment of core ADHD symptoms and improve social, problem solving, and organizational skills. It consists of five treatment modules (1) neurocognitive, e.g. learning strategies to improve attentional control, memory, impulse control and planning, (2) problem solving, e.g. developing skilled thinking, problem identification, consequential thinking, managing conflict and making choices, (3) emotional control, e.g. managing feelings of anger and anxiety, (4) pro-social skills, e.g. recognition of the thoughts and feeling of others, empathy, negotiation skills and conflict resolution, and (5) critical reasoning, e.g. evaluating options and effective behavioural skills.The program is run in small groups by two psychologist who have extensive experience in CBT and have been trained in the R&R2ADHD program. Additionally the participants will meet with specific coaches once a week during the 2 month intervention period for 30 minutes to review sessions and to support participants to transfer skills learned in the group into their daily lives. Assessment will be at baseline, at the end of treatment in about two months and at three month follow-up.

Sponsors

Landspitali - The National University Hospital of Iceland
Lead SponsorHospital

Study design

Allocation
Randomised controlled trial
Intervention model
Parallel
Primary purpose
Treatment
Masking
Blinded (masking used)

Eligibility

Sex/Gender
All
Age
18 Years to No maximum
Healthy volunteers
No

Inclusion criteria

A clinical diagnosis of ADHD and to be stable on prescribed ADHD medication for at least a month, i.e. stimulants (Ritalin, Ritalin Uno and Concerta), Atomoxetine or Bupropion.

Exclusion criteria

Severe mental illness, active drug abuse, verbal IQ estimated from clinical records to be below 85, no valid ADHD diagnosis or not prescribed/taking ADHD medication

Outcome results

None listed

Source: ANZCTR · Data processed: Mar 28, 2026