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The value of cognitive behavioral therapy on quality of life in addition to pharmacotherapy in adults with ADHD
INTRODUCTION: Treatment options for ADHD in adults consist of psycho-education, cognitive behavioral therapy (CBT), pharmacotherapy or a combination thereof. Current studies do not yet provide insights into the additive effects of CBT and pharmacotherapy regarding the quality of life in adults with...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Cambridge University Press
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568250/ http://dx.doi.org/10.1192/j.eurpsy.2022.1564 |
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author | Wettstein, R. Klabbers, Y. Romijn, E. Nieuwveen, J. Kroesen, H. Wettstein, K. Dumont, G. |
author_facet | Wettstein, R. Klabbers, Y. Romijn, E. Nieuwveen, J. Kroesen, H. Wettstein, K. Dumont, G. |
author_sort | Wettstein, R. |
collection | PubMed |
description | INTRODUCTION: Treatment options for ADHD in adults consist of psycho-education, cognitive behavioral therapy (CBT), pharmacotherapy or a combination thereof. Current studies do not yet provide insights into the additive effects of CBT and pharmacotherapy regarding the quality of life in adults with ADHD. OBJECTIVES: In this study, we investigated the effect of CBT combined with pharmacotherapy on the quality of life in adults with ADHD compared to pharmacotherapy alone. METHODS: In this multicenter prospective cohort study a total of 627 patients were included, 305 where included in the pharmacotherapy only group and 322 in de combination group (CBT and pharmacotherapy). The Adult ADHD Quality-of-Life scale (AAQoL) was conducted at baseline and at the end of treatment. RESULTS: No significant differences were found in gender or age between groups at baseline. The average improvement in the AAQoL total score in the pharmacotherapy group was 26.81(17.12) and in the combination group 25.45(16.33) and showed no significant difference (t(543) = 0.96, p = 0.34). At baseline the average total score in the pharmacotherapy group was 45.5(12.37) and 42.22(12.73) in the combination group (t(543)=2.86, p = 0.004). The average total score at the end of treatment in the pharmacotherapy and combination group was 72.31(12.99) and 67.67(12.45), respectively (t(543)=426, p <0.001). CONCLUSIONS: To our knowledge, this is the first study to describe the value of CBT in addition to pharmacotherapy on the quality of life in adults with ADHD. Contrary to our expectations, there was no significant effect of CBT in addition to pharmacotherapy on the quality of life. DISCLOSURE: No significant relationships. |
format | Online Article Text |
id | pubmed-9568250 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Cambridge University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-95682502022-10-17 The value of cognitive behavioral therapy on quality of life in addition to pharmacotherapy in adults with ADHD Wettstein, R. Klabbers, Y. Romijn, E. Nieuwveen, J. Kroesen, H. Wettstein, K. Dumont, G. Eur Psychiatry Abstract INTRODUCTION: Treatment options for ADHD in adults consist of psycho-education, cognitive behavioral therapy (CBT), pharmacotherapy or a combination thereof. Current studies do not yet provide insights into the additive effects of CBT and pharmacotherapy regarding the quality of life in adults with ADHD. OBJECTIVES: In this study, we investigated the effect of CBT combined with pharmacotherapy on the quality of life in adults with ADHD compared to pharmacotherapy alone. METHODS: In this multicenter prospective cohort study a total of 627 patients were included, 305 where included in the pharmacotherapy only group and 322 in de combination group (CBT and pharmacotherapy). The Adult ADHD Quality-of-Life scale (AAQoL) was conducted at baseline and at the end of treatment. RESULTS: No significant differences were found in gender or age between groups at baseline. The average improvement in the AAQoL total score in the pharmacotherapy group was 26.81(17.12) and in the combination group 25.45(16.33) and showed no significant difference (t(543) = 0.96, p = 0.34). At baseline the average total score in the pharmacotherapy group was 45.5(12.37) and 42.22(12.73) in the combination group (t(543)=2.86, p = 0.004). The average total score at the end of treatment in the pharmacotherapy and combination group was 72.31(12.99) and 67.67(12.45), respectively (t(543)=426, p <0.001). CONCLUSIONS: To our knowledge, this is the first study to describe the value of CBT in addition to pharmacotherapy on the quality of life in adults with ADHD. Contrary to our expectations, there was no significant effect of CBT in addition to pharmacotherapy on the quality of life. DISCLOSURE: No significant relationships. Cambridge University Press 2022-09-01 /pmc/articles/PMC9568250/ http://dx.doi.org/10.1192/j.eurpsy.2022.1564 Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Abstract Wettstein, R. Klabbers, Y. Romijn, E. Nieuwveen, J. Kroesen, H. Wettstein, K. Dumont, G. The value of cognitive behavioral therapy on quality of life in addition to pharmacotherapy in adults with ADHD |
title | The value of cognitive behavioral therapy on quality of life in addition to pharmacotherapy in adults with ADHD |
title_full | The value of cognitive behavioral therapy on quality of life in addition to pharmacotherapy in adults with ADHD |
title_fullStr | The value of cognitive behavioral therapy on quality of life in addition to pharmacotherapy in adults with ADHD |
title_full_unstemmed | The value of cognitive behavioral therapy on quality of life in addition to pharmacotherapy in adults with ADHD |
title_short | The value of cognitive behavioral therapy on quality of life in addition to pharmacotherapy in adults with ADHD |
title_sort | value of cognitive behavioral therapy on quality of life in addition to pharmacotherapy in adults with adhd |
topic | Abstract |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9568250/ http://dx.doi.org/10.1192/j.eurpsy.2022.1564 |
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