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Long-term efficacy of psychosocial treatments for adults with attention-deficit/hyperactivity disorder: a meta-analytic review

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Long-term efficacy of psychosocial treatments for adults with attention-deficit/hyperactivity disorder: a meta-analytic review

dc.contributor.author	López Pinar, Carlos
dc.contributor.author	Martínez Sanchis, Sonia
dc.contributor.author	Carbonell Vayá, Enrique J.
dc.contributor.author	Fenollar Cortés, Javier
dc.contributor.author	Sánchez Meca, Julio
dc.date.accessioned	2019-06-28T08:03:16Z
dc.date.available	2019-06-28T08:03:16Z
dc.date.issued	2018
dc.identifier.citation	López Pinar, Carlos Martínez Sanchis, Sonia Carbonell Vayá, Enrique J. Fenollar Cortés, Javier Sánchez Meca, Julio 2018 Long-term Efficacy of psychosocial treatments for adults with attention-deficit/hyperactivity disorder: a meta-analytic review Frontiers In Psychology 9 May 2018 1 16
dc.identifier.uri	https://hdl.handle.net/10550/70603
dc.description.abstract	Background: Recent evidence suggests that psychosocial treatments, particularly cognitive-behavioral therapy (CBT), are effective interventions for adult attention deficit hyperactivity disorder (ADHD). The objective of this reviewwas to determine the long-term efficacy of psychosocial interventions in improving clinically relevant variables, including ADHD core symptoms, clinical global impression (CGI), and global functioning. Methods: In total, nine randomized controlled trials and three uncontrolled single-group pretest-posttest studies were included. The data from these studies were combined using the inverse variance method. Heterogeneity and risk of bias were assessed. Subgroup analyses and meta-regressions were performed, to determine the influence of different potential moderator variables (risk of bias, medication status, follow-up length, therapy type and setting, and control group type) on effect size (ES) estimates. Results: Up to 680 of a total of 1,073 participants assessed pre-treatment were retained at follow-up. Treatment groups showed greater improvement than control groups in self-reported total ADHD symptoms, inattention, and hyperactivity/impulsivity, in addition to CGI and global functioning. Blind assessors also reported a large ES in within-subject outcomes. Studies using dialectical behavioral therapy (DBT) in a group setting, with active control matching, and that were rated as having an unclear risk of bias, achieved significantly lower ES estimates for most outcomes. Treatment effectiveness, according to the CGI measure, and global functioning were significantly increased when the percentage of medicated participants was greater. Conclusions: Our results indicate that the post-treatment gains reported in previous reviews are sustained for at least 12 months. Nevertheless, these results must be interpreted with caution, because of a high level of heterogeneity among studies and the risk of bias observed in the majority of outcomes. Thus, these findings indicate that psychological interventions are a highly valuable and stable clinical tool for the treatment of core symptoms and global functioning in adults with ADHD.
dc.language.iso	eng
dc.relation.ispartof	Frontiers In Psychology, 2018, vol. 9, num. May 2018, p. 1-16
dc.subject	Teràpia de la conducta
dc.subject	Conducta (Psicologia)
dc.title	Long-term efficacy of psychosocial treatments for adults with attention-deficit/hyperactivity disorder: a meta-analytic review
dc.type	journal article	es_ES
dc.date.updated	2019-06-28T08:03:17Z
dc.identifier.doi	10.3389/fpsyg.2018.00638
dc.identifier.idgrec	132815
dc.rights.accessRights	open access	es_ES