In the November 4, 2015 e-edition of JAMA Psychiatry, results of a large, multicenter study of psychotherapy and medication in adults with ADHD reveal interesting data about treatment for ADHD in adults.
Typically adults are managed with coaching or medication or both. This study examined the effectiveness of group therapy versus individual counseling and the effects of medication in combination with counseling. The conclusion of the study was that group therapy was not a lot better or worse than individual therapy, and that medication was helpful in addition to counseling.
Strengths of the study:
duration: 1 year, which is long term for most ADHD studies.
size: 433 patients were randomized to treatments, a fairly large number of patients compared to many studies.
conduct of the study: both randomized and blinded, with multiple outcome measures
Weaknesses of the study:
Outcome measures: Connor's scales and CGI (clinical global impression, or a doctor's overall impression of how the person is doing) are still subjective, but quantifiable.
What this means to the average adult with ADHD is that either group or individual counseling could be helpful and that medication in addition to counseling is worth considering.
Everything ADHD Medical Disclaimer
Everything ADHD Privacy Policy
No comments:
Post a Comment