Abstract
Long-term effects of two CBTs for adolescents with ADHD are explored: One aimed at improving planning skills (Plan My Life; PML), the other a solution-focused therapy (SFT) without focusing on planning skills. In a RCT, adolescents with ADHD (n = 159) were assigned to PML or SFT and improved significantly between pre- and posttest with large effect sizes Boyer et al (Eur Child Adolesc Psychiatry. doi:10.1007/s00787-014-0661-5), with marginal differences in favor of PML. One-year follow-up data were gathered. Initial improvements remained stable or continued to improve from posttest to 1-year follow-up. 25.9 % of adolescents showed normalized functioning. However, no treatment differences were found. These results are consistent with the finding that treatment of ADHD improves long-term outcomes, but not to the point of normalization. Earlier found differences at 3-month follow-up in favor of PML disappeared, indicating that focusing treatment on planning skills is not necessary for improvement or that a more prolonged planning-focused treatment is needed.
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Notes
Because some adolescents only use MPH during the school-week, school-week average dose is calculated.
At all assessments data were missing.
References
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Acknowledgments
We thank ZonMW for a research grant. We are grateful to the participating students, families and mental healthcare institutions Lucertis Kinder-en Jeugdpsychiatrie, Bosman GGZ, Jeugdriagg, GGZ Noord-Holland Noord, UvA-Minds, Symphora-groep RCKJP and Riagg for their collaboration. We thank Rietta Oberink, for advice on Motivational Interviewing and Marie Deserno, for advice on statistical analyses.
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Bianca E. Boyer is co-developer and author of the manuals ‘Plan My Life’ and ‘Solution Focused Treatment’: she receives royalties for the sales of both interventions. Saskia van der Oord has been a paid consultant for Janssen Pharmaceuticals in the development of a serious game “Healseeker”: aimed at training cognitive functions. Also, she is co-developer and author of the manuals ‘Plan My Life’ and ‘Solution Focused Treatment’. However, she has no financial interest in the sales of the interventions. She has received speaker’s fees from MEDICE and Shire. Other authors declare no conflict of interest.
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Saskia van der Oord is primarily affiliated to Clinical Psychology, KU Leuven, Tiensestraat 102-bus 3720, 3000 Louvain, Belgium.
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Boyer, B.E., Geurts, H.M., Prins, P.J.M. et al. One-year follow-up of two novel CBTs for adolescents with ADHD. Eur Child Adolesc Psychiatry 25, 333–337 (2016). https://doi.org/10.1007/s00787-015-0776-3
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DOI: https://doi.org/10.1007/s00787-015-0776-3