Fleming Andrew P, McMahon Robert J, Moran Lyndsey R, Peterson A Paige, Dreessen Anthony
University of Washington, Seattle, USA
Simon Fraser University, Burnaby, British Columbia, Canada Child & Family Research Institute, Vancouver, British Columbia, Canada.
J Atten Disord. 2015 Mar;19(3):260-71. doi: 10.1177/1087054714535951. Epub 2014 May 29.
ADHD affects between 2% and 8% of college students and is associated with broad functional impairment. No prior randomized controlled trials with this population have been published. The present study is a pilot randomized controlled trial evaluating dialectical behavior therapy (DBT) group skills training adapted for college students with ADHD.
Thirty-three undergraduates with ADHD between ages 18 and 24 were randomized to receive either DBT group skills training or skills handouts during an 8-week intervention phase. ADHD symptoms, executive functioning (EF), and related outcomes were assessed at baseline, post-treatment, and 3-month follow-up.
Participants receiving DBT group skills training showed greater treatment response rates (59-65% vs. 19-25%) and clinical recovery rates (53-59% vs. 6-13%) on ADHD symptoms and EF, and greater improvements in quality of life.
DBT group skills training may be efficacious, acceptable, and feasible for treating ADHD among college students. A larger randomized trial is needed for further evaluation.
注意缺陷多动障碍（ADHD）影响2%至8%的大学生，并与广泛的功能损害相关。此前尚未发表过针对该人群的随机对照试验。本研究是一项试点随机对照试验，评估为患有ADHD的大学生改编的辩证行为疗法（DBT）团体技能训练。
33名年龄在18至24岁之间的患有ADHD的本科生在为期8周的干预阶段被随机分为接受DBT团体技能训练或技能手册。在基线、治疗后和3个月随访时评估ADHD症状、执行功能（EF）及相关结果。
接受DBT团体技能训练的参与者在ADHD症状和EF方面显示出更高的治疗反应率（59 - 65%对19 - 25%）和临床康复率（53 - 59%对6 - 13%），并且生活质量有更大改善。
DBT团体技能训练对于治疗大学生ADHD可能是有效、可接受且可行的。需要进行更大规模的随机试验以作进一步评估。
