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一项针对患有注意力缺陷多动障碍(ADHD)的在校新兴成年人的认知行为疗法(CBT)干预随机对照试验:功能结果。

An RCT of a CBT Intervention for Emerging Adults with ADHD Attending College: Functional Outcomes.

作者信息

Eddy Laura D, Anastopoulos Arthur D, Dvorsky Melissa R, Silvia Paul J, Labban Jeffrey D, Langberg Joshua M

机构信息

Department of Psychology, The Citadel.

Department of Human Development and Family Studies, UNC Greensboro.

出版信息

J Clin Child Adolesc Psychol. 2021 Nov-Dec;50(6):844-857. doi: 10.1080/15374416.2020.1867989. Epub 2021 Feb 22.

DOI:10.1080/15374416.2020.1867989
PMID:33617367
Abstract

: The current study reports functional outcomes from a multi-site randomized trial of a cognitive-behavioral treatment program for college students diagnosed with ADHD.: A sample of emerging adults ( = 250; ages 18 to 30) currently attending college were comprehensively evaluated and diagnosed with ADHD ( = 19.7; 66% female, 6.8% Latino, 66.3% Caucasian). Participants were randomized to either a two-semester intervention (Accessing Campus Connections and Empowering Student Success (ACCESS)) or a delayed treatment condition. Participants were assessed with measures of academic, daily life, and relationship functioning prior to treatment, at the end of the first semester, and after the second semester of treatment.: Multi-group latent growth curve models revealed moderate effect size improvements on self-report measures of study skills and strategies, as well as on self-report measures of time management, daily functioning, and overall well-being for participants in ACCESS. Importantly, treatment effects were maintained or increased in some cases from the end of the first semester to the end of the second semester. Improvements in self-reported interpersonal functioning were not significantly different across condition and neither condition demonstrated significant change over time in educational record outcomes (GPA and number of credits earned).: ACCESS appears to promote improvements in self-reported general well-being and functioning, time management, and study skills and strategies. However, improvements in interpersonal relationships and objective academic outcomes such as GPA were not observed. Clinical implications and future directions for treating ADHD on university and college campuses are discussed.

摘要

本研究报告了一项针对被诊断患有注意力缺陷多动障碍(ADHD)的大学生的认知行为治疗项目的多中心随机试验的功能结果。

对目前正在上大学的250名(年龄在18至30岁之间)新兴成年人样本进行了全面评估,并诊断为患有ADHD(平均年龄19.7岁;66%为女性,6.8%为拉丁裔,66.3%为白种人)。参与者被随机分为两个学期的干预组(“接入校园联系与赋能学生成功”(ACCESS))或延迟治疗组。在治疗前、第一学期末和第二学期末,用学术、日常生活和人际关系功能的测量方法对参与者进行评估。

多组潜在增长曲线模型显示,ACCESS组参与者在学习技能和策略的自我报告测量、时间管理、日常功能和总体幸福感的自我报告测量方面有中等效应大小的改善。重要的是,在某些情况下,从第一学期末到第二学期末,治疗效果得以维持或增强。自我报告的人际功能改善在不同组间无显著差异,两组在教育记录结果(平均绩点和获得的学分数)方面均未显示随时间有显著变化。

ACCESS似乎能促进自我报告的总体幸福感和功能、时间管理以及学习技能和策略的改善。然而,未观察到人际关系和客观学术结果(如平均绩点)的改善。讨论了在大学校园治疗ADHD的临床意义和未来方向。

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