Department of Neuroscience, Child and Adolescent Psychiatry Unit, Uppsala University, Akademiska Sjukhuset, 751 85, Uppsala, Sweden.
School of Medical Sciences, Örebro University, Örebro, Sweden.
Eur Child Adolesc Psychiatry. 2022 Jul;31(7):1-13. doi: 10.1007/s00787-021-01753-2. Epub 2021 Mar 15.
Attention-deficit/hyperactivity disorder (ADHD) in adolescence is associated with behavioural, emotional and interpersonal problems, and non-pharmacological treatments targeting these difficulties have been requested. The objective of this study was to evaluate the effectiveness and acceptance of an age-adapted structured skills training group (SSTG) for adolescents with ADHD. Adolescents (n = 184, ages 15-18 years) with a diagnosis of ADHD were randomly assigned to either the SSTG, which is based on dialectical behavioural therapy, or an active control group based on psychoeducation. Symptoms of ADHD, behavioural and emotional problems, functional impairment, and health-related outcomes were assessed with self-ratings and parental ratings two weeks before, two weeks after, and six months after treatment. All participants who completed the pre-treatment measurements (n = 164) were included in the main analyses, which were conducted using a linear mixed model. Our results demonstrated no significant group differences in favour of the SSTG for any of the study outcomes. A majority of the participants in both groups reported that they had increased their knowledge about ADHD, improved their ability to manage problems related to the diagnosis, and would recommend the treatment to others. We conclude that the SSTG seems to be acceptable for adolescents with ADHD in a clinical context. However, the treatment was not proved to be more effective or more acceptable than the psychoeducational control intervention.Trial registration: http://www.isrctn.com/ISRCTN17366720,11/05/2016 , retrospectively registered.
注意缺陷多动障碍（ADHD）在青春期与行为、情绪和人际关系问题有关，针对这些困难的非药物治疗已被提出。本研究的目的是评估针对 ADHD 青少年的年龄适应结构化技能训练组（SSTG）的有效性和可接受性。将 15-18 岁被诊断为 ADHD 的青少年随机分配到基于辩证行为疗法的 SSTG 或基于心理教育的主动对照组。使用自我报告和父母报告，在治疗前两周、治疗后两周和治疗后六个月评估 ADHD 症状、行为和情绪问题、功能障碍和与健康相关的结果。所有完成治疗前测量的参与者（n=164）均纳入主要分析，主要分析采用线性混合模型进行。我们的结果表明，对于任何研究结果，SSTG 都没有显著优于对照组的组间差异。两组中的大多数参与者都报告说，他们增加了对 ADHD 的了解，提高了他们管理与诊断相关问题的能力，并会向他人推荐这种治疗方法。我们得出结论，在临床环境中，SSTG 似乎可以被 ADHD 青少年接受。然而，与心理教育对照组干预相比，这种治疗方法并没有被证明更有效或更可接受。试验注册：http://www.isrctn.com/ISRCTN17366720，2016 年 5 月 11 日，回顾性注册。
