Universität zu Köln

David, Daniel, Dobrean, Anca, Pasarelu, Costina Ruxandra, Iftene, Felicia, Lupu, Viorel, Predescu, Elena and Doepfner, Manfred . Psychotherapy, Atomoxetine or Both? Preliminary Evidence from a Comparative Study of Three Types of Treatment for Attention-Deficit/Hyperactivity Disorder in Children. Cogn. Ther. Res.. NEW YORK: SPRINGER/PLENUM PUBLISHERS. ISSN 1573-2819

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Abstract

Background The current study aimed to investigate using a superiority framework the efficacy of a combined treatment (cognitive-behavioral therapy based on behavioral components derived from classical behavioral therapy modifications and cognitive components mainly derived from rational emotive behavior therapy, plus an attention training component in a virtual environment (CBT/REBT + ATX, N = 20) as compared to psychotherapy alone (CBT/REBT, delivered over 16 weeks, N = 18-reference treatment) and non-stimulant medication alone (atomoxetine; ATX, N = 21-reference treatment) for children with Attention-Deficit/Hyperactivity Disorder (ADHD). Methods A three-arm pilot randomized controlled trial was conducted. Fifty-nine children (M-age = 8.46, SD = 1.57) were randomly allocated to one of the 3 conditions. Results Our preliminary findings indicated a significant difference between the CBT/REBT + ATX and ATX group at post-treatment for the total ADHD symptoms rated by parent,d = 1.30, 95% CI [0.63, 1.98],p = 0.010. Conclusions The combined treatment seems to be superior to the medication alone on parent ratings on ADHD symptoms, however, on clinical ratings on ADHD diagnosis and functioning there are no significant group differences between treatments. Future larger trials with follow-up assessments are needed to test the stability of the effects over time.

Item Type:	Journal Article
Creators:	Creators Email ORCID ORCID Put Code David, Daniel UNSPECIFIED UNSPECIFIED UNSPECIFIED Dobrean, Anca UNSPECIFIED UNSPECIFIED UNSPECIFIED Pasarelu, Costina Ruxandra UNSPECIFIED UNSPECIFIED UNSPECIFIED Iftene, Felicia UNSPECIFIED UNSPECIFIED UNSPECIFIED Lupu, Viorel UNSPECIFIED UNSPECIFIED UNSPECIFIED Predescu, Elena UNSPECIFIED UNSPECIFIED UNSPECIFIED Doepfner, Manfred UNSPECIFIED UNSPECIFIED UNSPECIFIED
URN:	urn:nbn:de:hbz:38-315882
DOI:	10.1007/s10608-020-10157-6
Journal or Publication Title:	Cogn. Ther. Res.
Publisher:	SPRINGER/PLENUM PUBLISHERS
Place of Publication:	NEW YORK
ISSN:	1573-2819
Language:	English
Faculty:	Unspecified
Divisions:	Unspecified
Subjects:	no entry
Uncontrolled Keywords:	Keywords Language DEFICIT HYPERACTIVITY DISORDER; ADAPTIVE MULTIMODAL TREATMENT; ADHD SYMPTOMS; FOLLOW-UP; ADOLESCENTS; PREVALENCE; THERAPY; METHYLPHENIDATE; METAANALYSIS; EFFICACY Multiple languages Psychology, Clinical Multiple languages
URI:	http://kups.ub.uni-koeln.de/id/eprint/31588