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Cognitive behavior therapy-based psychoeducational groups for adults with ADHD and their significant others (PEGASUS): an open clinical feasibility trial.

Hirvikoski T, Waaler E, Lindström T, Bölte S, Jokinen J - Atten Defic Hyperact Disord (2014)

Bottom Line: The corresponding figures for their significant others were 42 out of 57 (73.7 %).The significant others reported a reduction in the subjective burden of care, such as worry and guilt.The objective burden of care (such as financial problems) did not change.

View Article: PubMed Central - PubMed

Affiliation: Department of Women's and Children's Health, Pediatric Neuropsychiatry Unit, Center for Neurodevelopmental Disorders at Karolinska Institutet (KIND), CAP Research Center, Karolinska Institutet, Gävlegatan 22B, 11330, Stockholm, Sweden, Tatja.Hirvikoski@ki.se.

ABSTRACT
The aim of this pilot study was to investigate the feasibility and effectiveness of a new psychoeducative intervention program (PEGASUS) for adults with ADHD and their significant others in a psychiatric outpatient context. At three outpatient psychiatric clinics, adults with ADHD and their significant others took part in PEGASUS, a psychoeducational program based on theories from cognitive behavioral therapy, neuropsychology, and cross-disciplinary evidence regarding ADHD. In total, 108 adults were allocated to treatment (51 with ADHD and their 57 significant others). Feasibility was evaluated regarding suitability of the intervention at a psychiatric outpatient clinic and treatment completion. Preliminary efficacy was evaluated per protocol from baseline to post-intervention (n = 41 adults with ADHD and 40 significant others). In a feasibility analysis, the intervention was judged to be a suitable treatment option for 94.5 % of all individuals with a primary diagnosis of ADHD at an outpatient psychiatric clinic. In total, 43 out of 51 allocated individuals with ADHD (84.3 %) completed the intervention. The corresponding figures for their significant others were 42 out of 57 (73.7 %). Knowledge about ADHD increased, and both the quality of relationships and psychological well-being improved from baseline to post-intervention in all participants. The significant others reported a reduction in the subjective burden of care, such as worry and guilt. The objective burden of care (such as financial problems) did not change. The findings support the potential value of psychoeducation for adults with ADHD and their significant others. An ongoing randomized controlled trial will generate further evidence concerning the PEGASUS program.

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Related in: MedlinePlus

Treatment satisfaction such as measures with patient evaluation form
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Related In: Results  -  Collection


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Fig2: Treatment satisfaction such as measures with patient evaluation form

Mentions: The mean scores (±1 standard error) on the patient evaluation form are shown in Fig. 2. The overall treatment satisfaction was good among both individuals with ADHD and their significant others. However, the participants with ADHD rated significantly higher than their significant others on the items “The course was clearly related to ADHD” (p = 0.007) and “I would attend a similar course in the future” (p = 0.03). The rating of the whole course according to the school grading system did not differ between the groups (M = 2.21, SD = 0.72, corresponding to “Passed with distinction”). The feedback on each course occasion was summarized in writing for the purpose of further development of the PEGASUS program.Fig. 2


Cognitive behavior therapy-based psychoeducational groups for adults with ADHD and their significant others (PEGASUS): an open clinical feasibility trial.

Hirvikoski T, Waaler E, Lindström T, Bölte S, Jokinen J - Atten Defic Hyperact Disord (2014)

Treatment satisfaction such as measures with patient evaluation form
© Copyright Policy - OpenAccess
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC4340972&req=5

Fig2: Treatment satisfaction such as measures with patient evaluation form
Mentions: The mean scores (±1 standard error) on the patient evaluation form are shown in Fig. 2. The overall treatment satisfaction was good among both individuals with ADHD and their significant others. However, the participants with ADHD rated significantly higher than their significant others on the items “The course was clearly related to ADHD” (p = 0.007) and “I would attend a similar course in the future” (p = 0.03). The rating of the whole course according to the school grading system did not differ between the groups (M = 2.21, SD = 0.72, corresponding to “Passed with distinction”). The feedback on each course occasion was summarized in writing for the purpose of further development of the PEGASUS program.Fig. 2

Bottom Line: The corresponding figures for their significant others were 42 out of 57 (73.7 %).The significant others reported a reduction in the subjective burden of care, such as worry and guilt.The objective burden of care (such as financial problems) did not change.

View Article: PubMed Central - PubMed

Affiliation: Department of Women's and Children's Health, Pediatric Neuropsychiatry Unit, Center for Neurodevelopmental Disorders at Karolinska Institutet (KIND), CAP Research Center, Karolinska Institutet, Gävlegatan 22B, 11330, Stockholm, Sweden, Tatja.Hirvikoski@ki.se.

ABSTRACT
The aim of this pilot study was to investigate the feasibility and effectiveness of a new psychoeducative intervention program (PEGASUS) for adults with ADHD and their significant others in a psychiatric outpatient context. At three outpatient psychiatric clinics, adults with ADHD and their significant others took part in PEGASUS, a psychoeducational program based on theories from cognitive behavioral therapy, neuropsychology, and cross-disciplinary evidence regarding ADHD. In total, 108 adults were allocated to treatment (51 with ADHD and their 57 significant others). Feasibility was evaluated regarding suitability of the intervention at a psychiatric outpatient clinic and treatment completion. Preliminary efficacy was evaluated per protocol from baseline to post-intervention (n = 41 adults with ADHD and 40 significant others). In a feasibility analysis, the intervention was judged to be a suitable treatment option for 94.5 % of all individuals with a primary diagnosis of ADHD at an outpatient psychiatric clinic. In total, 43 out of 51 allocated individuals with ADHD (84.3 %) completed the intervention. The corresponding figures for their significant others were 42 out of 57 (73.7 %). Knowledge about ADHD increased, and both the quality of relationships and psychological well-being improved from baseline to post-intervention in all participants. The significant others reported a reduction in the subjective burden of care, such as worry and guilt. The objective burden of care (such as financial problems) did not change. The findings support the potential value of psychoeducation for adults with ADHD and their significant others. An ongoing randomized controlled trial will generate further evidence concerning the PEGASUS program.

Show MeSH
Related in: MedlinePlus