4.3 Article

Feasibility, Acceptability, and Effectiveness of a New Cognitive-Behavioral Intervention for College Students with ADHD

Journal

JOURNAL OF ATTENTION DISORDERS
Volume 25, Issue 14, Pages 2068-2082

Publisher

SAGE PUBLICATIONS INC
DOI: 10.1177/1087054720951865

Keywords

ADD; ADHD; cognitive behavioral therapy; college students; executive function

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This study aimed to assess a new group cognitive-behavioral treatment for college students with ADHD, which showed significant improvements in symptoms and EF skills.
Objective This purpose of this study was to assess the feasibility, acceptability, and effectiveness of a new group cognitive-behavioral treatment (CBT) to enhance executive function (EF) in college students with ADHD. Methods Eighteen students meeting rigorous DSM-5 criteria for ADHD were enrolled in two nine-member groups. The treatment targeted time-awareness, distractibility, procrastination, and failure to plan, and included strategies to facilitate academic EF skills. Results Eighty-four percent of students attended nine or more of the 12 weekly sessions. Repeated measures analyses of change from pre- to posttreatment yielded improvement in clinician- and self-ratings of DSM-5 ADHD inattentive symptoms, with robust effect sizes. Also improved were scores on standardized scales of time-management, concentration, and total EF. Discussion Results provide support for the feasibility, acceptability, and effectiveness of a CBT program in reducing inattentive symptoms and enhancing EF in college students with ADHD, and warrant investigation on a larger scale.

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