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Autor/inn/en | Lauth-Lebens, Morena; Lauth, Gerhard W. |
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Titel | Time to (measure) change: Treatment trajectories of cognitive behavioural intervention effects in adults with attention deficit/hyperactivity disorder. |
Quelle | In: Lernen und Lernstörungen, 9 (2020) 1, S. 49-74Infoseite zur Zeitschrift
PDF als Volltext |
Sprache | englisch |
Dokumenttyp | online; gedruckt; Zeitschriftenaufsatz |
ISSN | 2235-0977; 2235-0985 |
DOI | 10.1024/2235-0977/a000288 |
Schlagwörter | Sozio-emotionaler Faktor; Aufmerksamkeits-Defizit-Hyperaktivitäts-Störung; Kognitive Kompetenz; Kognitive Verhaltenstherapie; Erfolgskontrolle; Katamnese; Psychotherapie; Therapie |
Abstract | Investigates treatment trajectories of cognitive behavioural interventions in adults with attention deficit/hyperactivity disorder (ADHD) via time-series. Five patients received a clinical diagnosis of adult ADHD and underwent individual cognitive-behavioural treatment. Treatment provision was defined as the independent variable and subjected to systematic variations by applying an A-B-A single case design. Symptomatic and functional improvements together with goal attainment and patient satisfaction were the dependent variables. They were continuously assessed with established measures over a five-week baseline (A) and the entire intervention period (B) as well as during two follow-up measures (A). Visual inspections of treatment trajectories were undertaken and complemented by the percentage of nonoverlapping data (PND): Nonoverlapping data basically signify discriminative results under treatment compared to baseline conditions and therefore serve as a descriptive effect size measure. All patients except one attained clinically significant improvements in at least one dependent variable under treatment conditions. Differential outcomes could be discerned from the domain-specific and individual manifestation and magnitude of clinically significant effect sizes: Two clinically significant changes and one promising trend could be observed in symptom severity and goal attainment ratings. Executive relative to psychosocial functioning changes resulted in slightly higher effect sizes of one clinically significant improvement and two positive trends. Lowest effect sizes were obtained for improvements in global functioning that seemed least responsive to treatment. Stepped intervention effects that range from symptom reduction and goal attainment to executive and psychosocial as well as global functioning could be detected. Positive trends tended to follow the module concerned with executive functioning training. (ZPID). |
Erfasst von | Leibniz-Institut für Psychologie, Trier |
Update | 2020/2 |