Does Attention‐Deficit/Hyperactivity Disorder Predominant Presentation Matter? Examining Functional and Symptom Changes After Cognitive Behavioural Therapy.
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| Title: | Does Attention‐Deficit/Hyperactivity Disorder Predominant Presentation Matter? Examining Functional and Symptom Changes After Cognitive Behavioural Therapy. |
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| Authors: | Crespín, Juan Jesús (AUTHOR), Corrales, Montse (AUTHOR), Richarte, Vanesa (AUTHOR), Parramon‐Puig, Gemma (AUTHOR), Querol, Paula (AUTHOR), Mestres, Ferran (AUTHOR), Ramos‐Sayalero, Carolina (AUTHOR), Boix, Maria (AUTHOR), Torrent, Carla (AUTHOR), Fadeuilhe, Christian (AUTHOR), Ramos‐Quiroga, Josep Antoni (AUTHOR), Amoretti, Silvia (AUTHOR) |
| Source: | Clinical Psychology & Psychotherapy. Mar2026, Vol. 33 Issue 2, p1-16. 16p. |
| Subjects: | Treatment of attention-deficit hyperactivity disorder, Emotion regulation, Repeated measures design, Statistical models, Attention-deficit hyperactivity disorder, Secondary analysis, Academic medical centers, T-test (Statistics), Data analysis, Research funding, Statistical sampling, Questionnaires, Functional status, Severity of illness index, Descriptive statistics, Maximum likelihood statistics, Impulsive personality, State-Trait Anxiety Inventory, Pre-tests & post-tests, One-way analysis of variance, Statistics, Cognitive therapy, Data analysis software, Psychological tests, Nonparametric statistics, Regression analysis, Symptoms |
| Geographic Terms: | Spain |
| Abstract: | Background: Cognitive behavioural therapy (CBT) is an effective intervention for adults with attention‐deficit/hyperactivity disorder (ADHD). While both brief (6‐session) and standard (12‐session) formats show efficacy, it remains unclear whether treatment response differs between distinct ADHD clinical presentations. Methods: This secondary analysis of a randomized trial included 80 adults with ADHD (57.5% male; mean age = 41.26 ± 9.32 years) allocated to brief or standard CBT. Clinical and functional outcomes were assessed at baseline, posttreatment, as well as 3‐ and 6‐month follow‐ups. Linear mixed‐effects models and the Reliable Change Index (RCI) evaluated interactions between time, treatment format and ADHD presentation (inattentive vs. combined). Results: CBT yielded significant improvements across all domains, with 94.5% of participants achieving reliable symptomatic improvement. A significant time × presentation interaction (p = 0.001, ηp2 = 0.135) revealed a steeper core symptom reduction in the combined group, which survived sensitivity analyses controlling for baseline severity. Regarding format, the brief version produced greater observer‐rated symptom improvement, whereas the standard format yielded greater long‐term functional gains (p = 0.009, ηp2 = 0.061). Improvements were sustained at the 6‐month follow‐up. No robust three‐way interactions emerged. Conclusions: CBT is highly effective and durable across ADHD presentations and formats. Although the combined presentation exhibited a more pronounced reduction in core symptoms, this differential trajectory represents a promising clinical trend requiring cautious interpretation. While brief formats efficiently address core symptoms, standard programs may better optimize long‐term functional recovery. Summary: CBT produces clinically significant and durable improvements in core ADHD symptoms, daily functioning and comorbid emotional distress in adults, with approximately 95% of participants achieving reliable symptomatic improvement.Adults with the combined presentation show a steeper trajectory of improvement in core symptoms following CBT, reflecting a genuine clinical response even when accounting for their greater baseline severityBoth brief (6‐session) and standard (12‐session) formats are broadly effective across clinical presentations; however, the standard format may offer additional long‐term benefits for functional recovery.Clinicians should consider ADHD presentations when tailoring treatment intensity, while recognizing that these subtype‐specific differential trajectories represent promising clinical trends that require replication. [ABSTRACT FROM AUTHOR] |
| Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) | |
| Database: | Psychology and Behavioral Sciences Collection |
| FullText | Text: Availability: 0 |
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| Header | DbId: pbh DbLabel: Psychology and Behavioral Sciences Collection An: 193280259 AccessLevel: 6 PubType: Academic Journal PubTypeId: academicJournal PreciseRelevancyScore: 0 |
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| Items | – Name: Title Label: Title Group: Ti Data: Does Attention‐Deficit/Hyperactivity Disorder Predominant Presentation Matter? Examining Functional and Symptom Changes After Cognitive Behavioural Therapy. – Name: Author Label: Authors Group: Au Data: <searchLink fieldCode="AR" term="%22Crespín%2C+Juan Jesús%22">Crespín, Juan Jesús</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Corrales%2C+Montse%22">Corrales, Montse</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Richarte%2C+Vanesa%22">Richarte, Vanesa</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Parramon‐Puig%2C+Gemma%22">Parramon‐Puig, Gemma</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Querol%2C+Paula%22">Querol, Paula</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Mestres%2C+Ferran%22">Mestres, Ferran</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ramos‐Sayalero%2C+Carolina%22">Ramos‐Sayalero, Carolina</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Boix%2C+Maria%22">Boix, Maria</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Torrent%2C+Carla%22">Torrent, Carla</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Fadeuilhe%2C+Christian%22">Fadeuilhe, Christian</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Ramos‐Quiroga%2C+Josep Antoni%22">Ramos‐Quiroga, Josep Antoni</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Amoretti%2C+Silvia%22">Amoretti, Silvia</searchLink> (AUTHOR) – Name: TitleSource Label: Source Group: Src Data: <searchLink fieldCode="JN" term="%22Clinical+Psychology+%26+Psychotherapy%22">Clinical Psychology & Psychotherapy</searchLink>. Mar2026, Vol. 33 Issue 2, p1-16. 16p. – Name: Subject Label: Subjects Group: Su Data: <searchLink fieldCode="DE" term="%22Treatment+of+attention-deficit+hyperactivity+disorder%22">Treatment of attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Emotion+regulation%22">Emotion regulation</searchLink><br /><searchLink fieldCode="DE" term="%22Repeated+measures+design%22">Repeated measures design</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+models%22">Statistical models</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Secondary+analysis%22">Secondary analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Academic+medical+centers%22">Academic medical centers</searchLink><br /><searchLink fieldCode="DE" term="%22T-test+%28Statistics%29%22">T-test (Statistics)</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis%22">Data analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Research+funding%22">Research funding</searchLink><br /><searchLink fieldCode="DE" term="%22Statistical+sampling%22">Statistical sampling</searchLink><br /><searchLink fieldCode="DE" term="%22Questionnaires%22">Questionnaires</searchLink><br /><searchLink fieldCode="DE" term="%22Functional+status%22">Functional status</searchLink><br /><searchLink fieldCode="DE" term="%22Severity+of+illness+index%22">Severity of illness index</searchLink><br /><searchLink fieldCode="DE" term="%22Descriptive+statistics%22">Descriptive statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Maximum+likelihood+statistics%22">Maximum likelihood statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Impulsive+personality%22">Impulsive personality</searchLink><br /><searchLink fieldCode="DE" term="%22State-Trait+Anxiety+Inventory%22">State-Trait Anxiety Inventory</searchLink><br /><searchLink fieldCode="DE" term="%22Pre-tests+%26+post-tests%22">Pre-tests & post-tests</searchLink><br /><searchLink fieldCode="DE" term="%22One-way+analysis+of+variance%22">One-way analysis of variance</searchLink><br /><searchLink fieldCode="DE" term="%22Statistics%22">Statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Cognitive+therapy%22">Cognitive therapy</searchLink><br /><searchLink fieldCode="DE" term="%22Data+analysis+software%22">Data analysis software</searchLink><br /><searchLink fieldCode="DE" term="%22Psychological+tests%22">Psychological tests</searchLink><br /><searchLink fieldCode="DE" term="%22Nonparametric+statistics%22">Nonparametric statistics</searchLink><br /><searchLink fieldCode="DE" term="%22Regression+analysis%22">Regression analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Symptoms%22">Symptoms</searchLink> – Name: SubjectGeographic Label: Geographic Terms Group: Su Data: <searchLink fieldCode="DE" term="%22Spain%22">Spain</searchLink> – Name: Abstract Label: Abstract Group: Ab Data: Background: Cognitive behavioural therapy (CBT) is an effective intervention for adults with attention‐deficit/hyperactivity disorder (ADHD). While both brief (6‐session) and standard (12‐session) formats show efficacy, it remains unclear whether treatment response differs between distinct ADHD clinical presentations. Methods: This secondary analysis of a randomized trial included 80 adults with ADHD (57.5% male; mean age = 41.26 ± 9.32 years) allocated to brief or standard CBT. Clinical and functional outcomes were assessed at baseline, posttreatment, as well as 3‐ and 6‐month follow‐ups. Linear mixed‐effects models and the Reliable Change Index (RCI) evaluated interactions between time, treatment format and ADHD presentation (inattentive vs. combined). Results: CBT yielded significant improvements across all domains, with 94.5% of participants achieving reliable symptomatic improvement. A significant time × presentation interaction (p = 0.001, ηp2 = 0.135) revealed a steeper core symptom reduction in the combined group, which survived sensitivity analyses controlling for baseline severity. Regarding format, the brief version produced greater observer‐rated symptom improvement, whereas the standard format yielded greater long‐term functional gains (p = 0.009, ηp2 = 0.061). Improvements were sustained at the 6‐month follow‐up. No robust three‐way interactions emerged. Conclusions: CBT is highly effective and durable across ADHD presentations and formats. Although the combined presentation exhibited a more pronounced reduction in core symptoms, this differential trajectory represents a promising clinical trend requiring cautious interpretation. While brief formats efficiently address core symptoms, standard programs may better optimize long‐term functional recovery. Summary: CBT produces clinically significant and durable improvements in core ADHD symptoms, daily functioning and comorbid emotional distress in adults, with approximately 95% of participants achieving reliable symptomatic improvement.Adults with the combined presentation show a steeper trajectory of improvement in core symptoms following CBT, reflecting a genuine clinical response even when accounting for their greater baseline severityBoth brief (6‐session) and standard (12‐session) formats are broadly effective across clinical presentations; however, the standard format may offer additional long‐term benefits for functional recovery.Clinicians should consider ADHD presentations when tailoring treatment intensity, while recognizing that these subtype‐specific differential trajectories represent promising clinical trends that require replication. [ABSTRACT FROM AUTHOR] – Name: AbstractSuppliedCopyright Label: Group: Ab Data: <i>Copyright of Clinical Psychology & Psychotherapy is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.) |
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| RecordInfo | BibRecord: BibEntity: Identifiers: – Type: doi Value: 10.1002/cpp.70271 Languages: – Code: eng Text: English PhysicalDescription: Pagination: PageCount: 16 StartPage: 1 Subjects: – SubjectFull: Treatment of attention-deficit hyperactivity disorder Type: general – SubjectFull: Emotion regulation Type: general – SubjectFull: Repeated measures design Type: general – SubjectFull: Statistical models Type: general – SubjectFull: Attention-deficit hyperactivity disorder Type: general – SubjectFull: Secondary analysis Type: general – SubjectFull: Academic medical centers Type: general – SubjectFull: T-test (Statistics) Type: general – SubjectFull: Data analysis Type: general – SubjectFull: Research funding Type: general – SubjectFull: Statistical sampling Type: general – SubjectFull: Questionnaires Type: general – SubjectFull: Functional status Type: general – SubjectFull: Severity of illness index Type: general – SubjectFull: Descriptive statistics Type: general – SubjectFull: Maximum likelihood statistics Type: general – SubjectFull: Impulsive personality Type: general – SubjectFull: State-Trait Anxiety Inventory Type: general – SubjectFull: Pre-tests & post-tests Type: general – SubjectFull: One-way analysis of variance Type: general – SubjectFull: Statistics Type: general – SubjectFull: Cognitive therapy Type: general – SubjectFull: Data analysis software Type: general – SubjectFull: Psychological tests Type: general – SubjectFull: Nonparametric statistics Type: general – SubjectFull: Regression analysis Type: general – SubjectFull: Symptoms Type: general – SubjectFull: Spain Type: general Titles: – TitleFull: Does Attention‐Deficit/Hyperactivity Disorder Predominant Presentation Matter? Examining Functional and Symptom Changes After Cognitive Behavioural Therapy. Type: main BibRelationships: HasContributorRelationships: – PersonEntity: Name: NameFull: Crespín, Juan Jesús – PersonEntity: Name: NameFull: Corrales, Montse – PersonEntity: Name: NameFull: Richarte, Vanesa – PersonEntity: Name: NameFull: Parramon‐Puig, Gemma – PersonEntity: Name: NameFull: Querol, Paula – PersonEntity: Name: NameFull: Mestres, Ferran – PersonEntity: Name: NameFull: Ramos‐Sayalero, Carolina – PersonEntity: Name: NameFull: Boix, Maria – PersonEntity: Name: NameFull: Torrent, Carla – PersonEntity: Name: NameFull: Fadeuilhe, Christian – PersonEntity: Name: NameFull: Ramos‐Quiroga, Josep Antoni – PersonEntity: Name: NameFull: Amoretti, Silvia IsPartOfRelationships: – BibEntity: Dates: – D: 01 M: 03 Text: Mar2026 Type: published Y: 2026 Identifiers: – Type: issn-print Value: 10633995 Numbering: – Type: volume Value: 33 – Type: issue Value: 2 Titles: – TitleFull: Clinical Psychology & Psychotherapy Type: main |
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