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A Randomized Controlled Study of Cognitive Behavioral Therapy for Adults With Attention Deficit Disorder

Primary Purpose

Attention Deficit Disorder

Status
Completed
Phase
Not Applicable
Locations
China
Study Type
Interventional
Intervention
CBT only
CBT with booster sessions
Sponsored by
Peking University Sixth Hospital
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Attention Deficit Disorder focused on measuring attention deficit disorder (ADHD), cognitive behavioral therapy (CBT), adult

Eligibility Criteria

18 Years - 45 Years (Adult)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

  • Outpatients from Peking University Sixth Hospital
  • Diagnosis of adult ADHD based on Diagnostic and statistical manual of mental disorders, Fourth Edition (DSM-IV)
  • Stable on medications for adult ADHD for at least 2 months

Exclusion Criteria:

  • Severe major depression, clinically significant panic disorder, bipolar disorder, organic mental disorders, psychotic disorders, or pervasive developmental disorders
  • Intelligence Quotient (IQ) less than 90
  • Suicide risk
  • Unstable physical condition
  • Prior participation in cognitive behavioral therapy for ADHD or other psychological therapy

Sites / Locations

  • Peking University Sixth Hospital

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Experimental

Active Comparator

No Intervention

Arm Label

CBT with booster sessions

CBT only

waiting

Arm Description

Participants will receive 12 cognitive-behavioral therapy sessions weekly and 3 booster sessions monthly following our protocol.

Participants will only receive 12 cognitive-behavioral therapy sessions weekly.

Participations will not be treated with CBT and keep waiting for 12 weeks for comparison.

Outcomes

Primary Outcome Measures

Change in ADHD Rating Scale
ADHD symptom severity as measured by the ADHD rating scale (DuPaul, et al., 1998) a scale that ranges from 0-54 with 0 indicating lower severity.

Secondary Outcome Measures

Change in Conners Adult ADHD Rating Scale Self-report Screening Version (CAARS-S:SV)
The CAARS-S:SV is a self-reported scale measures the ADHD symptom severity including 30 items rating from 0 to 3.
Change in Self-Rating Anxiety Scale (SAS)
The Self-Rating Anxiety Scale (SAS) with 20 items measures the level of anxiety.
Change in Self-rating depression scale (SDS)
The Self-rating depression scale (SDS) is used to measure the level of depression.
Change in Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A)
The BRIEF-A measures the impairment level of executive function in ADHD adults.
Change in Cambridge Neuropsychological Test Automatic Battery (CANTAB)
The CANTAB is a computerized neuropsychological test measuring the cognitive and executive function.
Change in Barratt impulsiveness scale (BIS)
The Barratt impulsiveness scale including 30 items is used to measure impulsiveness.
Change in self-esteem scale (SES)
The self-esteem scale measures the level of self-esteem.
Change in World Health Organization Quality of Life-Brief Version (WHOQOL-BREF)
The WHOQOL-BREF is the short version of World Health Organization Quality of Life scale and includes 26 items measuring the level of life quality.
Change in Brain Oxygenation Level Dependent (BOLD) Signal
The level of BOLD activity during working memory task after CBT is compared with baseline level to explore the potential effects of CBT on brain.

Full Information

First Posted
February 12, 2014
Last Updated
April 28, 2016
Sponsor
Peking University Sixth Hospital
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1. Study Identification

Unique Protocol Identification Number
NCT02062411
Brief Title
A Randomized Controlled Study of Cognitive Behavioral Therapy for Adults With Attention Deficit Disorder
Official Title
A Randomized Controlled Study of Cognitive Behavioral Therapy for Adults With Attention Deficit Disorder
Study Type
Interventional

2. Study Status

Record Verification Date
April 2016
Overall Recruitment Status
Completed
Study Start Date
October 2013 (undefined)
Primary Completion Date
March 2016 (Actual)
Study Completion Date
March 2016 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Principal Investigator
Name of the Sponsor
Peking University Sixth Hospital

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study is to determine whether cognitive behavioral therapy (CBT) is effective in the treatment of attention deficit and emotional, executive function and social function dysregulation due to attention deficit disorder (ADHD).
Detailed Description
Participations will be randomly assigned to 3 groups which are CBT with booster sessions group, CBT only group and waiting group.With the comparison of first tow groups we will explore the effect of booster sessions, and the last two groups the effect of CBT programme.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Attention Deficit Disorder
Keywords
attention deficit disorder (ADHD), cognitive behavioral therapy (CBT), adult

7. Study Design

Primary Purpose
Treatment
Study Phase
Not Applicable
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
108 (Actual)

8. Arms, Groups, and Interventions

Arm Title
CBT with booster sessions
Arm Type
Experimental
Arm Description
Participants will receive 12 cognitive-behavioral therapy sessions weekly and 3 booster sessions monthly following our protocol.
Arm Title
CBT only
Arm Type
Active Comparator
Arm Description
Participants will only receive 12 cognitive-behavioral therapy sessions weekly.
Arm Title
waiting
Arm Type
No Intervention
Arm Description
Participations will not be treated with CBT and keep waiting for 12 weeks for comparison.
Intervention Type
Behavioral
Intervention Name(s)
CBT only
Other Intervention Name(s)
Mastering Your Adult ADHD manual (Safren, et al., 2005)
Intervention Description
Participants will learn 12 sessions including educational information about ADHD and skills in organization and plan, reducing distractibility, and adaptive thinking.
Intervention Type
Behavioral
Intervention Name(s)
CBT with booster sessions
Intervention Description
Participants are provided with the same CBT programme and additional 3 booster sessions which summarize and extend the 3 main topics of the CBT programme in order to improve the skills practice ability.
Primary Outcome Measure Information:
Title
Change in ADHD Rating Scale
Description
ADHD symptom severity as measured by the ADHD rating scale (DuPaul, et al., 1998) a scale that ranges from 0-54 with 0 indicating lower severity.
Time Frame
Baseline, at the end of week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 in treatment, 12 weeks (post), 24 weeks (FU6), 36 weeks (FU9), and 48 weeks (FU12)
Secondary Outcome Measure Information:
Title
Change in Conners Adult ADHD Rating Scale Self-report Screening Version (CAARS-S:SV)
Description
The CAARS-S:SV is a self-reported scale measures the ADHD symptom severity including 30 items rating from 0 to 3.
Time Frame
Baseline, at the end of week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 in treatment, 12 weeks (post), 24 weeks (FU6), 36 weeks (FU9), and 48 weeks (FU12)
Title
Change in Self-Rating Anxiety Scale (SAS)
Description
The Self-Rating Anxiety Scale (SAS) with 20 items measures the level of anxiety.
Time Frame
Baseline, at the end of week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 in treatment, 12 weeks (post), 24 weeks (FU6), 36 weeks (FU9), and 48 weeks (FU12)
Title
Change in Self-rating depression scale (SDS)
Description
The Self-rating depression scale (SDS) is used to measure the level of depression.
Time Frame
Baseline, at the end of week 1, 2, 3, 4, 5, 6, 7, 8, 9, 10, and 11 in treatment, 12 weeks (post), 24 weeks (FU6), 36 weeks (FU9), and 48 weeks (FU12)
Title
Change in Behavior Rating Inventory of Executive Function-Adult Version (BRIEF-A)
Description
The BRIEF-A measures the impairment level of executive function in ADHD adults.
Time Frame
Baseline, 12 weeks (post), 24 weeks (FU6), and 48 weeks (FU12)
Title
Change in Cambridge Neuropsychological Test Automatic Battery (CANTAB)
Description
The CANTAB is a computerized neuropsychological test measuring the cognitive and executive function.
Time Frame
Baseline, 12 weeks (post), 24 weeks (FU6), and 48 weeks (FU12)
Title
Change in Barratt impulsiveness scale (BIS)
Description
The Barratt impulsiveness scale including 30 items is used to measure impulsiveness.
Time Frame
Baseline, 12 weeks (post), 24 weeks (FU6), and 48 weeks (FU12)
Title
Change in self-esteem scale (SES)
Description
The self-esteem scale measures the level of self-esteem.
Time Frame
Baseline, 12 weeks (post), 24 weeks (FU6), and 48 weeks (FU12)
Title
Change in World Health Organization Quality of Life-Brief Version (WHOQOL-BREF)
Description
The WHOQOL-BREF is the short version of World Health Organization Quality of Life scale and includes 26 items measuring the level of life quality.
Time Frame
Baseline, 12 weeks (post), 24 weeks (FU6), and 48 weeks (FU12)
Title
Change in Brain Oxygenation Level Dependent (BOLD) Signal
Description
The level of BOLD activity during working memory task after CBT is compared with baseline level to explore the potential effects of CBT on brain.
Time Frame
Baseline, 12 weeks (post)

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
45 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Outpatients from Peking University Sixth Hospital Diagnosis of adult ADHD based on Diagnostic and statistical manual of mental disorders, Fourth Edition (DSM-IV) Stable on medications for adult ADHD for at least 2 months Exclusion Criteria: Severe major depression, clinically significant panic disorder, bipolar disorder, organic mental disorders, psychotic disorders, or pervasive developmental disorders Intelligence Quotient (IQ) less than 90 Suicide risk Unstable physical condition Prior participation in cognitive behavioral therapy for ADHD or other psychological therapy
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Qiujin Qian, PhD
Organizational Affiliation
Peking University Sixth Hospital
Official's Role
Study Director
Facility Information:
Facility Name
Peking University Sixth Hospital
City
Beijing
State/Province
Beijing
ZIP/Postal Code
100191
Country
China

12. IPD Sharing Statement

Citations:
PubMed Identifier
25873090
Citation
Huang F, Qian Q, Wang Y. Cognitive behavioral therapy for adults with attention-deficit hyperactivity disorder: study protocol for a randomized controlled trial. Trials. 2015 Apr 14;16:161. doi: 10.1186/s13063-015-0686-1.
Results Reference
derived

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A Randomized Controlled Study of Cognitive Behavioral Therapy for Adults With Attention Deficit Disorder

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