Effectiveness of Group Cognitive Behavioral Therapy and the Role of Cognitive Ability in Adult Attention-Deficit/Hyperactivity Disorder

• 발행기관: 대한신경정신의학회
• 저자명: Seong Ae Lee Ah Rah Lee Nan-He Yoon Chae-Bin Kim Geon Ho Bahn Miae Oh
• 간행물 정보: 『Psychiatry Investigation』제22권 제11호, 1267~1276쪽, 전체 10쪽
• 주제분류: 의약학 > 정신과학
• 파일형태: PDF
• 발행일자: 2025.11.30

국문 초록

Objective: Attention-deficit/hyperactivity disorder (ADHD) frequently persists into adulthood and leads to significant impairment across multiple domains. Cognitive behavioral therapy (CBT) has been proposed as a promising adjunctive treatment. We aimed to evaluate the effectiveness of a structured group-based CBT program for adults with ADHD and examine whether cognitive ability and treatment adherence moderate treatment response. Methods: A retrospective analysis was conducted on 24 adults who completed a 10-session group CBT program. ADHD symptoms were assessed pre and postintervention using the Adult ADHD Self-Report Scale (ASRS) and Korean Adult ADHD Rating Scale (K-AARS). Subgroup analyses were performed based on full-scale intelligence quotient (FSIQ), session attendance, and presence of comorbid depression. Results: A significant improvement in symptoms was observed across most ASRS and K-AARS domains. Functional impairment, as measured using the K-AARS impairment subscale, also improved significantly. Participants with an average FSIQ (90–109) showed the most consistent improvements, whereas those with below-average and high FSIQ also benefited to varying degrees. Higher attendance rates were associated with greater reduction in symptoms. The presence of comorbid depression did not significantly affect the treatment outcomes. Conclusion: Group-based CBT is an effective adjunct intervention for managing adult ADHD symptoms. Notably, the intervention led to significant improvements in functional impairment, highlighting its potential to enhance daily functioning in adults with ADHD. Tailoring interventions based on cognitive profiles and emphasizing treatment adherence may enhance therapeutic outcomes. Future studies should employ larger sample sizes, randomized controlled designs, and longitudinal follow-up assessments to validate and extend these findings.

목차

INTRODUCTION

METHODS

RESULTS

DISCUSSION

Supplementary Materials

Availability of Data and Material

Conflicts of Interest

Author Contributions

ORCID iDs

Funding Statement

Acknowledgments

REFERENCES

키워드

ADHD Adult ADHD Cognitive-behavioral therapy Group CBT Executive functioning Emotional dysregulation