Effectiveness of Psychotherapy in Adult ADHD: What Do Patients Think? Results of the COMPAS Study

Vivien Groß^{1

2}, Caroline Lücke¹, Erika Graf³, Alexandra P Lam¹, Swantje Matthies², Patricia Borel², Esther Sobanski^{4

5}, Michael Rösler⁶, Wolfgang Retz⁷, Christian Jacob⁸, Michael Colla⁹, Michael Huss⁵, Thomas Jans¹⁰, Bernhard Kis¹¹, Mona Abdel-Hamid¹¹, Ludger Tebartz van Elst², Alexandra Philipsen^{1

2}; Comparison of Methylphenidate and Psychotherapy in Adult ADHD Study (COMPAS) Consortium

Affiliations

¹ 1 Medical Campus University of Oldenburg, School of Medicine and Health Sciences, Psychiatry and Psychotherapy - University Hospital, Karl-Jaspers-Klinik, Bad Zwischenahn, Germany.
² 2 Department of Psychiatry and Psychotherapy, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
³ 3 Clinical Trials Unit and Medical Faculty, University Medical Center - University of Freiburg, Freiburg, Germany.
⁴ 4 Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Clinical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
⁵ 5 Department of Child and Adolescent Psychiatry and Psychotherapy, University Medicine Mainz, Mainz, Germany.
⁶ 6 Institute for Forensic Psychology and Psychiatry, Saarland University Faculty of Medicine, Homburg/Saar, Germany.
⁷ 7 Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
⁸ 8 Clinic for Psychiatry and Psychotherapy, Medius Clinic, Kirchheim, Germany.
⁹ 9 Clinic and Polyclinic for Psychiatry and Psychotherapy, University of Rostock, Rostock, Germany.
¹⁰ 10 University Hospital of Würzburg, Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Würzburg, Germany.
¹¹ 11 Department of Psychiatry and Psychotherapy, University Medical Center, Göttingen, Germany.

PMID: 28745107
DOI: 10.1177/1087054717720718

Multicenter Study

Effectiveness of Psychotherapy in Adult ADHD: What Do Patients Think? Results of the COMPAS Study

Vivien Groß et al. J Atten Disord. 2019 Jul.

. 2019 Jul;23(9):1047-1058.

doi: 10.1177/1087054717720718. Epub 2017 Jul 26.

Authors

Affiliations

¹ 1 Medical Campus University of Oldenburg, School of Medicine and Health Sciences, Psychiatry and Psychotherapy - University Hospital, Karl-Jaspers-Klinik, Bad Zwischenahn, Germany.
² 2 Department of Psychiatry and Psychotherapy, Medical Center, University of Freiburg, Faculty of Medicine, Freiburg, Germany.
³ 3 Clinical Trials Unit and Medical Faculty, University Medical Center - University of Freiburg, Freiburg, Germany.
⁴ 4 Department of Psychiatry and Psychotherapy, Central Institute of Mental Health, Clinical Faculty Mannheim, University of Heidelberg, Mannheim, Germany.
⁵ 5 Department of Child and Adolescent Psychiatry and Psychotherapy, University Medicine Mainz, Mainz, Germany.
⁶ 6 Institute for Forensic Psychology and Psychiatry, Saarland University Faculty of Medicine, Homburg/Saar, Germany.
⁷ 7 Department of Psychiatry and Psychotherapy, University Medical Center Mainz, Mainz, Germany.
⁸ 8 Clinic for Psychiatry and Psychotherapy, Medius Clinic, Kirchheim, Germany.
⁹ 9 Clinic and Polyclinic for Psychiatry and Psychotherapy, University of Rostock, Rostock, Germany.
¹⁰ 10 University Hospital of Würzburg, Center of Mental Health, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Würzburg, Germany.
¹¹ 11 Department of Psychiatry and Psychotherapy, University Medical Center, Göttingen, Germany.

PMID: 28745107
DOI: 10.1177/1087054717720718

Abstract

Objective: In the multicenter study Comparison of Methylphenidate and Psychotherapy in Adult ADHD (COMPAS), the efficacy of treatments has been primarily evaluated by observer-rated symptom change. Here, we additionally analyzed the patients' subjective evaluation of therapy effects.

Method: COMPAS compared ADHD-specific group therapy with unspecific clinical management with/without concomitant pharmacotherapy in a four-armed design. Evaluation through the patients' retrospective perspective was performed after 1 year (post-treatment) and after another 1.5 years (follow-up).

Results: In respect to patients' subjective ratings, ADHD-specific group psychotherapy outperformed unspecific management post-treatment ( z = 4.88, p < .0001) and at follow-up ( z = 2.90, p = .004). Rank correlations with rater-based symptom change were small to moderate (post-treatment: r_s = 0.28, follow-up: r_s = 0.16).

Conclusion: Therapy evaluation based on the patients' perspective supports the concept of ADHD-specific group psychotherapy as a potentially useful therapy option in ADHD.

Keywords: adult ADHD; follow-up; mindfulness; psychotherapy.

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Effectiveness of Psychotherapy in Adult ADHD: What Do Patients Think? Results of the COMPAS Study

Affiliations

Effectiveness of Psychotherapy in Adult ADHD: What Do Patients Think? Results of the COMPAS Study

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