Skills training groups for men with ADHD in compulsory care due to substance use disorder: a feasibility study.

B Bihlar Muld, J Jokinen, S Bölte, T Hirvikoski
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引用次数: 15

Abstract

Dialectical behavior therapy (DBT)-based skills training has been developed and previously evaluated for adults with ADHD in a psychiatric outpatient context. The aim of the present study was to evaluate the feasibility of DBT-based skills training as a voluntary intervention for men with ADHD in compulsory care due to severe substance abuse. Forty sufficiently detoxified men with ADHD in compulsory care due to life-threatening substance use disorder (SUD) were included in DBT-based skills training groups. Self- and staff-rating scales were administered before and after the treatment. The refusal rate was 42.9 %. Of those who started the DBT-based skills training, 70 % completed the treatment (attendance at ≥75 % of the sessions). The treatment acceptability was good. Both ADHD and psychiatric symptoms decreased from pre- to post-intervention in self-ratings, but not in staff ratings. The patients reported improved general well-being. The correlation between self- and staff ratings was poor. Motivation for voluntary nonpharmacological treatment was low in a compulsory care context. However, the results indicate that a DBT-based skills training program for adults with ADHD may be feasible for some patients with ADHD in combination with SUD in compulsory care, provided that considerable resources are allocated with adjustments to the target group and compulsory care context.

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因物质使用障碍而接受强制护理的ADHD男性的技能训练组:可行性研究。
辩证行为疗法(DBT)为基础的技能训练已经开发和以前评估成人多动症在精神科门诊环境。本研究的目的是评估基于dbt的技能培训作为一种自愿干预因严重药物滥用而接受强制护理的ADHD男性患者的可行性。40名因危及生命的物质使用障碍(SUD)而在强制护理中充分解毒的ADHD男性被纳入基于dbt的技能训练组。治疗前后分别使用自评量表和工作人员评定量表。拒签率为42.9%。在那些开始基于dbt的技能培训的患者中,70%的人完成了治疗(出勤率≥75%)。治疗可接受性好。从干预前到干预后,ADHD和精神症状在自我评定中都有所下降,但在工作人员评定中没有下降。患者报告总体健康状况有所改善。自我评价和员工评价之间的相关性很差。自愿非药物治疗的动机在强制性医疗环境下是低的。然而,研究结果表明,如果对目标群体和强制护理环境进行调整,那么基于dbt的成人ADHD技能培训计划对于一些ADHD合并SUD的强制护理患者可能是可行的。
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