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Skills training groups for men with ADHD in compulsory care due to substance use disorder: a feasibility study
Umeå University, Faculty of Medicine, Department of Clinical Sciences, Psychiatry. Department of Clinical Neuroscience, Karolinska Institutet, Stockholm, Sweden.
2016 (English)In: ADHD Attention Deficit and Hyperactivity Disorders, ISSN 1866-6116, E-ISSN 1866-6647, Vol. 8, no 3, 159-172 p.Article in journal (Refereed) Published
Abstract [en]

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 aeyen75 % 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.

Place, publisher, year, edition, pages
2016. Vol. 8, no 3, 159-172 p.
Keyword [en]
ADHD, Substance use disorder, Behavior therapy, Skills training, Group therapy, Compulsory care, ndatory care
National Category
Psychiatry
Identifiers
URN: urn:nbn:se:umu:diva-126364DOI: 10.1007/s12402-016-0195-4ISI: 000381980300005OAI: oai:DiVA.org:umu-126364DiVA: diva2:1037761
Available from: 2016-10-18 Created: 2016-10-03 Last updated: 2016-10-18Bibliographically approved

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Jokinen, Jussi
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