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This version was published on May 1, 2008
Journal of Attention Disorders, Vol. 11, No. 6, 728-736 (2008)
DOI: 10.1177/1087054707305100
© 2008 SAGE Publications

Development of a New Psychosocial Treatment for Adult ADHD

Mary V. Solanto

Mount Sinai School of Medicine, mary.solanto{at}mssm.edu

David J. Marks

Mount Sinai School of Medicine

Katherine J. Mitchell

Mount Sinai School of Medicine

Jeanette Wasserstein

Mount Sinai School of Medicine

Michele D. Kofman

Mount Sinai School of Medicine

Objective: The purpose of this study was to assess the effectiveness of a new manualized group Meta-Cognitive Therapy (MCT) for adults with ADHD that extends the principles and practices of cognitive-behavioral therapy to the development of executive self-management skills. Method: Thirty adults diagnosed with ADHD completed an 8- or 12-week program designed to target impairments in time management, organization, and planning skills. Treatment efficacy was measured using pre- and posttreatment self-report standardized measures (CAARS-S:L & Brown ADD Scales). Results: General linear modeling revealed a robust significant posttreatment decline on the CAARS DSM-IV Inattentive symptom scale (p < .001) as well as improvement on the Brown ADD Scales (p < .001). Conclusion: The findings indicate that participants in the MCT program showed marked improvement with respect to core ADHD symptoms of inattention, as well as executive functioning skills, suggesting that this program has promise as a treatment for meta-cognitive deficits in adults with ADHD. (J. of Att. Dis. 2008; 11(6) 728-736)

Key Words: meta-cognitive therapy • adults • ADHD • attention-deficit hyperactivity disorder • Brown ADD Scales • Conners Adult ADD Scales • executive function • cognitive-behavioral therapy • psychosocial • treatment


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