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A randomized controlled trial sought to compare internet-based cognitive behavioral therapy (iCBT) in adult outpatients dealing with attention deficit hyperactivity disorder (ADHD) with an active control treatment known as internet-based applied relaxation training (iART), as well as with the standard treatment as usual (TAU).
Both iCBT and iART are beneficial for the management of attention deficit hyperactivity disorder.
A randomized controlled trial sought to compare internet-based cognitive behavioral therapy (iCBT) in adult outpatients dealing with attention deficit hyperactivity disorder (ADHD) with an active control treatment known as internet-based applied relaxation training (iART), as well as with the standard treatment as usual (TAU).
A total of 104 subjects, with 67% of them utilizing ADHD medication, were assigned randomly to undergo 12 weeks of either iCBT (n = 36), iART (n = 37), or TAU (n = 31). The major endpoint was the alteration in scores on the adult ADHD self report scale (ASRS) at follow-ups conducted at 3 months (FU3) and 12 months (FU12) post-intervention.
The adult ASRS exhibited greater improvement in individuals who underwent iCBT (with Cohen's d value of 0.42 at post-intervention and 0.67 at FU3) and iART (with Cohen's d value of 0.57 at post-treatment and 0.66 at FU3), as compared to those in TAU.
These positive effects persisted over the 12-month period for both iCBT and iART. When comparing iCBT to iART, no substantial variation was witnessed. The percentage of treatment responders was 25% for both iCBT and iART, which surpassed the 3% of responders in TAU.
Both iART and iCBT could be favorable as an adjuvant to medication, expanding the reach of psychological intervention and sustaining symptom alleviation following one year.
Internet Interventions
Internet delivered cognitive behavioral therapy for adults with ADHD - A randomized controlled trial
Berkeh Nasri et al.
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