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Does ACT-Group Training Improve Cognitive Domain in Children with Attention Deficit Hyperactivity Disorder? A Single-Arm, Open-Label Study

Published online by Cambridge University Press:  06 April 2020

Laura Vanzin
Affiliation:
Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, LC, Italy
Alessandro Crippa*
Affiliation:
Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, LC, Italy
Valentina Mauri
Affiliation:
Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, LC, Italy
Angela Valli
Affiliation:
Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, LC, Italy
Maddalena Mauri
Affiliation:
Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, LC, Italy PhD Program in Neuroscience, School of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy
Massimo Molteni
Affiliation:
Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, LC, Italy
Maria Nobile
Affiliation:
Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, LC, Italy
*
*Corresponding author: Alessandro Crippa, Child Psychopathology Unit, Scientific Institute, IRCCS Eugenio Medea, Via Don Luigi Monza 20, Bosisio Parini, LC23842, Italy. Email: [email protected]
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Abstract

This single-arm, open-label study aimed to investigate the efficacy of a cognitive-behavioural group training based on acceptance and commitment therapy (ACT) on cognition in drug-naïve children with attention deficit hyperactivity disorder (ADHD). Thirty-six children with ADHD aged 8–13 were invited to participate in the 9-month ACT training programme, which consisted of 26 weekly sessions of group therapy lasting 90 min each. Their parents also received 12 sessions of ACT-based parent training, every 2 weeks. The outcome measure for the present study was the change in the cognitive performance assessed by a battery of computerised task. The cognitive outcome of children receiving ACT-group intervention was compared to that of an external untreated control group of children with ADHD. No significant improvements were observed in any of the cognitive measures. This preliminary study suggests that the 9-month ACT-group training programme might not have positive effects on cognitive difficulties usually occurring in ADHD. Future randomised controlled trials with larger sample sizes are required to shed more light on this issue.

Type
Standard Paper
Copyright
Copyright © The Author(s) 2020. Published by Cambridge University Press

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Footnotes

The first two authors contributed equally to this work.

References

A-Tjak, JGL, Davis, ML, Morina, N, Powers, MB, Smits, JAJ and Emmelkamp, PMG (2015). A meta-analysis of the efficacy of acceptance and commitment therapy for clinically relevant mental and physical health problems. Psychotherapy and Psychosomatics, 84, 3036.CrossRefGoogle ScholarPubMed
American Psychiatric Association (2000) Diagnostic and statisticalmanual of mental disorders (4th ed., text rev.). Washington, DC: Author.Google Scholar
American Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Arlington, VA: American Psychiatric Publishing.Google Scholar
Barkley, RA (1997). Attention-deficit/hyperactivity disorder, self-regulation, and time: Toward a more comprehensive theory. Journal of Developmental & Behavioral Pediatrics, 18, 271279.CrossRefGoogle Scholar
Busner, J and Targum, SD (2007). The clinical global impressions scale: Applying a research tool in clinical practice. Psychiatry (Edgmont), 4, 28.Google ScholarPubMed
Coghill, DR, Rhodes, SM and Matthews, K (2007). The neuropsychological effects of chronic methylphenidate on drug naive boys with attention-deficit/hyperactivity disorder. Biological Psychiatry, 62, 954962.CrossRefGoogle ScholarPubMed
Coghill, DR, Seth, S, Pedroso, S, Usala, T, Currie, J and Gagliano, A (2014). Effects of methylphenidate on cognitive functions in children and adolescents with attention-deficit/hyperactivity disorder: Evidence from a systematic review and a meta-analysis. Biological Psychiatry, 76, 603615.CrossRefGoogle ScholarPubMed
Conners, CK (1997). Conners’ rating scales-revised (technical manual). Toronto, Ontario, Canada: Multi-Health Systems.Google Scholar
Crippa, A, Agostoni, C, Mauri, M, Molteni, M and Nobile, M (2018). Polyunsaturated fatty acids are associated with behavior but not with cognition in children with and without ADHD: An Italian study. Journal of Attention Disorders, 22, 971983.CrossRefGoogle ScholarPubMed
Crippa, A, Tesei, A, Sangiorgio, F, Salandi, A, Trabattoni, S, Grazioli, S and Nobile, M (2019). Behavioral and cognitive effects of docosahexaenoic acid in drug-naïve children with attention-deficit/hyperactivity disorder: A randomized, placebo-controlled clinical trial. European Child & Adolescent Psychiatry, 28, 571583.CrossRefGoogle ScholarPubMed
Daley, D, Van der Oord, S, Ferrin, M, Danckaerts, M, Doepfner, M, Cortese, S, ... European ADHD Guidelines Group (2014). Behavioral interventions in attention-deficit/hyperactivity disorder: a meta-analysis of randomized controlled trials across multiple outcome domains. Journal of the American Academy of Child & Adolescent Psychiatry, 53, 835847.CrossRefGoogle ScholarPubMed
De Sonneville, LMJ (2000). ANT 2.1 — Amsterdam neuropsychological tasks. Amstelveen: Sonar.Google Scholar
DuPaul, GJ, Power, TJ, Anastopoulos, AD and Reid, R (1998). ADHD Rating Scale — IV: Checklists, norms, and clinical interpretation. New York, NY: Guilford Press.Google Scholar
Evans, SW, Owens, JS, Wymbs, BT and Ray, AR (2018). Evidence-based psychosocial treatments for children and adolescents with attention deficit/hyperactivity disorder. Journal of Clinical Child & Adolescent Psychology, 47, 157198.CrossRefGoogle ScholarPubMed
Feingold, A (2009). Effect sizes for growth-modeling analysis for controlled clinical. Psychological Methods, 14, 4353.CrossRefGoogle ScholarPubMed
Goodman, R, Ford, T, Richards, H, Gatward, R and Meltzer, H (2000). The development and well being assessment: Description and initial validation of an integrated assessment of child and adolescent psychopathology. Journal of Child Psychology and Psychiatry, 41, 645655.CrossRefGoogle ScholarPubMed
Hayes, SC, Wilson, KW, Gifford, EV, Follette, VM and Strosahl, K (1996). Experiential avoidance and behavioral disorders: A functional dimensional approach to diagnosis and treatment. Journal of Consulting and Clinical Psychology, 64, 11521168.CrossRefGoogle ScholarPubMed
Hayes, SC, Strosahl, KD and Wilson, KG (1999). Acceptance and commitment therapy: An experiential approach to behavior change. New York: Guilford Press.Google Scholar
Hayes, SC, Luoma, JB, Bond, FW, Masuda, A and Lillis, J (2006). Acceptance and commitment therapy: Model, processes and outcomes. Behaviour Research and Therapy, 44, 125.CrossRefGoogle ScholarPubMed
Hollingshead, AA (1975). Four-factor index of social status. New Haven, CT: Yale University. Unpublished manuscript.Google Scholar
Italian National Institute of Health (2014) https://www.iss.it/binary/adhd/cont/NewsletterRegistro_Italiano_dicembre_2014.pdf. Accessed 8 December 2017.Google Scholar
Kabat-Zinn, J (1994) Wherever you go, there you are: mindfulnessmeditation in everyday life. New York, NY: Hyperion, p. 4.Google Scholar
Murrell, AR, Steinberg, DS, Connally, ML, Hulsey, T and Hogan, E (2015). Acting out to ACTing on: A preliminary investigation in youth with ADHD and co-morbid disorders. Journal of Child and Family Studies, 24, 21742181.CrossRefGoogle Scholar
Öst, LG (2014). The efficacy of acceptance and commitment therapy: An updated systematic review and meta-analysis. Behaviour Research and Therapy, 61, 105121.CrossRefGoogle ScholarPubMed
Powers, MB, Zum Vorde Sive Vording, MB and Emmelkamp, MP (2009). Acceptance and commitment therapy: A meta-analytic review. Psychotherapy and Psychosomatics, 78, 7380.CrossRefGoogle ScholarPubMed
Ruiz, FJ (2010). A review of acceptance and commitment therapy (ACT) empirical evidence: Correlational, experimental psychopathology, component and outcome studies. International Journal of Psychology and Psychological Therapy, 10, 125162.Google Scholar
Simons, JS and Gaher, RM (2005). The distress tolerance scale: Development and validation of a self-report measure. Motivation and Emotion, 29, 83102.CrossRefGoogle Scholar
Sonuga-Barke, EJ, Brandeis, D, Cortese, S, Daley, D, Ferrin, M, Holtmann, M and Dittmann, RW (2013). Nonpharmacological interventions for ADHD: Systematic review and meta-analyses of randomized controlled trials of dietary and psychological treatments. American Journal of Psychiatry, 170, 275289.CrossRefGoogle ScholarPubMed
The MTA Cooperative Group (1999). A 14-month randomized clinical trial of treatment strategies for attention-deficit/hyperactivity disorder. Multimodal Treatment Study of Children with ADHD. Archives of General Psychiatry, 56, 10731086.CrossRefGoogle Scholar
Thomas, R, Sanders, S, Doust, J, Beller, E and Glasziou, P (2015). Prevalence of attention-deficit/hyperactivity disorder: A systematic review and meta-analysis. Pediatrics, 135, e994e1001.CrossRefGoogle ScholarPubMed
Vanzin, L (2018). Rallentiamo e scegliamo!: Child training per l'ADHD. FrancoAngeli.Google Scholar
Vanzin, L, Colombo, P, Valli, A, Mauri, V, Busti Ceccarelli, S, Pozzi, M and Nobile, M (2018). The effectiveness of coping power program for ADHD: An observational outcome study. Journal of Child and Family Studies, 27, 35543563.CrossRefGoogle Scholar
Vanzin, L, Mauri, V, Valli, A, Pozzi, M, Presti, G, Oppo, A, ... Nobile, M (2020). Clinical effects of an ACT-group training in children and adolescents with attention-deficit/hyperactivity disorder. Journal of Child and Family Studies, 29, 10701080.CrossRefGoogle Scholar
Wechsler, D (2012). Wechsler Preschool and Primary Scale of Intelligence — Fourth edition. San Antonio, TX: The Psychological Corporation.Google Scholar
Zylowska, L, Ackerman, DL, Yang, MH, Futrell, JL, Horton, NL, Hale, TS and Smalley, SL (2008). Mindfulness meditation training in adults and adolescents with ADHD: A feasibility study. Journal of Attention Disorders, 11, 737746.CrossRefGoogle ScholarPubMed