Investigating Cognitive Behavioral Therapy in Patients With Attention Deficit Hyperactivity Disorder (ADHD) and Substance Use Disorders
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Purpose
The purpose of this study is to determine if cognitive behavioral therapy is effective in treating ADHD symptoms in patients with substance use disorders and comorbid ADHD.
| Condition | Intervention |
|---|---|
|
Attention Deficit Hyperactivity Disorder Substance Use Disorders |
Behavioral: cognitive behavioral therapy for treating ADHD symptoms |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | Investigating the Efficacy of Cognitive Behavioral Therapy in Patients With Substance Use Disorder and Comorbid ADHD. A Randomized Controlled Trial With Cognitive Behavioral Therapy |
- self reported ADHD symptoms [ Time Frame: 6 months ] [ Designated as safety issue: No ]Dutch self report list of ADHD symptoms by Kooij and Buitelaar
- Time Line Follow Back method [ Time Frame: 6 months ] [ Designated as safety issue: No ]self-reported alcohol and drug use
- Beck depression inventory [ Time Frame: 6 months ] [ Designated as safety issue: No ]self reported depression symptoms
- Beck Anxiety Inventory [ Time Frame: 6 months ] [ Designated as safety issue: No ]Self reported anxiety symptoms
- EQ-5 [ Time Frame: 6 months ] [ Designated as safety issue: No ]Self reported quality of living
- TIC-P [ Time Frame: 6 months ] [ Designated as safety issue: No ]health care consumption and production loss in relation to mental health problems
- Stroop task [ Time Frame: 6 months ] [ Designated as safety issue: No ]neuropsychological measure
- Tower of London task [ Time Frame: 6 months ] [ Designated as safety issue: No ]neuropsychological task
- BART task [ Time Frame: 6 months ] [ Designated as safety issue: No ]neuropsychological task on risk taking behavior
- urine checks [ Time Frame: 6 months ] [ Designated as safety issue: No ]urine checks on drug use
| Estimated Enrollment: | 150 |
| Study Start Date: | August 2011 |
| Estimated Primary Completion Date: | August 2013 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
No Intervention: standard addiction treatment
10 sessions of standard addiction treatment. No ADHD treatment.
|
|
|
Experimental: addiction treatment and ADHD treatment
10 sessions cognitive behavioral therapy on addiction treatment combined with 5 sessions on ADHD treatment.
|
Behavioral: cognitive behavioral therapy for treating ADHD symptoms
5 sessions of one hour CBT for treating ADHD symptoms by a trained health care worker
|
Detailed Description:
Attention Deficit Hyperactivity Disorder(ADHD) is an important comorbid condition in patients with substance use disorders (SUD). The prevalence of ADHD in patients with SUD is estimated 23%, and ADHD is associated with an untoward prognosis of SUD. However, adequate treatment programs for patients with ADHD and SUD are not available. Results of medication trials for patients with ADHD and SUD are disappointing, and cognitive behavioral therapy (CBT) has not yet been investigated in this population. In patients with ADHD without comorbid SUD, the results of CBT in randomized trials are positive. The purpose of this study is to investigate if CBT is effective in treating ADHD symptoms in patients with ADHD and SUD.
Eligibility| Ages Eligible for Study: | 18 Years to 60 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- substance use disorder
- ADHD
- able to comply with study activities
Exclusion Criteria:
- severe neurological or psychiatric diseases (for example Parkinson, dementia, psychosis, bipolar depression) which require medication
- unable to read or write Dutch language
Contacts and Locations| Contact: Katelijne van Emmerik - van Oortmerssen, MD | +31205904423 | katelijne.van.oortmerssen@arkin.nl |
| Netherlands | |
| Arkin | Recruiting |
| Amsterdam, Netherlands | |
| Contact: Katelijne van Emmerik - van Oortmerssen, MD +31205904423 katelijne.van.oortmerssen@arkin.nl | |
| Principal Investigator: | Robert Schoevers, MD, PhD | University Medical Centre Groningen |
More Information
Publications:
| Responsible Party: | Arkin |
| ClinicalTrials.gov Identifier: | NCT01431235 History of Changes |
| Other Study ID Numbers: | 10-130 |
| Study First Received: | September 8, 2011 |
| Last Updated: | September 8, 2011 |
| Health Authority: | The Netherlands: Central Committee on Research involving Human Subjects |
Keywords provided by Arkin:
|
ADHD SUD cognitive behavioral therapy |
Additional relevant MeSH terms:
|
Substance-Related Disorders Attention Deficit Disorder with Hyperactivity Hyperkinesis Mental Disorders Attention Deficit and Disruptive Behavior Disorders |
Mental Disorders Diagnosed in Childhood Dyskinesias Neurologic Manifestations Nervous System Diseases Signs and Symptoms |
ClinicalTrials.gov processed this record on June 13, 2013