Onko terapiamuodolla merkitystä ADHD-aikuisten kuntoutuksessa? : Hypnoterapian ja kognitiivis-behavioraalisen lyhytterapian hyödyn seuranta
Year: 2013
Type: article
Abstract: Attention Deficit Hyperactivity Disorder (ADHD) is a developmental neurobiological disorder, which emerges in childhood and often continues into adulthood. The need for psychological interventions is widely recognized, since pharmacotherapy does not help all adults with ADHD or residual symptoms still remains with medication. In the psychological interventions for adults with ADHD, it is focused to develop compensatory strategies and to alter dysfunctional thoughts and attitudes, which may maintain the ADHD symptoms. A six month follow up data was analyzed from individual rehabilitation with cognitive hypnotherapy (CH, n = 8) and cognitive behavioral therapy (CBT, n = 9). Both therapy interventions consisted of 10 weekly sessions. At follow-up, the benefits of the rehabilitations, measured by self-reported ADHD symptom scales (BADDS, SCL-16) and other psychiatric symptom scales (SCL-90, BDI-II), remained better in the CH group than in the CBT group. In the CBT group, ADHD symptoms and other psychiatric symptoms increased towards the pre-treatment level during the last three month period of the follow-up. In the CH group, both ADHD symptoms and other psychiatric symptoms remained at decreased level or even continued to decrease during the follow-up. The latter happened with ADHD symptoms measured by SCL-16 in the CH group. At follow up, the CH and the CBT groups differed from each other in general psychological well-being (SCL-90), anxiety (SCL-90 anxiety) and depression (BDI-II), and almost differed statistically in ADHD symptoms (SCL-16) for the favor of the CH. Independent clinical evaluations also supported the results. The current literature does not give any direct answer why the benefits of CH remained better than the benefits of CBT. The current assumption is that the CBT is the best psychological treatment for adults with ADHD. However, there exists only one randomized controlled study for applying CH for adults with ADHD and the current study is the follow-up for that. There is an increasing evidence for the effectiveness of hypnotherapy in many disorders, but the mechanisms of the hypnosis are still quite unknown. The deep relaxation with CH may decrease the ADHD hyperactivity symptoms. CH may also decrease affect regulation problems and may strengthen new positive thoughts and attitudes better than CBT do. Also, the use of the hypnosis may reinforce the therapeutic relationship. The generalization of the results and the clarification of the influence mechanisms of the hypnosis require further studies.
Source: Työväentutkimus Vuosikirja
Author: Seppo I. Hiltunen
Language: Finnish
Subfield: Psychiatry and Mental health
Field: Medicine
Domain: Health Sciences
Open Access status: green
OpenAlex ID: W2618394536