CBT for Patients With Attention Deficit Hyperactivity Disorder (ADHD) and Substance Use Disorders

NCT ID: NCT01431235

Last Updated: 2017-01-16

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

NA

Total Enrollment

184 participants

Study Classification

INTERVENTIONAL

Study Start Date

2011-08-31

Study Completion Date

2016-12-31

Brief Summary

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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.

Detailed Description

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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.

Conditions

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Attention Deficit Hyperactivity Disorder Substance Use Disorders

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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standard addiction treatment

10 sessions of standard addiction treatment. No ADHD treatment.

Group Type NO_INTERVENTION

No interventions assigned to this group

addiction treatment and ADHD treatment

10 sessions cognitive behavioral therapy on addiction treatment combined with 5 sessions on ADHD treatment.

Group Type EXPERIMENTAL

cognitive behavioral therapy for treating ADHD symptoms

Intervention Type BEHAVIORAL

5 sessions of one hour CBT for treating ADHD symptoms by a trained health care worker

Interventions

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cognitive behavioral therapy for treating ADHD symptoms

5 sessions of one hour CBT for treating ADHD symptoms by a trained health care worker

Intervention Type BEHAVIORAL

Eligibility Criteria

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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
Minimum Eligible Age

18 Years

Maximum Eligible Age

60 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Fonds NutsOhra

OTHER

Sponsor Role collaborator

Arkin

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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Robert Schoevers, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

University Medical Center Groningen

Locations

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Arkin

Amsterdam, , Netherlands

Site Status

Countries

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Netherlands

References

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Arias AJ, Gelernter J, Chan G, Weiss RD, Brady KT, Farrer L, Kranzler HR. Correlates of co-occurring ADHD in drug-dependent subjects: prevalence and features of substance dependence and psychiatric disorders. Addict Behav. 2008 Sep;33(9):1199-207. doi: 10.1016/j.addbeh.2008.05.003. Epub 2008 May 13.

Reference Type BACKGROUND
PMID: 18558465 (View on PubMed)

Castells X, Ramos-Quiroga JA, Rigau D, Bosch R, Nogueira M, Vidal X, Casas M. Efficacy of methylphenidate for adults with attention-deficit hyperactivity disorder: a meta-regression analysis. CNS Drugs. 2011 Feb;25(2):157-69. doi: 10.2165/11539440-000000000-00000.

Reference Type BACKGROUND
PMID: 21254791 (View on PubMed)

Safren SA, Sprich S, Mimiaga MJ, Surman C, Knouse L, Groves M, Otto MW. Cognitive behavioral therapy vs relaxation with educational support for medication-treated adults with ADHD and persistent symptoms: a randomized controlled trial. JAMA. 2010 Aug 25;304(8):875-80. doi: 10.1001/jama.2010.1192.

Reference Type BACKGROUND
PMID: 20736471 (View on PubMed)

Solanto MV, Marks DJ, Wasserstein J, Mitchell K, Abikoff H, Alvir JM, Kofman MD. Efficacy of meta-cognitive therapy for adult ADHD. Am J Psychiatry. 2010 Aug;167(8):958-68. doi: 10.1176/appi.ajp.2009.09081123. Epub 2010 Mar 15.

Reference Type BACKGROUND
PMID: 20231319 (View on PubMed)

van Emmerik-van Oortmerssen K, Vedel E, Koeter MW, de Bruijn K, Dekker JJ, van den Brink W, Schoevers RA. Investigating the efficacy of integrated cognitive behavioral therapy for adult treatment seeking substance use disorder patients with comorbid ADHD: study protocol of a randomized controlled trial. BMC Psychiatry. 2013 May 10;13:132. doi: 10.1186/1471-244X-13-132.

Reference Type DERIVED
PMID: 23663651 (View on PubMed)

Other Identifiers

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10-130

Identifier Type: -

Identifier Source: org_study_id

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