Does Attention‐Deficit/Hyperactivity Disorder Predominant Presentation Matter? Examining Functional and Symptom Changes After Cognitive Behavioural Therapy
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Wiley
2026
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| author | Juan Jesús Crespín Montse Corrales Vanesa Richarte Gemma Parramon‐Puig Paula Querol Ferran Mestres Carolina Ramos‐Sayalero Maria Boix Carla Torrent Christian Fadeuilhe Josep Antoni Ramos‐Quiroga Silvia Amoretti |
| author_facet | Juan Jesús Crespín Montse Corrales Vanesa Richarte Gemma Parramon‐Puig Paula Querol Ferran Mestres Carolina Ramos‐Sayalero Maria Boix Carla Torrent Christian Fadeuilhe Josep Antoni Ramos‐Quiroga Silvia Amoretti Juan Jesús Crespín Montse Corrales Vanesa Richarte Gemma Parramon‐Puig Paula Querol Ferran Mestres Carolina Ramos‐Sayalero Maria Boix Carla Torrent Christian Fadeuilhe Josep Antoni Ramos‐Quiroga Silvia Amoretti |
| collection | Wiley Open Access |
| contents | Does Attention‐Deficit/Hyperactivity Disorder Predominant Presentation Matter? Examining Functional and Symptom Changes After Cognitive Behavioural Therapy Juan Jesús Crespín Montse Corrales Vanesa Richarte Gemma Parramon‐Puig Paula Querol Ferran Mestres Carolina Ramos‐Sayalero Maria Boix Carla Torrent Christian Fadeuilhe Josep Antoni Ramos‐Quiroga Silvia Amoretti Clinical Psychology & Psychotherapy ABSTRACT Background Cognitive behavioural therapy (CBT) is an effective intervention for adults with attention‐deficit/hyperactivity disorder (ADHD). While both brief (6‐session) and standard (12‐session) formats show efficacy, it remains unclear whether treatment response differs between distinct ADHD clinical presentations. Methods This secondary analysis of a randomized trial included 80 adults with ADHD (57.5% male; mean age = 41.26 ± 9.32 years) allocated to brief or standard CBT. Clinical and functional outcomes were assessed at baseline, posttreatment, as well as 3‐ and 6‐month follow‐ups. Linear mixed‐effects models and the Reliable Change Index (RCI) evaluated interactions between time, treatment format and ADHD presentation (inattentive vs. combined). Results CBT yielded significant improvements across all domains, with 94.5% of participants achieving reliable symptomatic improvement. A significant time × presentation interaction ( p = 0.001, ηp 2 = 0.135) revealed a steeper core symptom reduction in the combined group, which survived sensitivity analyses controlling for baseline severity. Regarding format, the brief version produced greater observer‐rated symptom improvement, whereas the standard format yielded greater long‐term functional gains ( p = 0.009, ηp 2 = 0.061). Improvements were sustained at the 6‐month follow‐up. No robust three‐way interactions emerged. Conclusions CBT is highly effective and durable across ADHD presentations and formats. Although the combined presentation exhibited a more pronounced reduction in core symptoms, this differential trajectory represents a promising clinical trend requiring cautious interpretation. While brief formats efficiently address core symptoms, standard programs may better optimize long‐term functional recovery. 10.1002/cpp.70271 http://creativecommons.org/licenses/by/4.0/ |
| doi_str_mv | 10.1002/cpp.70271 |
| format | Artículo Open Access |
| id | wiley_oa_10_1002_cpp_70271 |
| institution | Wiley Open Access |
| license_str_mv | http://creativecommons.org/licenses/by/4.0/ |
| publishDate | 2026 |
| publisher | Wiley |
| record_format | wiley_oa |
| spellingShingle | Does Attention‐Deficit/Hyperactivity Disorder Predominant Presentation Matter? Examining Functional and Symptom Changes After Cognitive Behavioural Therapy Juan Jesús Crespín Montse Corrales Vanesa Richarte Gemma Parramon‐Puig Paula Querol Ferran Mestres Carolina Ramos‐Sayalero Maria Boix Carla Torrent Christian Fadeuilhe Josep Antoni Ramos‐Quiroga Silvia Amoretti Clinical Psychology & Psychotherapy Does Attention‐Deficit/Hyperactivity Disorder Predominant Presentation Matter? Examining Functional and Symptom Changes After Cognitive Behavioural Therapy Juan Jesús Crespín Montse Corrales Vanesa Richarte Gemma Parramon‐Puig Paula Querol Ferran Mestres Carolina Ramos‐Sayalero Maria Boix Carla Torrent Christian Fadeuilhe Josep Antoni Ramos‐Quiroga Silvia Amoretti Clinical Psychology & Psychotherapy ABSTRACT Background Cognitive behavioural therapy (CBT) is an effective intervention for adults with attention‐deficit/hyperactivity disorder (ADHD). While both brief (6‐session) and standard (12‐session) formats show efficacy, it remains unclear whether treatment response differs between distinct ADHD clinical presentations. Methods This secondary analysis of a randomized trial included 80 adults with ADHD (57.5% male; mean age = 41.26 ± 9.32 years) allocated to brief or standard CBT. Clinical and functional outcomes were assessed at baseline, posttreatment, as well as 3‐ and 6‐month follow‐ups. Linear mixed‐effects models and the Reliable Change Index (RCI) evaluated interactions between time, treatment format and ADHD presentation (inattentive vs. combined). Results CBT yielded significant improvements across all domains, with 94.5% of participants achieving reliable symptomatic improvement. A significant time × presentation interaction ( p = 0.001, ηp 2 = 0.135) revealed a steeper core symptom reduction in the combined group, which survived sensitivity analyses controlling for baseline severity. Regarding format, the brief version produced greater observer‐rated symptom improvement, whereas the standard format yielded greater long‐term functional gains ( p = 0.009, ηp 2 = 0.061). Improvements were sustained at the 6‐month follow‐up. No robust three‐way interactions emerged. Conclusions CBT is highly effective and durable across ADHD presentations and formats. Although the combined presentation exhibited a more pronounced reduction in core symptoms, this differential trajectory represents a promising clinical trend requiring cautious interpretation. While brief formats efficiently address core symptoms, standard programs may better optimize long‐term functional recovery. 10.1002/cpp.70271 http://creativecommons.org/licenses/by/4.0/ |
| title | Does Attention‐Deficit/Hyperactivity Disorder Predominant Presentation Matter? Examining Functional and Symptom Changes After Cognitive Behavioural Therapy |
| topic | Clinical Psychology & Psychotherapy |
| url | https://onlinelibrary.wiley.com/doi/10.1002/cpp.70271 |