A review of recent treatments for adults living with attention-deficit/hyperactivity disorder

South African Journal of Psychiatry

Field Value
Title A review of recent treatments for adults living with attention-deficit/hyperactivity disorder
Creator Wakelin, Candice Willemse, Michele Munnik, Erica
Subject Psychiatry, Psychology, Nursing adult ADHD; intervention approaches; systematic review; treatment; SFS appraisal; evidence based interventions; RCT’s
Description Background: Attention-deficit/hyperactivity disorder (ADHD) is a neuro-developmental disorder prevalent among children and adults. Adults living with ADHD can experience significant distress affecting their daily functioning on emotional, physical, interpersonal, familial and financial levels. Intervention programmes may be a way to mitigate these challenges.Aim: This review identified good evidence-based intervention studies for adults with ADHD and described the usefulness of these interventions.Method: Following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines, articles were searched from 2009 to 2019 across four medical- and psychological-focused electronic databases using EBSCOhost. All articles selected for the review’s thematic meta-synthesis were appraised by attaining a threshold score of at least 61%, using the Smith-Franciscus-Swartbooi appraisal tool. Two autonomous reviewers engaged in the review process. The study adhered to all ethical principles pertaining to systematic review practice.Results: Forty studies were identified for summation, including pharmacological, non-pharmacological and neuro-stimulation approaches. Most interventions used a multimodal approach. Results indicated the most effective stimulant and non-stimulant as methylphenidate and atomoxetine, respectively. Effective non-pharmacological approaches to treatment were identified as cognitive-behavioural treatment, mindfulness-based approaches, psycho-education and dialectical-focused therapies. Bright light treatment and neurofeedback were reported as the most efficacious neuro-stimulatory methods.Conclusion: Pharmacological and non-pharmacological approaches, as well as neuro-stimulation or a blend of these approaches were acknowledged as the most effective recent modalities in the treatment of adult ADHD.Contribution: This review reported on the most current approaches to treat adult ADHD. This will facilitate a better understanding and informed decisions with regard to dealing with adult ADHD.
Publisher AOSIS
Contributor n/a
Date 2023-12-05
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Systematic review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/sajpsychiatry.v29i0.2152
Source South African Journal of Psychiatry; Vol 29 (2023); 8 pages 2078-6786 1608-9685
Language eng
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https://sajp.org.za/index.php/sajp/article/view/2152/3171 https://sajp.org.za/index.php/sajp/article/view/2152/3172 https://sajp.org.za/index.php/sajp/article/view/2152/3173 https://sajp.org.za/index.php/sajp/article/view/2152/3174
Coverage Global n/a n/a
Rights Copyright (c) 2023 Candice Wakelin, Erica Munnik, Michelle Willemse https://creativecommons.org/licenses/by/4.0