Sharon A Gutman1, Sheetala Balasubramanian2, Maya Herzog3, Elizabeth Kim4, Hannah Swirnow5, Yudis Retig6, Samantha Wolff7. 1. Sharon A. Gutman, PhD, OTR, FAOTA, is Professor, Programs in Occupational Therapy, Rehabilitation and Regenerative Medicine, Columbia University, New York; sg2422@cumc.columbia.edu. 2. Sheetala Balasubramanian, MS, OTR, is Occupational Therapist, Programs in Occupational Therapy, Rehabilitation and Regenerative Medicine, Columbia University, New York. 3. Maya Herzog, MS, OTR, is Occupational Therapist, Programs in Occupational Therapy, Rehabilitation and Regenerative Medicine, Columbia University, New York. 4. Elizabeth Kim, MS, OTR, is Occupational Therapist, Programs in Occupational Therapy, Rehabilitation and Regenerative Medicine, Columbia University, New York. 5. Hannah Swirnow, MS, OTR, is Occupational Therapist, Programs in Occupational Therapy, Rehabilitation and Regenerative Medicine, Columbia University, New York. 6. Yudis Retig, MS, OTR, is Occupational Therapist, Programs in Occupational Therapy, Rehabilitation and Regenerative Medicine, Columbia University, New York. 7. Samantha Wolff, MS, OTR, is Occupational Therapist, Programs in Occupational Therapy, Rehabilitation and Regenerative Medicine, Columbia University, New York.
Abstract
IMPORTANCE: Women with attention deficit hyperactivity disorder (ADHD) and ADHD symptoms may experience difficulty carrying out desired life roles and activities. OBJECTIVE: To determine whether a 7-wk tailored occupation-based intervention can reduce perceived stress and ADHD symptoms and enhance perceived performance of and satisfaction with daily roles and activities among women with ADHD. DESIGN: Randomization to intervention (n = 11) and control (n = 12) groups. SETTING: Home and community. PARTICIPANTS: Twenty-three participants ages 20-55 yr, English speaking, and with a self-reported diagnosis of ADHD. INTERVENTION: The intervention was administered for 7 wk in individual 1-hr sessions and addressed routine establishment, organization, time management, stress management, and sensory regulation in the home and community. OUTCOMES AND MEASURES: Adult Attention Deficit Hyperactivity Disorder Self-Report Scale, Perceived Stress Scale, and Canadian Occupational Performance Measure. RESULTS: At 1-wk postintervention, statistically significant differences were found between intervention and control groups in perceived stress (Z = -3.838, p < .000, d = -2.66), ADHD symptoms (Z = -3.605, p < .000, d = -2.17), and COPM Performance (Z = -4.074, p < .000, d = 3.04) and Satisfaction change scores (Z = -3.759, p < .000, d = 2.82). CONCLUSION AND RELEVANCE: A 7-wk tailored intervention reduced perceived stress and ADHD symptoms and enhanced perceived performance of and satisfaction with desired occupational roles and activities in a sample of women with ADHD. Further research is warranted to determine whether the intervention can be useful to women with ADHD beyond the present sample. WHAT THIS ARTICLE ADDS: This intervention may offer an effective nonpharmacological option for women with ADHD symptoms.
IMPORTANCE: Women with attention deficit hyperactivity disorder (ADHD) and ADHD symptoms may experience difficulty carrying out desired life roles and activities. OBJECTIVE: To determine whether a 7-wk tailored occupation-based intervention can reduce perceived stress and ADHD symptoms and enhance perceived performance of and satisfaction with daily roles and activities among women with ADHD. DESIGN: Randomization to intervention (n = 11) and control (n = 12) groups. SETTING: Home and community. PARTICIPANTS: Twenty-three participants ages 20-55 yr, English speaking, and with a self-reported diagnosis of ADHD. INTERVENTION: The intervention was administered for 7 wk in individual 1-hr sessions and addressed routine establishment, organization, time management, stress management, and sensory regulation in the home and community. OUTCOMES AND MEASURES: Adult Attention Deficit Hyperactivity Disorder Self-Report Scale, Perceived Stress Scale, and Canadian Occupational Performance Measure. RESULTS: At 1-wk postintervention, statistically significant differences were found between intervention and control groups in perceived stress (Z = -3.838, p < .000, d = -2.66), ADHD symptoms (Z = -3.605, p < .000, d = -2.17), and COPM Performance (Z = -4.074, p < .000, d = 3.04) and Satisfaction change scores (Z = -3.759, p < .000, d = 2.82). CONCLUSION AND RELEVANCE: A 7-wk tailored intervention reduced perceived stress and ADHD symptoms and enhanced perceived performance of and satisfaction with desired occupational roles and activities in a sample of women with ADHD. Further research is warranted to determine whether the intervention can be useful to women with ADHD beyond the present sample. WHAT THIS ARTICLE ADDS: This intervention may offer an effective nonpharmacological option for women with ADHD symptoms.
Authors: Maryanne Jaconis; Stephen J Boyd; Cynthia M Hartung; Sean M McCrea; Elizabeth K Lefler; Will H Canu Journal: Atten Defic Hyperact Disord Date: 2016-06-21
Authors: Ronald C Kessler; Lenard Adler; Minnie Ames; Olga Demler; Steve Faraone; Eva Hiripi; Mary J Howes; Robert Jin; Kristina Secnik; Thomas Spencer; T Bedirhan Ustun; Ellen E Walters Journal: Psychol Med Date: 2005-02 Impact factor: 7.723
Authors: John Fayyad; Nancy A Sampson; Irving Hwang; Tomasz Adamowski; Sergio Aguilar-Gaxiola; Ali Al-Hamzawi; Laura H S G Andrade; Guilherme Borges; Giovanni de Girolamo; Silvia Florescu; Oye Gureje; Josep Maria Haro; Chiyi Hu; Elie G Karam; Sing Lee; Fernando Navarro-Mateu; Siobhan O'Neill; Beth-Ellen Pennell; Marina Piazza; José Posada-Villa; Margreet Ten Have; Yolanda Torres; Miguel Xavier; Alan M Zaslavsky; Ronald C Kessler Journal: Atten Defic Hyperact Disord Date: 2016-11-19
Authors: Alexandra Philipsen; Thomas Jans; Erika Graf; Swantje Matthies; Patricia Borel; Michael Colla; Laura Gentschow; Daina Langner; Christian Jacob; Silke Groß-Lesch; Esther Sobanski; Barbara Alm; Martina Schumacher-Stien; Michael Roesler; Wolfgang Retz; Petra Retz-Junginger; Bernhard Kis; Mona Abdel-Hamid; Viola Heinrich; Michael Huss; Catherine Kornmann; Arne Bürger; Evgeniy Perlov; Gabriele Ihorst; Michael Schlander; Mathias Berger; Ludger Tebartz van Elst Journal: JAMA Psychiatry Date: 2015-12 Impact factor: 21.596