Cognitive-motivational, interpersonal, and behavioral functioning in relationship to treatment and research engagement in forensic patients with ADHD

Jenny A.B.M. Houtepen*, Jelle J. Sijtsema, Rosalind Van der Lem, Anouk Scheres, Stefan Bogaerts

*Corresponding author for this work

Research output: Contribution to journalArticleScientificpeer-review

1 Citation (Scopus)
11 Downloads (Pure)

Abstract

Objectives: 

To provide more insight into treatment and research responsivity in offenders with attention-deficit hyperactivity disorder (ADHD). Method: Via self-reports and patients' scores on cognitive computer tasks, it was examined whether poorer cognitive-motivational, interpersonal, and behavioral functioning were related to treatment no-shows, longer treatment time duration intervals, and no-show at the research appointment in 52 forensic outpatients with ADHD (Mage = 35.3, SD = 9.38). Treatment adherence was tracked for 10 appointments after research participation. 

Results: 

Regression analyses showed that higher self-reported impulsivity was associated with research no-show, and more alcohol use with longer treatment time intervals. Yet, self-reported delay aversion was associated with fewer treatment no-shows, and, uncontrolled for alcohol use, impulsivity was associated with shorter treatment time intervals in a subsample of patients. 

Conclusions: 

These preliminary results indicate that externalizing behaviors increase the risk for nonadherence in forensic ADHD patients, but that cognitive-motivational problems also motivate patients to be more engaged.

Original languageEnglish
JournalJournal of Clinical Psychology
DOIs
Publication statusE-pub ahead of print - 2020

Keywords

  • adult ADHD
  • forensic outpatients
  • research engagement
  • responsivity
  • treatment engagement

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