TY - JOUR
T1 - Cognitive-motivational, interpersonal, and behavioral functioning in relationship to treatment and research engagement in forensic patients with ADHD
AU - Houtepen, Jenny A.B.M.
AU - Sijtsema, Jelle J.
AU - Van der Lem, Rosalind
AU - Scheres, Anouk
AU - Bogaerts, Stefan
PY - 2020
Y1 - 2020
N2 - 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.
AB - 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.
KW - ATTACHMENT
KW - ATTENTION
KW - DEFICIT HYPERACTIVITY DISORDER
KW - DELAY AVERSION
KW - EXECUTIVE FUNCTION
KW - MEDICATION-TREATED ADULTS
KW - NO-SHOW
KW - PERSISTENT SYMPTOMS
KW - PSYCHOMETRIC PROPERTIES
KW - THERAPEUTIC ALLIANCE
KW - adult ADHD
KW - forensic outpatients
KW - research engagement
KW - responsivity
KW - treatment engagement
UR - http://www.scopus.com/inward/record.url?scp=85087745516&partnerID=8YFLogxK
U2 - 10.1002/jclp.23016
DO - 10.1002/jclp.23016
M3 - Article
AN - SCOPUS:85087745516
SN - 0021-9762
VL - 76
SP - 2345
EP - 2371
JO - Journal of Clinical Psychology
JF - Journal of Clinical Psychology
IS - 12
ER -