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

Houtepen,Jenny A.B.M.
; 
Sijtsema,Jelle J.
; 
Van der Lem,Rosalind
; 
Scheres,Anouk
; 
Bogaerts,Stefan
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.
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2020
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Tilburg University Research Output Collection
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Keywords
ATTACHMENT, ATTENTION, DEFICIT HYPERACTIVITY DISORDER, DELAY AVERSION, EXECUTIVE FUNCTION, MEDICATION-TREATED ADULTS, NO-SHOW, PERSISTENT SYMPTOMS, PSYCHOMETRIC PROPERTIES, THERAPEUTIC ALLIANCE, adult ADHD, forensic outpatients, research engagement, responsivity, treatment engagement
Citation
Houtepen, J A B M, Sijtsema, J J, Van der Lem, R, Scheres, A & Bogaerts, S 2020, 'Cognitive-motivational, interpersonal, and behavioral functioning in relationship to treatment and research engagement in forensic patients with ADHD', Journal of Clinical Psychology, vol. 76, no. 12, pp. 2345-2371. https://doi.org/10.1002/jclp.23016
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https://hdl.handle.net/20.500.14602/73845
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info:eu-repo/semantics/openAccess
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