OBJECTIVE To systematically review the literature on published randomized controlled trials (RCTs) of cognitive behavioral therapy (CBT) for adult ADHD and to establish the effectiveness of CBT in reducing ADHD symptoms. METHOD A systematic review of nine RCTs and two subsequent meta-analyses of eight of the studies were conducted. RESULTS Just nine studies were identified, of generally good quality but with some limitations. Four trials (total N = 160) compared CBT with waiting list controls, and three trials (total N = 191) compared CBT with appropriate active control groups. Meta-analyses showed that CBT was superior to waiting list with a moderate to large effect size (standardized mean difference [SMD] = 0.76, 95% confidence interval [CI] [0.21, 1.31], p = .006) and superior to active control groups with a small to moderate effect size (SMD = 0.43, 95% CI [0.14, 0.71], p = .004). CONCLUSION These results give support to the efficacy of CBT in reducing symptoms of ADHD post-intervention.

中文翻译：

---

认知行为疗法对多动症成年人的有效性：系统评价和荟萃分析的随机对照试验。

目的系统地回顾关于成人ADHD认知行为疗法（CBT）的已发表的随机对照试验（RCT）的文献，并建立CBT在减轻ADHD症状方面的有效性。方法对9项RCT进行了系统评价，并对8项研究进行了两次后续荟萃分析。结果仅鉴定出九项研究，总体质量良好，但有一定局限性。有四项试验（总N = 160）将CBT与等待名单对照组进行了比较，有三项试验（总N = 191）将CBT与适当的活动对照组进行了比较。荟萃分析显示，CBT优于等待清单，具有中等到较大的效应量（标准化平均差异[SMD] = 0.76，95％置信区间[CI] [0.21，1.31]，p =。006）并优于活动对照组，其效果大小不大（SMD = 0.43，95％CI [0.14，0.71]，p = .004）。结论这些结果支持CBT减轻干预后ADHD症状的功效。