PSYC 6393 Capstone Literature 103053

PSYC 6393/FPSY 6393/IPSY 6393/DPSY 6393: Capstone Literature Review Matrix

This assignment involves reviewing a series of scholarly articles related to ADHD treatment, intervention strategies, patient perspectives, biological and psychological factors, medication impacts, sleep issues, perception of time, parenting styles, and psychotherapy approaches. The goal is to analyze how these themes inform and support the development of a comprehensive capstone intervention plan for ADHD, emphasizing evidence-based practices and patient-centered care.

Paper For Above instruction

Attention Deficit Hyperactivity Disorder (ADHD) remains one of the most prevalent neurodevelopmental disorders affecting children and adults worldwide. The complexity of ADHD necessitates a multifaceted approach to treatment, combining pharmacological, psychological, behavioral, and psychosocial interventions. The literature reviewed provides a comprehensive overview of current evidence-based practices, underlying biological and psychological factors, patient experiences, and emerging therapeutic strategies that collectively inform an effective capstone intervention plan.

One prominent theme evident in the articles is the importance of understanding biological and neurological underpinnings of ADHD to tailor interventions appropriately. Là¼cke et al. (2017) emphasize the significance of acknowledging biographical and neurobiological factors that influence psychotherapy outcomes. Their study suggests that integrating neurobiological insights with psychotherapeutic approaches can enhance intervention effectiveness, highlighting the need for personalized treatment plans. Similarly, van Elst et al. (2016) explore how medications like methylphenidate impact brain structure, illustrating the relevance of neuropharmacology in treatment decisions. Recognizing how medication affects brain morphology not only ensures safer prescription practices but also informs monitoring protocols during therapy.

Complementing biological insights, psychological and psychosocial factors also play a vital role. Newark, Elsässer, and Stieglitz (2016) reveal that self-esteem and self-efficacy significantly influence treatment engagement and outcomes in adults with ADHD. Such findings underscore the importance of incorporating self-perception and resource assessment into intervention planning, thereby fostering resilience and motivation among patients. Moreover, Keast et al. (2019) highlight the influence of circadian rhythms and sleep insufficiencies, advocating for chronotherapy as an adjunctive treatment to improve overall functioning.

Behavioral and cognitive interventions are extensively examined in the literature. Knouse, Teller, and Brooks (2017) provide a meta-analysis demonstrating the efficacy of cognitive-behavioral therapy (CBT) in managing adult ADHD symptoms, supporting CBT as a core component of comprehensive treatment. These interventions help develop coping strategies, improve organizational skills, and reduce impulsivity. When combined with medication, as discussed by Pan et al. (2019), the synergistic effect enhances symptom management, ultimately leading to better patient outcomes.

The articles also emphasize the importance of understanding patient perspectives and individual differences. GroàŸ et al. (2019) focus on patient opinions regarding psychotherapy, emphasizing that engaging patients in treatment decisions increases adherence and satisfaction. Furthermore, Molina and Musich (2016) explore perceptions of parenting among children with ADHD, suggesting that parental involvement and support are critical in managing behavioral symptoms. These themes reinforce the importance of a family-centered approach that considers environmental influences and social support systems.

In terms of treatment setting and population-specific strategies, Korman et al. (2018) evaluate the challenges in diagnosing and treating ADHD in different contexts. Their findings imply that interventions must be adaptable and culturally sensitive to achieve optimal effectiveness. For example, psychodynamic psychotherapy with mentalization-based components, as studied by Stavrou (2019), offers promise for younger children with dual impairments. Similarly, group-based mindfulness training, as investigated by Edel et al. (2017), supports adult patients in developing emotional regulation and stress reduction skills, integral to holistic care.

It is also clear from the literature that medication is a common component but requires careful consideration of potential polypharmacy issues. Keast et al. (2019) and others underscore that psychotropic polypharmacy can cause adverse interactions, necessitating thorough assessment and monitoring. Moreover, psychoeducation about medication effects, side-effects, and adherence is vital for maximizing benefits and minimizing risks.

Lastly, the role of innovative and integrative therapies, such as mentalization-based treatment, mindfulness, and chronotherapy, represent evolving areas that complement traditional interventions. Stavrou (2019) and Edel et al. (2017) advocate for a flexible, patient-centered approach that caters to individual needs and preferences, fostering engagement and improving long-term outcomes.

In conclusion, the literature collectively informs a comprehensive, multidisciplinary capstone intervention for ADHD, integrating neurobiological, psychological, social, and behavioral components. Effective treatment requires tailoring to individual patient profiles, involving psychoeducation, medication management, behavioral therapies, and family or community support systems. Future research should continue to refine these approaches, focusing on personalization and the integration of emerging therapies to optimize patient quality of life and functional outcomes.

References

  • Là¼cke, C., Lam, A. P., Müller, H. H., & Philipsen, A. (2017). New psychotherapeutic approaches in adult ADHD: acknowledging biographical factors. Journal of neurology & neuromedicine, 2(7), 6-10.
  • GroàŸ, V., Là¼cke, C., Graf, E., Lam, A. P., Matthies, S., Borel, P., & Colla, M. (2019). Effectiveness of psychotherapy in adult ADHD: what do patients think? Results of the COMPAS study. Journal of attention disorders, 23(9).
  • Scholle, O., Fegert, J. M., Kollhorst, B., à–ztà¼rk, E. E., Riedel, O., & Kà¶lch, M. (2020). Predictors for receiving medication and/or psychotherapy in children newly diagnosed with ADHD: A longitudinal population-based cohort study. Journal of Attention Disorders.
  • Newark, P. E., Elsà¤sser, M., & Stieglitz, R. D. (2016). Self-esteem, self-efficacy, and resources in adults with ADHD. Journal of Attention Disorders, 20(3).
  • van Elst, L. T., Maier, S., Klà¶ppel, S., Graf, E., Killius, C., Rump, M., & Matthies, S. (2016). The effect of methylphenidate intake on brain structure in adults with ADHD in a placebo-controlled randomized trial. Journal of psychiatry & neuroscience: JPN, 41(6), 422.
  • Korman, M., Palm, D., Uzoni, A., Faltraco, F., Tucha, O., Thome, J., & Coogan, A. N. (2018). ADHD 24/7: circadian clock genes, chronotherapy and sleep/wake cycle insufficiencies in ADHD. The World Journal of Biological Psychiatry, 1-16.
  • Ptacek, R., Weissenberger, S., Braaten, E., Klicperova-Baker, M., Goetz, M., Raboch, J., & Stefano, G. B. (2019). Clinical Implications of the Perception of Time in Attention Deficit Hyperactivity Disorder (ADHD): A Review. Medical science monitor: international medical journal of experimental and clinical research, 25, 3918.
  • Keast, S. L., Tidmore, L. M., Shropshire, D., Nesser, N., & Lambert, T. L. (2019). Characterization of Chronic Multiclass Psychotropic Polypharmacy and Psychotherapy in Foster Care Youth in a State Medicaid Population. Journal of managed care & specialty pharmacy, 25(12).
  • Wieber, F., Hotz, S., Albermann, K., Dratva, J., & von Rhein, M. (2018). Diagnostics and treatment of ADHD in Switzerland: A physician perspective on practice and challenges. European Journal of Public Health, 28(suppl_4), cky.

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