Evidence map›Paper›PMID 40440640›Full record

ArticleJMIR formative research2025

Web-Based Stress Management for Working Adults With Attention-Deficit/Hyperactivity Disorder (ADHD): Single-Arm, Open Pilot Trial.

Martin Oscarsson, Sandra Hammarbäck, Karolina Blom Wiberg, Alexander Rozental, Ylva Ginsberg, Per Carlbring, Gerhard Andersson, Fredrik Jönsson

Abstract read
In one paragraph

Article in JMIR formative research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors.

Martin OscarssonDepartment of Psychology, Stockholm University, Albanovägen 12, Stockholm, 106 91, Sweden, 46 8 16 46 02.ORCID 0000-0002-8209-5351
Sandra HammarbäckDepartment of Psychology, Stockholm University, Albanovägen 12, Stockholm, 106 91, Sweden, 46 8 16 46 02.ORCID 0009-0002-1914-5704
Karolina Blom WibergDepartment of Psychology, Stockholm University, Albanovägen 12, Stockholm, 106 91, Sweden, 46 8 16 46 02.ORCID 0009-0000-2719-419X
Alexander RozentalDepartment of Health, Education and Technology, Luleå University of Technology, Luleå, Sweden.ORCID 0000-0002-1019-0245
Ylva GinsbergCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm, Sweden.ORCID 0000-0003-1934-376X
Per CarlbringDepartment of Psychology, Stockholm University, Albanovägen 12, Stockholm, 106 91, Sweden, 46 8 16 46 02.ORCID 0000-0002-2172-8813
Gerhard AnderssonCentre for Psychiatry Research, Department of Clinical Neuroscience, Karolinska Institutet, & Stockholm Health Care Services, Stockholm, Sweden.ORCID 0000-0003-4753-6745
Fredrik JönssonDepartment of Psychology, Stockholm University, Albanovägen 12, Stockholm, 106 91, Sweden, 46 8 16 46 02.ORCID 0000-0002-4280-4301

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: National and international guidelines advocate for a multimodal approach to treating adult attention-deficit/hyperactivity disorder (ADHD), combining pharmacotherapy with psychological interventions. While recent reviews support cognitive behavioral therapy (CBT) as a viable treatment for ADHD in adults, evidence remains limited. Another challenge is the availability of psychological interventions, with stimulants remaining the primary treatment choice for adults with ADHD. One promising approach to increasing access to psychological interventions is the dissemination of internet-delivered CBT. Objective: This study evaluated the feasibility, acceptability, and effects of a guided web-based stress management program specifically designed for working adults with ADHD. The intervention aimed to enhance quality of life by addressing stress, exhaustion, anxiety, and depression, commonly experienced by this population. Methods: Thirty-six participants took part in a single-arm open trial, with assessments before, during, and after the intervention. The intervention consisted of 12 modules based on CBT principles, focusing on executive functioning, stress management, and emotion regulation, with clinician support on demand. Primary and secondary outcomes included quality of life (Adult ADHD Quality of Life Scale [AAQoL]), perceived stress (Perceived Stress Scale [PSS-10]), exhaustion (Karolinska Exhaustion Disorder Scale [KEDS]), anxiety (Generalized Anxiety Disorder 7-item Scale [GAD-7]), depression (Patient Health Questionnaire [PHQ-9]), and ADHD symptoms (the World Health Organization Adult ADHD Self-Report Scale [ASRS]). Results: Results indicated a statistically and clinically significant improvement in quality of life (Cohen d=0.84), and a reduction in ADHD symptoms (d=0.98), as well as statistically significant reductions in perceived stress (d=0.83), exhaustion (d=1.12), anxiety (d=1.70), and depression (d=1.25). Improvements were sustained at a 12-week follow-up. A clinically significant improvement in quality of life was observed in 36% (13/36) of participants. Participants reported high satisfaction with the program and the guidance. Adherence was high, with an overall assessment response rate of 84%, a mean of 78% of modules opened, and no explicit dropouts. Twelve of the 36 participants reported negative effects. Qualitative content analysis of participants' written feedback revealed positive experiences and suggestions for improvement. Conclusions: This study suggests promise for web-delivered interventions tailored to the needs of adults with ADHD, pending further research and development in controlled studies.

Indexed as

Attention Deficit Disorder with HyperactivityCognitive Behavioral TherapyInternet-Based InterventionStress, PsychologicalAdultAnxietyFemaleHumansInternetMaleMiddle AgedPilot ProjectsQuality of LifeTreatment Outcomeattention deficit disorder with hyperactivitycognitive behavioral therapyinternet-based interventionpilot projectsquality of life

Identifiers

PMID40440640
PMCPMC12140506

What OpenQuestion holds

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LicenceCC BY
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.