DOI: 10.14704/nq.2017.15.4.1146

The Effectiveness of Verbal Self-instruction Program on the Symptoms of ADHD: Controlled Before and After Study

Zhenzi Sun


The high prevalence of hyperactivity disorder and its related problems is the reason for the importance of seeking new therapies. Although several behavioral-cognitive models have been advocated in the literature, we are looking for research on what constitutes the most effective behavioral-cognitive model. Objectives: To determine the efficacy of verbal self-instruction program and to assess which component of the program was most predictive of decreasing the symptoms of ADHD in three medical and counseling centers in Hefei (China). Design: A randomized controlled clinical trial design was utilized with data before and after the program. Our sample consisted of 33 ADHD children admitted to the centers in March 2016. Results: The symptoms of ADHD were significantly reduced in the experimental group. Furthermore, perceived behavioral control increased in the experimental group but remained unchanged in the control group. Conclusion: The verbal self-instruction program was effective in decreasing the symptoms of ADHD.


verbal self-instruction, ADHD, symptoms, children

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Faraone SV, Biederman J, Spencer T, Wilens T, Seidman LJ, Mick E, Doyle AE. Attention-deficit/hyperactivity disorder in adults: an overview. Biological Psychiatry 2000; 48(1):9-20.

Furlong D. The effects of attribution and self-instruction training on ADHD children with and without oppositional behavior. Mount Saint Vincent University, 1998.

Gomez R, Vance A, Watson SD. Structure of the Wechsler Intelligence Scale for Children–Fourth Edition in a Group of Children with ADHD. Frontiers in Psychology 2016; 7: 737.

Hechtman L, Weiss G, Perlman T. Young adult outcome of hyperactive children who received long-term stimulant treatment. Journal of the American Academy of Child Psychiatry 1984; 23(3):261-9.

Hommersen P, Murray C, Ohan JL, Johnston C. Oppositional defiant disorder rating scale: preliminary evidence of reliability and validity. Journal of Emotional and Behavioral Disorders 2006;14(2):118-25.

Knouse LE, Safren SA. Current status of cognitive behavioral therapy for adult attention-deficit hyperactivity disorder. Psychiatric Clinics of North America 2010; 33(3):497-509.

Lakhan SE, Kirchgessner A. Prescription stimulants in individuals with and without attention deficit hyperactivity disorder: misuse, cognitive impact, and adverse effects. Brain and Behavior 2012; 2(5):661-77.

Lubar JF, Lubar JO. Neurofeedback assessment and treatment for attention deficit/hyperactivity disorder. In: Evans JR, Abarbanel A. Introduction to quantitative EEG and neurofeedback 1999, 103-43.

Mathews J, Youman K, Stuewig J, Tangney J. Reliability and validity of the Brief Self-Control Scale in a sample of incarcerated offenders. In Annual Meeting of the American Society of Criminology, Atlanta Marriott Marquis, Atlanta, Georgia 2007.

Miao S, Han J, Gu Y, Wang X, Song W, Li D, Liu Z, Yang J, Li X. Reduced prefrontal cortex activation in children with attention-deficit/hyperactivity disorder during go/no-go task: A functional near-infrared spectroscopy study. Frontiers in Neuroscience 2017; 11(367):1-7.

Miranda A, Jesús Presentación M. Efficacy of Cognitive‐Behavioral therapy in the treatment of children with ADHD, with and without aggressiveness. Psychology in the Schools 2000; 37(2):169-82.

Mueller KL, Tomblin JB. Diagnosis of ADHD and its behavioral, neurologic and genetic roots. Topics in Language Disorders 2012; 32(3):207-27.

Nęcka E. Self-Control Scale AS-36: Construction and validation study. Polish Psychological Bulletin 2015; 46(3):488-97.

Ozaki Y, Goto T, Kobayashi M, Kutsuzawa G. Reliability and validity of the Japanese translation of Brief Self-Control Scale (BSCS-J). Shinrigaku kenkyu: The Japanese Journal of Psychology 2016; 87(2):144-54.

Ramalho J, García-Señorán M, González SG. Self-instructions: strategy of attentional regulation in ADHD. Psicologia: Reflexão e Crítica 2011; 24(1):180-5.

Rappley MD. Attention deficit–hyperactivity disorder. New England Journal of Medicine 2005; 352(2):165-73.

Razjouyan K, Mousavi H, Ashtiani RD, Khademi M. An Investigation into Prevalence of Neurological Soft Signs in Children with Attention Deficit-Hyperactivity Disorder and Their Siblings. NeuroQuantology 2017; 15(3): 32-40.

Rivera Flores GW. Self-instructional cognitive training to reduce impulsive cognitive style in children with Attention Deficit with Hyperactivity Disorder, Electronic journal of Research in Educational Psychology 2015; 13(1):27-46.

Shapiro ES, Cole CL. Behavior change in the classroom: Self-management interventions. Guilford Press, NY, 1994.

Suwartono C, Halim MS, Hidajat LL, Hendriks MP, Kessels RP. Development and Reliability of the Indonesian Wechsler Adult Intelligence Scale—Fourth Edition (WAIS-IV). Psychology 2014; 5(14):1611-19.

Swanson JM, Schuck S, Porter MM, Carlson C, Hartman CA, Sergeant JA, Clevenger W, Wasdell M, McCleary R, Lakes K, Wigal T. Categorical and Dimensional Definitions and Evaluations of Symptoms of ADHD: History of the SNAP and the SWAN Rating Scales. The International journal of educational and Psychological Assessment 2012; 10(1):51-70.

Swanson, J., Schuck, S., Mann, M., Carlson, C., Hartman, K., Sergeant, J. & McCleary, R. (2006). Categorical and dimensional definitions and evaluations of symptoms of ADHD: The SNAP and SWAN Rating Scales. University of California, Irvine.

Tangney JP, Baumeister RF, Boone AL. High self‐control predicts good adjustment, less pathology, better grades, and interpersonal success. Journal of Personality 2004; 72(2):271-324.

Thyagarajan R. A case study using cognitive-behavioral therapy-management of ADHD. Indian Journal of Health and Wellbeing 2016; 7(5):471.

Unger A, Bi C, Xiao YY, Ybarra O. The revising of the Tangney Self‐Control Scale for Chinese students. PsyCh Journal 2016; 5(2):101-16.

Uno Y, Mizukami H, Ando M, Yukihiro R, Iwasaki Y, Ozaki N. Reliability and Validity of the New Tanaka B Intelligence Scale Scores: A Group Intelligence Test. PloS One 2014; 9(6):e100262.

Wang Z. Neurofeedback Training Intervention for Enhancing Working Memory Function in Attention Deficit and Hyperactivity Disorder (ADHD) Chinese Students. NeuroQuantology 2017; 15(2): 277-83.

Weiss M, Murray C, Weiss G. Adults with attention-deficit/hyperactivity disorder: current concepts. Journal of Psychiatric Practice 2002; 8(2):99-111.

Wender PH, Wolf LE, Wasserstein J. Adults with ADHD. Annals of the New York Academy of Sciences 2001; 931(1):1-16.

Wender PH. Attention-deficit hyperactivity disorder in adults. Psychiatric Clinics of North America 1998; 21(4):761-74.

WHO. The ICD-10 classification of mental and behavioural disorders: diagnostic criteria for research: World Health Organization, 1993.

Zhu JL, Olsen J, Liew Z, Li J, Niclasen J, Obel C. Parental smoking during pregnancy and ADHD in children: the Danish national birth cohort. Pediatrics 2014; 134(2):e382-8.

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