Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study

Abstract Background Emotion dysregulation commonly co-occurs with attention-deficit hyperactivity disorder (ADHD), leading to a range of negative outcomes. While psychological interventions have shown promise in bringing about positive changes in emotional and cognitive domains, there is still limit...

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Main Authors: Emilie S. Nordby, Viktor Schønning, Alice Barnes, Hayley Denyer, Jonna Kuntsi, Astri J. Lundervold, Frode Guribye
Format: Article
Language:English
Published: BMC 2025-01-01
Series:BMC Psychiatry
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Online Access:https://doi.org/10.1186/s12888-025-06476-1
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author Emilie S. Nordby
Viktor Schønning
Alice Barnes
Hayley Denyer
Jonna Kuntsi
Astri J. Lundervold
Frode Guribye
author_facet Emilie S. Nordby
Viktor Schønning
Alice Barnes
Hayley Denyer
Jonna Kuntsi
Astri J. Lundervold
Frode Guribye
author_sort Emilie S. Nordby
collection DOAJ
description Abstract Background Emotion dysregulation commonly co-occurs with attention-deficit hyperactivity disorder (ADHD), leading to a range of negative outcomes. While psychological interventions have shown promise in bringing about positive changes in emotional and cognitive domains, there is still limited knowledge on the subjective experiences of change among the participants in these interventions. Aim The present study explores the experiences of adults with ADHD who had participated in a blended digital and face-to-face intervention aimed at improving emotion dysregulation. The study focuses on understanding their experiences of change and identifying contributors to change. Methods A total of 9 adults with ADHD participated in individual semi-structured, in-depth interviews following their participation in the intervention. The interviews were analyzed using thematic analysis. Results The thematic analysis resulted in three core themes. The first theme, ‘perceiving change’, represents changes that the participants experienced, with four subthemes: 1a) being in control, 1b) feeling aware, 1c) accepting oneself and one’s emotions and 1d) gaining insight and knowledge. The second theme, ‘supporting change’, captures factors that supported the participants’ changes, with five subthemes: 2a) acquiring skills, 2b) being in it together, 2c) therapist guidance, 2d) finding motivation 2e) putting it into practice. Lastly, the third theme, ‘sustaining change’, includes aspects important to maintain change, with two subthemes: 3a) working consistently and 3b) giving it time. Conclusions The findings show that the participants experienced various changes related to the management of their emotions following their participation in the intervention. Change was perceived as a multifaceted process, supported by internal factors such as motivation and engagement, along with external factors such as support from the other group members and the therapists. Taken together, the findings from the study could be important to the development of psychological interventions for adults with ADHD and may provide valuable knowledge to clinicians and policymakers. Trial registration Registered on 21st November 2022 at ClinicalTrials.gov. ClinicalTrials.gov ID: NCT05644028.
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spelling doaj-art-c7628702ef844147b0bd289f4ca892c52025-01-26T12:46:52ZengBMCBMC Psychiatry1471-244X2025-01-0125111510.1186/s12888-025-06476-1Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview studyEmilie S. Nordby0Viktor Schønning1Alice Barnes2Hayley Denyer3Jonna Kuntsi4Astri J. Lundervold5Frode Guribye6Division of Psychiatry, Haukeland University HospitalDivision of Psychiatry, Haukeland University HospitalSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonSocial, Genetic and Developmental Psychiatry Centre, Institute of Psychiatry, Psychology and Neuroscience, King’s College LondonDepartment of Biological and Medical Psychology, University of BergenDepartment of Information Science and Media Studies, University of BergenAbstract Background Emotion dysregulation commonly co-occurs with attention-deficit hyperactivity disorder (ADHD), leading to a range of negative outcomes. While psychological interventions have shown promise in bringing about positive changes in emotional and cognitive domains, there is still limited knowledge on the subjective experiences of change among the participants in these interventions. Aim The present study explores the experiences of adults with ADHD who had participated in a blended digital and face-to-face intervention aimed at improving emotion dysregulation. The study focuses on understanding their experiences of change and identifying contributors to change. Methods A total of 9 adults with ADHD participated in individual semi-structured, in-depth interviews following their participation in the intervention. The interviews were analyzed using thematic analysis. Results The thematic analysis resulted in three core themes. The first theme, ‘perceiving change’, represents changes that the participants experienced, with four subthemes: 1a) being in control, 1b) feeling aware, 1c) accepting oneself and one’s emotions and 1d) gaining insight and knowledge. The second theme, ‘supporting change’, captures factors that supported the participants’ changes, with five subthemes: 2a) acquiring skills, 2b) being in it together, 2c) therapist guidance, 2d) finding motivation 2e) putting it into practice. Lastly, the third theme, ‘sustaining change’, includes aspects important to maintain change, with two subthemes: 3a) working consistently and 3b) giving it time. Conclusions The findings show that the participants experienced various changes related to the management of their emotions following their participation in the intervention. Change was perceived as a multifaceted process, supported by internal factors such as motivation and engagement, along with external factors such as support from the other group members and the therapists. Taken together, the findings from the study could be important to the development of psychological interventions for adults with ADHD and may provide valuable knowledge to clinicians and policymakers. Trial registration Registered on 21st November 2022 at ClinicalTrials.gov. ClinicalTrials.gov ID: NCT05644028.https://doi.org/10.1186/s12888-025-06476-1ADHDEmotion regulationPsychological interventionsBlended interventionsDigital interventionsQualitative research
spellingShingle Emilie S. Nordby
Viktor Schønning
Alice Barnes
Hayley Denyer
Jonna Kuntsi
Astri J. Lundervold
Frode Guribye
Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study
BMC Psychiatry
ADHD
Emotion regulation
Psychological interventions
Blended interventions
Digital interventions
Qualitative research
title Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study
title_full Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study
title_fullStr Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study
title_full_unstemmed Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study
title_short Experiences of change following a blended intervention for adults with ADHD and emotion dysregulation: a qualitative interview study
title_sort experiences of change following a blended intervention for adults with adhd and emotion dysregulation a qualitative interview study
topic ADHD
Emotion regulation
Psychological interventions
Blended interventions
Digital interventions
Qualitative research
url https://doi.org/10.1186/s12888-025-06476-1
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