PROUD study interview with participants, part 3: Managing ADHD with light

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This month we interviewed a 22 year old female college student who took part in the CoCA-PROUD study in Frankfurt. I would like to thank her for sharing her valuable experience as a participant in our study and what is it like to live with ADHD.

What is it like to live with ADHD?

I’m usually very chaotic and it’s difficult for me to keep organized and remember appointments. I get distracted quickly and it’s hard to concentrate. My fellow students and friends find it sometimes annoying. I had difficulty with concentration and organization even in elementary school and not much has changed since then. But today I do have conscious strategies to organize myself a bit better. That helps in some situations.

I was only diagnosed with ADS 1.5 years ago at the age of 20. I was examined in elementary school because of similar problems and my parents decided me to take part in a psychological therapy but a diagnosis wasn’t given. On the one hand it was a relief when I got diagnosed, because I always thought I have problems in these things. But on the other hand, it also feels strange to have a diagnosis. Nobody really knows about it except my parents, my boy-friend and some best friends. I find it uncomfortable to talk about and I don’t want everyone to know that I have problems in these things, because so many people have prejudices.

For 1.5 years I’ve been taking medicine regularly. In some situations, I can tell that it helps, like to be able to concentrate better. In other situations, the effect isn’t as clear. But my boy-friend notices immediately if I haven’t taken my medication.

For me the positive side of ADS is that I often have more ideas than other people do and I also react more emotionally, for example when I’m happy. But still, on the medication, however, I also notice that most of the time I’m not as emotional as I normally would be.

Light therapy to manage ADHD

I saw the flyer that was posted on the homepage of the Department of Child and Adolescent Psychiatry at the Goethe University Hospital Frankfurt. I was searching online about research on ADHD because I was interested in research on ADHD in general and I wanted to learn more about the types of interventions investigated in the clinical study. Actually, I was most interested in the light therapy. I had read about it before and wanted to give it a try. So naturally I was excited when they told me that I was assigned to the light therapy group. I did the light therapy for 10 weeks starting in June 2018. They gave me a specific lamp and a smartphone with an app. I also had to wear the light sensor day and night, but it didn’t bother me. At work I wasn’t allowed to wear the sensor. The lamp was easy to use, however the light therapy needed to be done very early in the morning before I went to work. During the week, it was sometimes hard to find the time to do the light therapy early in the morning before heading to work. It was really hard to get up that early on Saturdays for it. That’s something that I didn’t like about the therapy. The app was easy to use. The feedback didn’t always work right, but that wasn’t important for me. During the 10 weeks of light therapy I felt much better in the mornings; it was easier to start the day and to get into the day. So in that way it was very helpful for me. I did not recognize any effects on my difficulties to concentrate or being organized. I would definitely recommend to participate in this study and to use the light. I am planning to buy one and to do light therapy on my own.

The interview was done by Jutta Mayer. She is a psychologist and psychotherapist at the University Hospital Frankfurt and the clinical project manager of the PROUD study which is part of the CoCA project (www.coca-project.eu).

 

10 weeks of physical exercise or light therapy: what’s it like to participate in our clinical trial?

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In 2017, under the umbrella of an EU-funded CoCA project (Comorbid Conditions of ADHD), we started a pilot clinical trial to test the potential of bright light therapy and physical exercise to improve and prevent depression and obesity in adolescents and young adults with ADHD. Our aim is to provide non-pharmacological interventions that could easily be done at home and integrated into daily routines.

The study (named PROUD) is simultaneously going on in Frankfurt, Barcelona, London and Nijmegen. 60 people have already participated across these different locations. As the study is still ongoing (we’re about half way), we don’t have the results yet. However, we have interviewed some people who have taken part so far about their experiences with the interventions and their experience of living with ADHD. Their enlightening reports also give us the great opportunity to learn more how it feels for adolescents and young adults to live with ADHD – a disorder that is still seen as predominantly childhood condition. These interviews will be posted on this blog in the following months, but the first one you can already read here. We would like to extend our gratitude to our study participants, not only for participating but also for giving up their time to answer our questions.

Awareness about ADHD

This month – which is the ADHD awareness month -, we interviewed a 21-year old male college student who is originally from Peru but has been living in Barcelona for a few years who participated in the exercise intervention. You can read the interview here. During this interview he said that “The worst thing about having ADHD is that people have a lot of prejudices about it and have a lot of incorrect thoughts about what it means.” These real-life patient highlighted issues emphasize the importance of raising public awareness of ADHD.

 About the clinical study

Stimulant medications are the mainstay treatment for the typical symptoms of ADHD1. However, many patients (about 85% of adults with ADHD)) also suffer from psychiatric and somatic comorbidities – including mood disorders2 and obesity3. The risk for these co-morbid conditions is especially high for patients during adolescence and young adulthood4. Bright light therapy (BLT) is an established therapy for major depression and exercise prevents and reduces obesity and improves depressive symptoms, however it is not yet known whether these therapies are effective in adolescents and adults with ADHD. To support patients during the 10 weeks of intervention, a mobile technology was developed specifically for this trial by the Karlsruhe Institute of Technology. Patients receive app-based instructions and feedback via a smartphone and they wear a sensor that records their physical activity and light exposure throughout the study. We earlier wrote about this study in two Blogs. CoCA-PROUD trial ready to roll How bright light and physical exercise might help ADHD patients

Are you interested in participating, or do you want more information?

The trial will be continued until 2020. All outpatients with ADHD aged 14 to 45 years old living in and around Barcelona, Frankfurt, London or Nijmegen are invited to participate in the trial.

Contact:

Barcelona:

Frankfurt:

London:

Nijmegen:

More information about the trial can be found on the CoCA website: coca-phase-iia-trial/study/

References    

1Cortese S, Adamo N, Del Giovane C, Mohr-Jensen C, Hayes AJ, Carucci S, et al. Comparative efficacy and tolerability of medications for attention-deficit hyperactivity disorder in children, adolescents, and adults: a systematic review and network meta-analysis. Lancet Psychiatry. 2018;5(9):727-738.

2Jacob CP, Romanos J, Dempfle A, Heine M, Windemuth-Kieselbach C, Kruse A, et al. Co-morbidity of adult attention-deficit/hyperactivity disorder with focus on personality traits and related disorders in a tertiary referral center. Eur Arch Psychiatry Clin Neurosci. 2007;257:309–17.

3 Cortese S, Moreira-Maia CR, St Fleur D, Morcillo-Penalver C, Rohde LA, Faraone SV. Association between ADHD and obesity: a systematic review and meta-analysis. Am J Psychiatry. 2016;173:34–43.

4Meinzer MC, Lewinsohn PM, Pettit JW, Seeley JR, Gau JM, Chronis-Tuscano A, et al. Attention-deficit/hyperactivity disorder in adolescence predicts onset of major depressive disorder through early adulthood. Depress Anxiety. 2013;30:546–53.

This post was written by Jutta Mayer and Adam Pawley. Jutta Mayer is a psychologist and psychotherapist at the University Hospital Frankfurt. She is the clinical project manager of the PROUD study which is part of the CoCA project (www.coca-project.eu). Adam Pawley is a clinical neuroscientist at King’s College London. He is conducting the PROUD trial in London.